Evidence map›Paper›PMID 32496464›Full record

ArticleJournal of glaucoma2020

Clinical Utility of Triplicate En Face Image Averaging for Optical Coherence Tomography Angiography in Glaucoma and Glaucoma Suspects.

Andrew J Nelson, Zhongdi Chu, Bruce Burkemper, Brenda R Chang, Benjamin Xu, Ruikang K Wang, Grace M Richter

Open access · greenAbstract read
In one paragraph

Article in Journal of glaucoma, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.8field-weighted citation impact, top 28% 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

2 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Review
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

7 authors at 2 institutions in 1 country.

Andrew J NelsonDepartment of Ophthalmology, USC Roski Eye Institute.
Zhongdi ChuDepartment of Bioengineering, University of Washington, Seattle, WA.
Bruce BurkemperDepartment of Preventive Medicine, Keck School of Medicine of the University of Southern California, Los Angeles, CA.
Brenda R ChangDepartment of Ophthalmology, USC Roski Eye Institute.
Benjamin XuDepartment of Ophthalmology, USC Roski Eye Institute.
Ruikang K WangDepartment of Bioengineering, University of Washington, Seattle, WA.
Grace M RichterDepartment of Ophthalmology, USC Roski Eye Institute.
University of Washington · USUniversity of Southern California · US

Funding

Development and Validation of Quantitative Anterior Segment OCT-based Methods to Evaluate Patients with Primary Angle Closure DiseaseK23EY029763 · NEI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI XU, BENJAMIN Y. · 2019 to 2023
$1.1M
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
NEI NIH HHS K23 EY027855NEI NIH HHS K23 EY029763NEI NIH HHS L30 EY027140
6 · The paper itself

Abstract

PRéCIS:: Averaging triplicate en face angiograms of the radial peripapillary capillary (RPC) plexus with optical coherence tomography angiography (OCTA) improves vessel visualization, reduces vessel density parameters, and increases the diagnostic accuracy for glaucoma of one such parameter. PURPOSE: The purpose of this study was to test the hypothesis that triplicate averaging of the RPC layer improves visualization and diagnostic accuracy of OCTA for glaucoma. MATERIALS AND

methodsThis is a cross-sectional study involving 63 primary open-angle glaucoma patients and 70 age-matched glaucoma suspects. Triplicate 6×6 mm OCTA scans of the optic nerve head were acquired, and the RPC layer was extracted. RPC en face images were registered and averaged. Parameters of global entropy, global standard deviation, local texture correlation, local homogeneity, signal-to-noise ratio, and intercapillary distance were used to measure the change in visualization with averaging. Vessel area density (VAD), vessel skeleton density (VSD), and flux parameters were calculated in a 2.8 mm annulus excluding the optic disc. The diagnostic accuracy of these parameters for glaucoma was assessed by calculating the area under the receiver operating curve (AUC) values.

resultsThree-frame averaging resulted in decreased global entropy and global standard deviation (Ps<0.001), and increased local texture correlation, local homogeneity, signal-to-noise ratio, and intercapillary distance (Ps<0.001). Averaged images also had reduced VAD, VSD, and flux (Ps<0.001). AUC was significantly increased for VSD after image averaging (P=0.018), while no significant change in AUC was observed for VAD (P=0.229) or flux (P=0.193).

conclusionsTriplicate averaging improves visualization of the RPC layer and the diagnostic accuracy of VSD for glaucoma. The impact of image averaging on OCTA diagnostic performance and other potential applications warrants further exploration.

Indexed as

Fluorescein AngiographyTomography, Optical CoherenceAdultAgedArea Under CurveCross-Sectional StudiesFemaleGlaucoma, Open-AngleHealthy VolunteersHumansIntraocular PressureMaleMiddle AgedOcular HypertensionOptic DiskProspective Studies

Identifiers

PMID32496464
PMCPMC7483809
OpenAlexW3032421561

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.