Automated quantification of posterior vitreous inflammation: optical coherence tomography scan number requirements

Abstract Quantifying intraocular inflammation is crucial in managing uveitis patients. We assessed the minimum B-scan density for reliable automated vitreous intensity (VI) assessment, using a novel approach based on optical coherence tomography (OCT). OCT volume scans centered on the macula were re...

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Autores principales: Jan Henrik Terheyden, Giovanni Ometto, Giovanni Montesano, Maximilian W. M. Wintergerst, Magdalena Langner, Xiaoxuan Liu, Pearse A. Keane, David P. Crabb, Alastair K. Denniston, Robert P. Finger
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Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/664cd5c275b14bed9e7828d0955a0080
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spelling oai:doaj.org-article:664cd5c275b14bed9e7828d0955a00802021-12-02T12:09:18ZAutomated quantification of posterior vitreous inflammation: optical coherence tomography scan number requirements10.1038/s41598-021-82786-02045-2322https://doaj.org/article/664cd5c275b14bed9e7828d0955a00802021-02-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-82786-0https://doaj.org/toc/2045-2322Abstract Quantifying intraocular inflammation is crucial in managing uveitis patients. We assessed the minimum B-scan density for reliable automated vitreous intensity (VI) assessment, using a novel approach based on optical coherence tomography (OCT). OCT volume scans centered on the macula were retrospectively collected in patients with uveitis. Nine B-scans per volume scan at fixed locations were automatically analyzed. The following B-scan selections were compared against the average score of 9 B-scans per volume scan as a reference standard: 1/3/5/7 central scans (1c/3c/5c/7c), 3 widely distributed scans (3w). Image data of 49 patients (31 females) were included. The median VI was 0.029 (IQR: 0.032). The intra-class-correlation coefficient of the VI across the 9 B-scans was 0.923. The median difference from the reference standard ranged between 0.001 (7c) and 0.006 (1c). It was significantly lower for scan selection 3w than 5c, p(adjusted) = 0.022, and lower for selection 7c than 3w, p(adjusted) = 0.003. The scan selections 7c and 3w showed the two highest areas under the receiver operating curve (0.985 and 0.965, respectively). Three widely distributed B-scans are sufficient to quantify VI reliably. Highest reliability was achieved using 7 central B-scans. Automated quantification of VI in uveitis is reliable and requires only few OCT B-scans.Jan Henrik TerheydenGiovanni OmettoGiovanni MontesanoMaximilian W. M. WintergerstMagdalena LangnerXiaoxuan LiuPearse A. KeaneDavid P. CrabbAlastair K. DennistonRobert P. FingerNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-6 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Jan Henrik Terheyden
Giovanni Ometto
Giovanni Montesano
Maximilian W. M. Wintergerst
Magdalena Langner
Xiaoxuan Liu
Pearse A. Keane
David P. Crabb
Alastair K. Denniston
Robert P. Finger
Automated quantification of posterior vitreous inflammation: optical coherence tomography scan number requirements
description Abstract Quantifying intraocular inflammation is crucial in managing uveitis patients. We assessed the minimum B-scan density for reliable automated vitreous intensity (VI) assessment, using a novel approach based on optical coherence tomography (OCT). OCT volume scans centered on the macula were retrospectively collected in patients with uveitis. Nine B-scans per volume scan at fixed locations were automatically analyzed. The following B-scan selections were compared against the average score of 9 B-scans per volume scan as a reference standard: 1/3/5/7 central scans (1c/3c/5c/7c), 3 widely distributed scans (3w). Image data of 49 patients (31 females) were included. The median VI was 0.029 (IQR: 0.032). The intra-class-correlation coefficient of the VI across the 9 B-scans was 0.923. The median difference from the reference standard ranged between 0.001 (7c) and 0.006 (1c). It was significantly lower for scan selection 3w than 5c, p(adjusted) = 0.022, and lower for selection 7c than 3w, p(adjusted) = 0.003. The scan selections 7c and 3w showed the two highest areas under the receiver operating curve (0.985 and 0.965, respectively). Three widely distributed B-scans are sufficient to quantify VI reliably. Highest reliability was achieved using 7 central B-scans. Automated quantification of VI in uveitis is reliable and requires only few OCT B-scans.
format article
author Jan Henrik Terheyden
Giovanni Ometto
Giovanni Montesano
Maximilian W. M. Wintergerst
Magdalena Langner
Xiaoxuan Liu
Pearse A. Keane
David P. Crabb
Alastair K. Denniston
Robert P. Finger
author_facet Jan Henrik Terheyden
Giovanni Ometto
Giovanni Montesano
Maximilian W. M. Wintergerst
Magdalena Langner
Xiaoxuan Liu
Pearse A. Keane
David P. Crabb
Alastair K. Denniston
Robert P. Finger
author_sort Jan Henrik Terheyden
title Automated quantification of posterior vitreous inflammation: optical coherence tomography scan number requirements
title_short Automated quantification of posterior vitreous inflammation: optical coherence tomography scan number requirements
title_full Automated quantification of posterior vitreous inflammation: optical coherence tomography scan number requirements
title_fullStr Automated quantification of posterior vitreous inflammation: optical coherence tomography scan number requirements
title_full_unstemmed Automated quantification of posterior vitreous inflammation: optical coherence tomography scan number requirements
title_sort automated quantification of posterior vitreous inflammation: optical coherence tomography scan number requirements
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/664cd5c275b14bed9e7828d0955a0080
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