En face image-based classification of diabetic macular edema using swept source optical coherence tomography

Abstract This retrospective study was performed to classify diabetic macular edema (DME) based on the localization and area of the fluid and to investigate the relationship of the classification with visual acuity (VA). The fluid was visualized using en face optical coherence tomography (OCT) images...

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Autores principales: Atsushi Fujiwara, Yuki Kanzaki, Shuhei Kimura, Mio Hosokawa, Yusuke Shiode, Shinichiro Doi, Kosuke Takahashi, Ryo Matoba, Yuki Morizane
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Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/6172fbaa497a455e8e9820884cd8c040
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spelling oai:doaj.org-article:6172fbaa497a455e8e9820884cd8c0402021-12-02T14:26:07ZEn face image-based classification of diabetic macular edema using swept source optical coherence tomography10.1038/s41598-021-87440-32045-2322https://doaj.org/article/6172fbaa497a455e8e9820884cd8c0402021-04-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-87440-3https://doaj.org/toc/2045-2322Abstract This retrospective study was performed to classify diabetic macular edema (DME) based on the localization and area of the fluid and to investigate the relationship of the classification with visual acuity (VA). The fluid was visualized using en face optical coherence tomography (OCT) images constructed using swept-source OCT. A total of 128 eyes with DME were included. The retina was segmented into: Segment 1, mainly comprising the inner nuclear layer and outer plexiform layer, including Henle’s fiber layer; and Segment 2, mainly comprising the outer nuclear layer. DME was classified as: foveal cystoid space at Segment 1 and no fluid at Segment 2 (n = 24), parafoveal cystoid space at Segment 1 and no fluid at Segment 2 (n = 25), parafoveal cystoid space at Segment 1 and diffuse fluid at Segment 2 (n = 16), diffuse fluid at both segments (n = 37), and diffuse fluid at both segments with subretinal fluid (n = 26). Eyes with diffuse fluid at Segment 2 showed significantly poorer VA, higher ellipsoid zone disruption rates, and greater central subfield thickness than did those without fluid at Segment 2 (P < 0.001 for all). These results indicate the importance of the localization and area of the fluid for VA in DME.Atsushi FujiwaraYuki KanzakiShuhei KimuraMio HosokawaYusuke ShiodeShinichiro DoiKosuke TakahashiRyo MatobaYuki MorizaneNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-14 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Atsushi Fujiwara
Yuki Kanzaki
Shuhei Kimura
Mio Hosokawa
Yusuke Shiode
Shinichiro Doi
Kosuke Takahashi
Ryo Matoba
Yuki Morizane
En face image-based classification of diabetic macular edema using swept source optical coherence tomography
description Abstract This retrospective study was performed to classify diabetic macular edema (DME) based on the localization and area of the fluid and to investigate the relationship of the classification with visual acuity (VA). The fluid was visualized using en face optical coherence tomography (OCT) images constructed using swept-source OCT. A total of 128 eyes with DME were included. The retina was segmented into: Segment 1, mainly comprising the inner nuclear layer and outer plexiform layer, including Henle’s fiber layer; and Segment 2, mainly comprising the outer nuclear layer. DME was classified as: foveal cystoid space at Segment 1 and no fluid at Segment 2 (n = 24), parafoveal cystoid space at Segment 1 and no fluid at Segment 2 (n = 25), parafoveal cystoid space at Segment 1 and diffuse fluid at Segment 2 (n = 16), diffuse fluid at both segments (n = 37), and diffuse fluid at both segments with subretinal fluid (n = 26). Eyes with diffuse fluid at Segment 2 showed significantly poorer VA, higher ellipsoid zone disruption rates, and greater central subfield thickness than did those without fluid at Segment 2 (P < 0.001 for all). These results indicate the importance of the localization and area of the fluid for VA in DME.
format article
author Atsushi Fujiwara
Yuki Kanzaki
Shuhei Kimura
Mio Hosokawa
Yusuke Shiode
Shinichiro Doi
Kosuke Takahashi
Ryo Matoba
Yuki Morizane
author_facet Atsushi Fujiwara
Yuki Kanzaki
Shuhei Kimura
Mio Hosokawa
Yusuke Shiode
Shinichiro Doi
Kosuke Takahashi
Ryo Matoba
Yuki Morizane
author_sort Atsushi Fujiwara
title En face image-based classification of diabetic macular edema using swept source optical coherence tomography
title_short En face image-based classification of diabetic macular edema using swept source optical coherence tomography
title_full En face image-based classification of diabetic macular edema using swept source optical coherence tomography
title_fullStr En face image-based classification of diabetic macular edema using swept source optical coherence tomography
title_full_unstemmed En face image-based classification of diabetic macular edema using swept source optical coherence tomography
title_sort en face image-based classification of diabetic macular edema using swept source optical coherence tomography
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/6172fbaa497a455e8e9820884cd8c040
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