Evidence map›Paper›PMID 36112104›Full record

ArticleTranslational vision science & technology2022

Regression-Based Strategies to Reduce Refractive Error-Associated Glaucoma Diagnostic Bias When Using OCT and OCT Angiography.

Keke Liu, Ou Tan, Qi Sheng You, Aiyin Chen, Jonathan C H Chan, Bonnie N K Choy, Kendrick C Shih, Jasper K W Wong, Alex L K Ng, Janice J C Cheung and 6 more

Open access · goldAbstract read
In one paragraph

Article in Translational vision science & technology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.8field-weighted citation impact, top 30% 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

4 citing papers in PubMed, 4 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

16 authors at 4 institutions in 3 countries.

Keke LiuCasey Eye Institute, Oregon Health & Science University, Portland, OR, USA.
Ou TanCasey Eye Institute, Oregon Health & Science University, Portland, OR, USA.
Qi Sheng YouCasey Eye Institute, Oregon Health & Science University, Portland, OR, USA.
Aiyin ChenCasey Eye Institute, Oregon Health & Science University, Portland, OR, USA.
Jonathan C H ChanDepartment of Ophthalmology, LKS Faculty of Medicine, The University of Hong Kong, The University of Hong Kong, Hong Kong, China.
Bonnie N K ChoyDepartment of Ophthalmology, LKS Faculty of Medicine, The University of Hong Kong, The University of Hong Kong, Hong Kong, China.
Kendrick C ShihDepartment of Ophthalmology, LKS Faculty of Medicine, The University of Hong Kong, The University of Hong Kong, Hong Kong, China.
Jasper K W WongDepartment of Ophthalmology, LKS Faculty of Medicine, The University of Hong Kong, The University of Hong Kong, Hong Kong, China.
Alex L K NgDepartment of Ophthalmology, LKS Faculty of Medicine, The University of Hong Kong, The University of Hong Kong, Hong Kong, China.
Janice J C CheungDepartment of Ophthalmology, LKS Faculty of Medicine, The University of Hong Kong, The University of Hong Kong, Hong Kong, China.
Michael Y NiSchool of Public Health, LKS Faculty of Medicine, The University of Hong Kong, Hong Kong Special Administrative Region, Hong Kong, China.
Jimmy S M LaiDepartment of Ophthalmology, LKS Faculty of Medicine, The University of Hong Kong, The University of Hong Kong, Hong Kong, China.
Gabriel M LeungSchool of Public Health, LKS Faculty of Medicine, The University of Hong Kong, Hong Kong Special Administrative Region, Hong Kong, China.
Liang LiuCasey Eye Institute, Oregon Health & Science University, Portland, OR, USA.
David HuangCasey Eye Institute, Oregon Health & Science University, Portland, OR, USA.
Ian Y H WongDepartment of Ophthalmology, LKS Faculty of Medicine, The University of Hong Kong, The University of Hong Kong, Hong Kong, China.
Oregon Health & Science University · USUniversity of Hong Kong · HKChinese University of Hong Kong · CNHong Kong Sanatorium and Hospital · HK

Funding

Proteomics CoreP30EY010572 · NEI · OREGON HEALTH & SCIENCE UNIVERSITY · PI Kate E Keller · 1995 to 2026
$19.4M
Functional and Structural Optical Coherence Tomography for GlaucomaR01EY023285 · NEI · OREGON HEALTH & SCIENCE UNIVERSITY · PI David Huang · 2013 to 2026
$8.8M
Focal nerve fiber layer reflectance analysis for glaucoma evaluationR21EY032146 · NEI · OREGON HEALTH & SCIENCE UNIVERSITY · PI TAN, OU · 2021 to 2022
$417k
NEI NIH HHS P30 EY010572NEI NIH HHS R01 EY023285NEI NIH HHS R21 EY032146
6 · The paper itself

Abstract

Purpose: The purpose of this study was to correct refractive error-associated bias in optical coherence tomography (OCT) and OCT angiography (OCTA) glaucoma diagnostic parameters. Methods: OCT and OCTA imaging were obtained from participants in the Hong Kong FAMILY cohort. The Avanti/AngioVue OCT/OCTA system was used to measure the peripapillary nerve fiber layer thickness (NFLT), peripapillary nerve fiber layer plexus capillary density (NFLP-CD), macular ganglion cell complex thickness (GCCT), and macular superficial vascular complex vascular density (SVC-VD). Healthy eyes, including ones with axial ametropia, were enrolled for analysis. Results: A total of 1346 eyes from 792 participants were divided into 4 subgroups: high myopia (<-6D), low myopia (-6D to -1D), emmetropia (-1D to 1D), and hyperopia (>1D). After accounting for age, sex, and signal strength, multivariable regression showed strong dependence in most models for NFLT, GCCT, and NFLP-CD on axial eye length (AL), spherical equivalent (SE) refraction, and apparent optic disc diameter (DD). Optical analysis indicated that AL-related transverse optical magnification variations predominated over anatomic variations and were responsible for these trends. Compared to the emmetropic group, the false positive rates were significantly (Chi-square test P < 0.003) elevated in both myopia groups for NFLT, NFLP-CD, and GCCT. Regression-based adjustment of these diagnostic parameters with AL or SE significantly (McNemar test P < 0.03) reduced the elevated false positive rates. Conclusions: Myopic eyes are biased to have lower NFLT, GCCT, and NFLP-CD measurements. AL- and SE-based adjustments were effective in mitigating this bias. Translational Relevance: Adoption of these adjustments into commercial OCT systems may reduce false positive rates related to refractive error.

Indexed as

GlaucomaMyopiaOptic DiskRefractive ErrorsAngiographyHumansTomography, Optical Coherence

Identifiers

PMID36112104
PMCPMC9487171
OpenAlexW4296026192

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.