Evidence map›Paper›PMID 34737926›Full record

ArticleQuantitative imaging in medicine and surgery2021

Establishing a novel lens opacities classification system based on ultrasound biomicroscopy (UBM) for pediatric cataracts: reliability and availability.

Dao-Man Xiang, Nan Jiang, Li-Hong Chen, Wen-Si Chen, Ying Yu, Jian-Xun Wang, Ping He, Wan-Hua Xie

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Article in Quantitative imaging in medicine and surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

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4citing papers in PubMed
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4 citing papers in PubMed.

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5 · Who and what money

Authors and funding

8 authors.

Dao-Man XiangDepartment of Ophthalmology, Guangzhou Children's Hospital, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China.
Nan JiangDepartment of Ophthalmology, Guangzhou Children's Hospital, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China.
Li-Hong ChenDepartment of Ophthalmology, People's Hospital of Longhua, Shenzhen, China.
Wen-Si ChenDepartment of Ophthalmology, Guangzhou Children's Hospital, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China.
Ying YuDepartment of Ophthalmology, Guangzhou Children's Hospital, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China.
Jian-Xun WangDepartment of Ophthalmology, Guangzhou Children's Hospital, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China.
Ping HeDepartment of Ophthalmology, Guangzhou Children's Hospital, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China.
Wan-Hua XieDepartment of Ophthalmology, Guangzhou Children's Hospital, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study sought to develop and validate a lens opacities classification system based on ultrasound biomicroscopy (UBM) imaging to grade pediatric cataracts.

methodsThe study was conducted at Guangzhou Children's Hospital, Guangzhou Women and Children's Medical Center. UBM images of patients at the hospital from September 2013 to November 2014 were used in this study. We summarized the characteristics of lenticular opacification in each of the following 4 zones: the anterior capsule (A); the cortex (C); the nucleus (N); and the posterior capsule (P). The UBM data and intraoperative videos were compared, and sensitivity, specificity, accuracy, and positive and negative predictive values were determined for our Lens Opacities Classification System based on UBM for Pediatric Cataracts (LOCS-UP) detection. Two physicians classified pediatric cataracts (anterior capsule, cortex, and posterior capsule) by extracting 146 images from the UBM database. Patients' data were recorded to calculate the kappa coefficients. The LOCS-UP was developed.

resultsUnder this standard, all types of pediatric cataracts can be classified and acquired a code by the LOCS-UP. The LOCS-UP had the highest sensitivity (100%) and specificity (98.96%) in naming the anterior capsule and the lowest sensitivity (50%) and specificity (89.59%) in naming the posterior capsule. Its consistency at naming the anterior capsule was satisfactory (Kappa coefficient: 0.70), and it was also able to name the nucleus, cortex, and posterior capsule (0.56, 0.58, and 0.48, respectively).

conclusionsLOCS-UP could name pediatric cataracts by providing an unique digital encoding, which could reflect characteristics exactly for different local lens anomalies to all kinds of pediatric cataract patients. This method provides detailed and accurate information about Patients' lenses.

Indexed as

diagnosislens opacityPediatric cataractsultrasound biomicroscopy (UBM)

Identifiers

PMID34737926
PMCPMC8511722

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