Evidence map›Paper›PMID 25127697›Full record

Trial reportAmerican journal of ophthalmology2014

Three-dimensional automated choroidal volume assessment on standard spectral-domain optical coherence tomography and correlation with the level of diabetic macular edema.

Bianca S Gerendas, Sebastian M Waldstein, Christian Simader, Gabor Deak, Bilal Hajnajeeb, Li Zhang, Hrvoje Bogunovic, Michael D Abramoff, Michael Kundi, Milan Sonka and 1 more

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in American journal of ophthalmology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

46 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. The Anatomic and Functional Outcomes of Ozurdex-Aided Vitrectomy in Proliferative Diabetic Retinopathy.Diabetes, metabolic syndrome and obesity : targets and therapy · 2024
    Trial
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  5. Choroidal vascular alterations across diabetic retinopathy severity using ultra-widefield indocyanine green angiography.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
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  7. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Bianca S GerendasVienna Reading Center, Department of Ophthalmology, Medical University of Vienna, Vienna, Austria; Christian Doppler Laboratory for Ophthalmic Image Analysis, Medical University of Vienna, Vienna, Austria.
Sebastian M WaldsteinVienna Reading Center, Department of Ophthalmology, Medical University of Vienna, Vienna, Austria; Christian Doppler Laboratory for Ophthalmic Image Analysis, Medical University of Vienna, Vienna, Austria.
Christian SimaderVienna Reading Center, Department of Ophthalmology, Medical University of Vienna, Vienna, Austria; Christian Doppler Laboratory for Ophthalmic Image Analysis, Medical University of Vienna, Vienna, Austria. Electronic address: optima@meduniwien.ac.at.
Gabor DeakVienna Reading Center, Department of Ophthalmology, Medical University of Vienna, Vienna, Austria.
Bilal HajnajeebVienna Reading Center, Department of Ophthalmology, Medical University of Vienna, Vienna, Austria.
Li ZhangDepartment of Electrical & Computer Engineering, University of Iowa, Iowa City, Iowa.
Hrvoje BogunovicDepartment of Electrical & Computer Engineering, University of Iowa, Iowa City, Iowa.
Michael D AbramoffDepartment of Electrical & Computer Engineering, University of Iowa, Iowa City, Iowa; Department of Ophthalmology & Visual Sciences, University of Iowa, Iowa City, Iowa; Veterans Affairs, Medical Center, West Iowa City, Iowa.
Michael KundiInstitute of Environmental Health, Center for Public Health, Medical University of Vienna, Vienna, Austria.
Milan SonkaDepartment of Electrical & Computer Engineering, University of Iowa, Iowa City, Iowa; Department of Ophthalmology & Visual Sciences, University of Iowa, Iowa City, Iowa.
Ursula Schmidt-ErfurthVienna Reading Center, Department of Ophthalmology, Medical University of Vienna, Vienna, Austria; Christian Doppler Laboratory for Ophthalmic Image Analysis, Medical University of Vienna, Vienna, Austria.

Funding

Graph-Based Medical Image Segmentation in 3D and 4DR01EB004640 · NIBIB · UNIVERSITY OF IOWA · PI BUATTI, JOHN M, SONKA, MILAN · 2006 to 2022
$6.1M
Retinal Therapy Guided by 3-D OCT Image AnalysisR01EY019112 · NEI · UNIVERSITY OF IOWA · PI ABRAMOFF, MICHAEL DAVID, SONKA, MILAN · 2010 to 2014
$2.6M
Three-dimensional structure-function relationships in glaucoma from SD-OCTR01EY018853 · NEI · UNIVERSITY OF IOWA · PI ABRAMOFF, MICHAEL DAVID, KWON, YOUNG H. · 2009 to 2016
$2.6M
NEI NIH HHS R01 EY018853NEI NIH HHS R01 EY019112NIBIB NIH HHS R01 EB004640
6 · The paper itself

Abstract

purposeTo measure choroidal thickness on spectral-domain optical coherence tomography (SD OCT) images using automated algorithms and to correlate choroidal pathology with retinal changes attributable to diabetic macular edema (DME).

designPost hoc analysis of multicenter clinical trial baseline data.

methodsSD OCT raster scans/fluorescein angiograms were obtained from 284 treatment-naïve eyes of 142 patients with clinically significant DME and from 20 controls. Three-dimensional (3D) SD OCT images were evaluated by a certified independent reading center analyzing retinal changes associated with diabetic retinopathy. Choroidal thicknesses were analyzed using a fully automated algorithm. Angiograms were assessed manually. Multiple endpoint correction according to Bonferroni-Holm was applied. Main outcome measures were average retinal/choroidal thickness on fovea-centered or peak of edema (thickest point of edema)-centered Early Treatment Diabetic Retinopathy Study grid, maximum area of leakage, and the correlation between retinal and choroidal thicknesses.

resultsTotal choroidal thickness is significantly reduced in DME (175 ± 23 μm; P = .0016) and nonedematous fellow eyes (177 ± 20 μm; P = .009) of patients compared with healthy control eyes (190 ± 23 μm). Retinal/choroidal thickness values showed no significant correlation (1-mm: P = .27, r(2) = 0.01; 3-mm: P = .96, r(2) < 0.0001; 6-mm: P = .42, r(2) = 0.006). No significant difference was found in the 1- or 3-mm circle of a retinal peak of edema-centered grid. All other measurements of choroidal/retinal thickness (DME vs healthy, DME vs peak of edema-centered, DME vs fellow, healthy vs fellow, peak of edema-centered vs healthy, peak of edema-centered vs fellow eyes) were compared but no statistically significant correlation was found. By tendency a thinner choroid correlates with larger retinal leakage areas.

conclusionsAutomated algorithms can be used to reliably assess choroidal thickness in eyes with DME. Choroidal thickness was generally reduced in patients with diabetes if DME is present in 1 eye; however, no correlation was found between choroidal/retinal pathologies, suggesting different pathogenetic pathways.

Indexed as

AlgorithmsImaging, Three-DimensionalAdultAgedChoroidDiabetic RetinopathyFemaleFluorescein AngiographyFundus OculiHumansMacular EdemaMaleMiddle AgedReproducibility of ResultsRetinaSeverity of Illness Index

Identifiers

PMID25127697
PMCPMC5750044

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.