Evidence map›Paper›PMID 33382865›Full record

Observational studyPloS one2020

Need for manual segmentation in optical coherence tomography angiography of neovascular age-related macular degeneration.

Supriya Dabir, Vaidehi Bhatt, Deepak Bhatt, Mohan Rajan, Preetam Samant, Sivakumar Munusamy, C A B Webers, T T J M Berendschot

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.8field-weighted citation impact, top 26% 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

6 citing papers in PubMed, 8 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

8 authors at 4 institutions in 2 countries.

Supriya DabirDepartment of Retina, Rajan Eye Care Pvt Ltd, Chennai, India.ORCID 0000-0002-3409-0134
Vaidehi BhattRajiv Gandhi Medical College, Thane, India.
Deepak BhattUBM Institute, Mumbai, India.
Mohan RajanDepartment of Retina, Rajan Eye Care Pvt Ltd, Chennai, India.
Preetam SamantDepartment of Retina, PD Hinduja Hospital and Medical Research Center, Mumbai, India.
Sivakumar MunusamyDepartment of Retina, Rajan Eye Care Pvt Ltd, Chennai, India.
C A B WebersUniversity Eye Clinic Maastricht, Maastricht, The Netherlands.
T T J M BerendschotUniversity Eye Clinic Maastricht, Maastricht, The Netherlands.ORCID 0000-0002-8101-939X
Vasan Eye Care Hospital · INMaastricht University · NLGandhi Medical College · INP. D. Hinduja Hospital and Medical Research Centre · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo compare the characteristics of eyes that had manual vs. automated segmentation of choroidal neovascular membrane (CNVM) using optical coherence tomography angiography (OCTA).

methodsAll patients with CNVM underwent OCTA using the Zeiss Angioplex Cirrus 5000. Slabs of the avascular outer retina, outer retina to choriocapillaris (ORCC) region and choriocapillaris were generated. Manual segmentation was done when there were significant segmentation artifacts. Presence of activity of CNVM was adjudged by the presence of subretinal fluid (SRF) on structural OCT and was compared to activity detected on en face OCTA slabs based on well-defined criteria.

resultsEighty-one eyes of 81 patients were recruited of which manual segmentation was required in 46 (57%). Eyes with automated segmentation had significantly more CNVM in the ORCC (75%) whereas those with manual segmentation had deeper CNVM (sub-RPE = 22%, intra-PED = 22%) (p<0.001). Twenty eyes (25%) were found to have active CNVM on both the structural OCT and OCTA while an additional 19 eyes were presumed to have active CNVM on OCTA alone. There was only modest concordance between disease activity detected using structural OCT and OCTA (Kappa = 0.47, 95% CI = 0.30 to 0.64).

conclusionsManual segmentation of OCTA is required in more than 50% eyes with CNVM and this progressively increases with increasing depth of CNVM location from the ORCC to below the RPE. There is moderate concordance between OCTA and structural OCT in determining CNVM activity.

Indexed as

Cross-Sectional StudiesFluorescein AngiographyHumansMacular DegenerationTomography, Optical Coherence

Identifiers

PMID33382865
PMCPMC7775057
OpenAlexW3115165332

What OpenQuestion holds

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LicenceCC BY
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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.