Evidence map›Paper›PMID 30789527›Full record

Observational studyJournal of glaucoma2019

Effect of Scan Size on Glaucoma Diagnostic Performance Using OCT Angiography En Face Images of the Radial Peripapillary Capillaries.

Ryuna Chang, Zhongdi Chu, Bruce Burkemper, Gary C Lee, Ali Fard, Mary K Durbin, Alena Reznik, Benjamin Y Xu, Amir Kashani, Rohit Varma and 2 more

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in Journal of glaucoma, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
3.7field-weighted citation impact, top 8% 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

15 citing papers in PubMed, 24 citations in OpenAlex.

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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

12 authors at 4 institutions in 1 country.

Ryuna ChangUSC Roski Eye Institute, Keck Medicine of University of Southern California.
Zhongdi ChuDepartment of Bioengineering, University of Washington, Seattle, WA.
Bruce BurkemperSouthern California Eyecare and Vision Research Institute, Los Angeles.
Gary C LeeCarl Zeiss Meditec Inc., Dublin, CA.
Ali FardCarl Zeiss Meditec Inc., Dublin, CA.
Mary K DurbinCarl Zeiss Meditec Inc., Dublin, CA.
Alena ReznikUSC Roski Eye Institute, Keck Medicine of University of Southern California.
Benjamin Y XuUSC Roski Eye Institute, Keck Medicine of University of Southern California.
Amir KashaniUSC Roski Eye Institute, Keck Medicine of University of Southern California.
Rohit VarmaSouthern California Eyecare and Vision Research Institute, Los Angeles.
Ruikang K WangDepartment of Bioengineering, University of Washington, Seattle, WA.
Grace M RichterUSC Roski Eye Institute, Keck Medicine of University of Southern California.
Southern California Eye Institute · USCarl Zeiss (United States) · USUniversity of Washington · USUniversity of Southern California · US

Funding

NON-INVASIVE REAL-TIME LABEL-FREE 3D IMAGING OF RETINAL MICROCIRCULATIONR01EY024158 · NEI · UNIVERSITY OF WASHINGTON · PI WANG, RUIKANG · 2014 to 2017
$1.7M
Defining the Relationships of Retinal Microcirculation with Glaucoma, Systemic Disease, and Ocular Anatomic Factors in African AmericansK23EY027855 · NEI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI RICHTER, GRACE MARIE · 2017 to 2021
$984k
Functional Imaging in Hypoxic-Ischemic Retinal DiseaseK08EY027006 · NEI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI KASHANI, AMIR H · 2016 to 2020
$978k
3D OCT Angiography for quantitative characterization of diabetic retinopathyR21EY027879 · NEI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI KASHANI, AMIR H, SHI, YONGGANG · 2017 to 2018
$454k
NEI NIH HHS K08 EY027006NEI NIH HHS K23 EY027855NEI NIH HHS L30 EY027140NEI NIH HHS R01 EY024158NEI NIH HHS R21 EY027879
6 · The paper itself

Abstract

precisWhen comparing 4.5×4.5 mm to 6.0×6.0 mm optical coherence tomography angiography scans of the radial peripapillary capillaries (RPCs) for glaucoma diagnostic capability, there was a trend of 4.5 scans outperforming 6.0 scans, especially for inferior, nasal, and superior quadrants.

objectivesThe main purpose of this study was to compare diagnostic ability of peripapillary vessel parameters from 4.5×4.5 mm (4.5) and 6.0×6.0 mm (6.0) spectral-domain optical coherence tomography angiography scans of the RPC in detecting primary open-angle glaucoma from nonglaucoma eyes.

methodsConsecutive patients from an academic glaucoma clinic underwent 4.5 and 6.0 scans (CIRRUS HD-OCT 5000 with AngioPlex OCT Angiography; ZEISS, Dublin, CA). Automatic segmentation created en face RPC images. Vessel area density, vessel skeleton density, and flux were calculated using custom quantification software, and perfusion density and flux index (FI) using automated quantification software. Area under the curve statistics included age and hypertension in the analysis.

resultsOf 173 eyes from 123 patients who underwent both 4.5 and 6.0 imaging, 32 primary open-angle glaucoma eyes from 32 patients and 95 nonglaucoma eyes from 95 patients were studied. For the global region of 4.5 versus 6.0 scans, area under the curve was 0.940 and 0.916 for vessel area density (P=0.286); 0.941 and 0.921 for vessel skeleton density (P=0.385); 0.942 and 0.916 for flux (P=0.239); 0.912 and 0.884 for perfusion density (P=0.103); and 0.913 and 0.865 for FI (P=0.159), respectively. For the quadrant regions, 4.5 images significantly outperformed 6.0 images for the superior and inferior quadrants for flux and superior and nasal quadrants for FI (P-values=0.007, 0.047, 0.011, 0.007, respectively); other quadrant differences were not significant.

conclusionsParameters from 4.5 scans generally outperformed those from 6.0 scans in the global and quadrant regions, suggesting greater digital resolution in 4.5 scans of the immediate peripapillary RPC is important in detecting glaucomatous changes.

Indexed as

AgedCapillariesCross-Sectional StudiesFemaleFluorescein AngiographyGlaucomaGlaucoma, Open-AngleHumansImage Processing, Computer-AssistedIntraocular PressureMaleMiddle AgedOptic DiskReproducibility of ResultsRetinal Ganglion CellsRetinal Vessels

Identifiers

PMID30789527
PMCPMC6499628
OpenAlexW2915482544

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.