Evidence map›Paper›PMID 27668634›Full record

ArticleOptometry and vision science : official publication of the American Academy of Optometry2016

Validation of Macular Choroidal Thickness Measurements from Automated SD-OCT Image Segmentation.

Michael D Twa, Krystal L Schulle, Stephanie J Chiu, Sina Farsiu, David A Berntsen

Open access · greenAbstract readValidation Study
In one paragraph

Article in Optometry and vision science : official publication of the American Academy of Optometry, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
3.1field-weighted citation impact, top 9% of its field
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

11 citing papers in PubMed, 23 citations in OpenAlex.

  1. Trial
  2. Bifocal & Atropine in Myopia Study: Baseline Data and Methods.Optometry and vision science : official publication of the American Academy of Optometry · 2019
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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

5 authors at 3 institutions in 2 countries.

Michael D Twa*OD, PhD, FAAO †OD, FAAO ‡PhD School of Optometry (MDT), Department of Biomedical Engineering (MDT), University of Alabama at Birmingham, Birmingham, Alabama; College of Optometry, University of Houston, Houston, Texas (KLS, DAB); Department of Biomedical Engineering, Duke University, Durham, North Carolina (SJC, SF); and Department of Ophthalmology, Duke University Medical Center, Durham, North Carolina (SF).
Krystal L Schulle
Stephanie J Chiu
Sina Farsiu
David A Berntsen
Duke University · USUniversity of Houston · USUniversity of Alabama at Birmingham · US

Funding

VISION RESEARCHP30EY005722 · NEI · DUKE UNIVERSITY · PI Vadim Y Arshavsky · 1985 to 2026
$19.3M
Research Programming ModuleP30EY007551 · NEI · UNIVERSITY OF HOUSTON · PI VALLABH E DAS · 1988 to 2026
$16.4M
Optical Coherence Elastography of the CorneaR01EY022362 · NEI · UNIVERSITY OF HOUSTON · PI Salavat R Aglyamov, Kirill V Larin · 2012 to 2026
$6.7M
SHORT TERM TRAINING--STUDENTS IN HEALTH PROFESSIONST35EY007088 · NEI · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI FRISHMAN, LAURA J. · 1985 to 2025
$2.3M
Computer Aided Classification of Diabetic Macular EdemaR01EY022691 · NEI · DUKE UNIVERSITY · PI FARSIU, SINA · 2012 to 2016
$1.9M
NEI NIH HHS P30 EY005722NEI NIH HHS P30 EY007551NEI NIH HHS R01 EY022362NEI NIH HHS R01 EY022691NEI NIH HHS T35 EY007088
6 · The paper itself

Abstract

purposeSpectral domain optical coherence tomography (SD-OCT) imaging permits in vivo visualization of the choroid with micron-level resolution over wide areas and is of interest for studies of ocular growth and myopia control. We evaluated the speed, repeatability, and accuracy of a new image segmentation method to quantify choroid thickness compared to manual segmentation.

methodsTwo macular volumetric scans (25 × 30°) were taken from 30 eyes of 30 young adult subjects in two sessions, 1 hour apart. A single rater manually delineated choroid thickness as the distance between Bruch's membrane and sclera across three B-scans (foveal, inferior, and superior-most scan locations). Manual segmentation was compared to an automated method based on graph theory, dynamic programming, and wavelet-based texture analysis. Segmentation performance comparisons included processing speed, choroid thickness measurements across the foveal horizontal midline, and measurement repeatability (95% limits of agreement (LoA)).

resultsSubjects were healthy young adults (n = 30; 24 ± 2 years; mean ± SD; 63% female) with spherical equivalent refractive error of -3.46 ± 2.69D (range: +2.62 to -8.50D). Manual segmentation took 200 times longer than automated segmentation (780 vs. 4 seconds). Mean choroid thickness at the foveal center was 263 ± 24 μm (manual) and 259 ± 23 μm (automated), and this difference was not significant (p = 0.10). Regional segmentation errors across the foveal horizontal midline (±15°) were ≤9 μm (median) except for nasal-most regions closest to the nasal peripapillary margin-15 degrees (19 μm) and 12 degrees (16 μm) from the foveal center. Repeatability of choroidal thickness measurements had similar repeatability between segmentation methods (manual LoA: ±15 μm; automated LoA: ±14 μm).

conclusionsAutomated segmentation of SD-OCT data by graph theory and dynamic programming is a fast, accurate, and reliable method to delineate the choroid. This approach will facilitate longitudinal studies evaluating changes in choroid thickness in response to novel optical corrections and in ocular disease.

Indexed as

AdultChoroidFemaleHealthy VolunteersHumansMacula LuteaMaleOrgan SizeReproducibility of ResultsTomography, Optical CoherenceYoung Adult

Identifiers

PMID27668634
PMCPMC5108587
OpenAlexW2424474369

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.