Evidence map›Paper›PMID 31493317›Full record

ArticleJournal of biomedical optics2019

Dynamic programming and automated segmentation of optical coherence tomography images of the neonatal subglottis: enabling efficient diagnostics to manage subglottic stenosis.

Konrad M Kozlowski, Giriraj K Sharma, Jason J Chen, Li Qi, Kathryn Osann, Joseph C Jing, Gurpreet S Ahuja, Andrew E Heidari, Phil-Sang Chung, Sehwan Kim and 2 more

Open access · goldAbstract read
In one paragraph

Article in Journal of biomedical optics, 2019. 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
0.7field-weighted citation impact, top 32% 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, 15 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 5 institutions in 3 countries.

Konrad M KozlowskiUniversity of California Irvine, Beckman Laser Institute, Irvine, California, United States.
Giriraj K SharmaUniversity of California Irvine, Department of Otolaryngology-Head and Neck Surgery, Orange, Califor, United States.
Jason J ChenUniversity of California Irvine, Beckman Laser Institute, Irvine, California, United States.
Li QiSouthern Medical University, School of Biomedical Engineering, Guangzhou, China.
Kathryn OsannUniversity of California Irvine, Department of Otolaryngology-Head and Neck Surgery, Orange, Califor, United States.
Joseph C JingUniversity of California Irvine, Beckman Laser Institute, Irvine, California, United States.
Gurpreet S AhujaUniversity of California Irvine, Department of Otolaryngology-Head and Neck Surgery, Orange, Califor, United States.
Andrew E HeidariUniversity of California Irvine, Beckman Laser Institute, Irvine, California, United States.
Phil-Sang ChungDankook University, Beckman Laser Institute Korea, Cheoan, Republic of Korea.
Sehwan KimDankook University, Beckman Laser Institute Korea, Cheoan, Republic of Korea.
Zhongping ChenUniversity of California Irvine, Beckman Laser Institute, Irvine, California, United States.
Brian J-F WongUniversity of California Irvine, Beckman Laser Institute, Irvine, California, United States.
University of California, Irvine · USBeckman Laser Institute and Medical Clinic · USDankook University · KRChildren's Hospital of Orange County · USSouthern Medical University · CN

Funding

Modeling the Pediatric Upper Airway using A-OCT and Computational Fluid DynamicsR01HL105215 · NHLBI · UNIVERSITY OF CALIFORNIA-IRVINE · PI CHEN, ZHONGPING, ELGHOBASHI, SAID E. · 2010 to 2013
$3.7M
Diagnosis of Subglottic Stenosis and Edema in Neonates Using OCTR01HL103764 · NHLBI · UNIVERSITY OF CALIFORNIA-IRVINE · PI WONG, BRIAN · 2010 to 2014
$3.1M
NHLBI NIH HHS R01 HL103764NHLBI NIH HHS R01 HL105215
6 · The paper itself

Abstract

Subglottic stenosis (SGS) is a challenging disease to diagnose in neonates. Long-range optical coherence tomography (OCT) is an optical imaging modality that has been described to image the subglottis in intubated neonates. A major challenge associated with OCT imaging is the lack of an automated method for image analysis and micrometry of large volumes of data that are acquired with each airway scan (1 to 2 Gb). We developed a tissue segmentation algorithm that identifies, measures, and conducts image analysis on tissue layers within the mucosa and submucosa and compared these automated tissue measurements with manual tracings. We noted small but statistically significant differences in thickness measurements of the mucosa and submucosa layers in the larynx (p  <  0.001), subglottis (p  =  0.015), and trachea (p  =  0.012). The automated algorithm was also shown to be over 8 times faster than the manual approach. Moderate Pearson correlations were found between different tissue texture parameters and the patient’s gestational age at birth, age in days, duration of intubation, and differences with age (mean age 17 days). Automated OCT data analysis is necessary in the diagnosis and monitoring of SGS, as it can provide vital information about the airway in real time and aid clinicians in making management decisions for intubated neonates.

Indexed as

AlgorithmsHumansImage Interpretation, Computer-AssistedInfant, NewbornLaryngostenosisLarynxTomography, Optical Coherencediagnostic imagingintubation injuryneonateoptical coherence tomographysubglottic stenosistexture analysis

Identifiers

PMID31493317
PMCPMC6732661
OpenAlexW2971536331

What OpenQuestion holds

Textmetadata
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.