Evidence map›Paper›PMID 37786359›Full record

ArticleActa ophthalmologica2024

Potential measurement error from vessel reflex and multiple light paths in dual-wavelength retinal oximetry.

James M Beach, Benjamin Shoemaker, George J Eckert, Alon Harris, Brent Siesky, Julia C Arciero

Open access · hybridAbstract read
In one paragraph

Article in Acta ophthalmologica, 2024. 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
0.2field-weighted citation impact, top 40% 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, 1 citations in OpenAlex.

  1. Article
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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

6 authors at 4 institutions in 1 country.

James M BeachCytoViva Inc., Auburn, Alabama, USA.ORCID https://orcid.org/0000-0003-4249-7556
Benjamin ShoemakerIndiana University - Purdue University Indianapolis (IUPUI), Indianapolis, Indiana, USA.
George J EckertIndiana University School of Medicine, Indianapolis, Indiana, USA.
Alon HarrisIcahn School of Medicine, Mt. Sinai, New York, USA.
Brent SieskyIcahn School of Medicine, Mt. Sinai, New York, USA.
Julia C ArcieroIndiana University - Purdue University Indianapolis (IUPUI), Indianapolis, Indiana, USA.
Icahn School of Medicine at Mount Sinai · USIndiana University – Purdue University Indianapolis · USAuburn University · USIndiana University School of Medicine

Funding

ZACOPRIDE VS METOCLOPRAMIDE--EFFECT ON LOWER ESOPHAGEAL SPHINCTERM01RR000847 · NCRR · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI ALTES, TALISSA A · 1985 to 2010
$48.1M
Integration of clinical measures and theoretical modeling to quantify sectorial specific changes in ocular structure, function, and hemodynamicsR01EY030851 · NEI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI ARCIERO, JULIA, HARRIS, ALON · 2020 to 2023
$1.3M
VASCULAR AUTOREGULATION AND DIABETIC RETINOPATHYR01EY012606 · NEI · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI TIEDEMAN, JAMES S · 1998 to 2000
$125k
Retinal Oximeter for Clinical AssessmentsR43EY014776 · NEI · PHOTON INDUSTRIES · PI BEACH, JAMES M · 2003 to 2003
$111k
NCRR NIH HHS M01 RR000847NEI NIH HHS R01 EY030851NEI NIH HHS R43 EY014776NIH HHS R01EY012606NIH HHS R01EY030851NIH HHS R43EY014776
6 · The paper itself

Abstract

purposeThis study aims to characterize the dependence of measured retinal arterial and venous saturation on vessel diameter and central reflex in retinal oximetry, with an ultimate goal of identifying potential causes and suggesting approaches to improve measurement accuracy.

methodsIn 10 subjects, oxygen saturation, vessel diameter and optical density are obtained using Oxymap Analyzer software without diameter correction. Diameter dependence of saturation is characterized using linear regression between measured values of saturation and diameter. Occurrences of negative values of vessel optical densities (ODs) associated with central vessel reflex are acquired from Oxymap Analyzer. A conceptual model is used to calculate the ratio of optical densities (ODRs) according to retinal reflectance properties and single and double-pass light transmission across fixed path lengths. Model-predicted values are compared with measured oximetry values at different vessel diameters.

resultsVenous saturation shows an inverse relationship with vessel diameter (D) across subjects, with a mean slope of -0.180 (SE = 0.022) %/μm (20 < D < 180 μm) and a more rapid saturation increase at small vessel diameters reaching to over 80%. Arterial saturation yields smaller positive and negative slopes in individual subjects, with an average of -0.007 (SE = 0.021) %/μm (20 < D < 200 μm) across all subjects. Measurements where vessel brightness exceeds that of the retinal background result in negative values of optical density, causing an artifactual increase in saturation. Optimization of model reflectance values produces a good fit of the conceptual model to measured ODRs.

conclusionMeasurement artefacts in retinal oximetry are caused by strong central vessel reflections, and apparent diameter sensitivity may result from single and double-pass transmission in vessels. Improvement in correction for vessel diameter is indicated for arteries however further study is necessary for venous corrections.

Indexed as

OximetryOxygenHumansReflexRetinaRetinal VesselsOxygenophthalmological imagingoxygen saturationretinal oximetryvessel diameter

Identifiers

PMID37786359
PMCPMC10987395
OpenAlexW4387296070

What OpenQuestion holds

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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.