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五种光学相干断层扫描(OCT)仪器测量黄斑厚度的可重复性:图像分辨率、图像配准和眼动追踪的影响

Reproducibility of macular thickness measurement among five OCT instruments: effects of image resolution, image registration, and eye tracking.

作者信息

Chin Eric K, Sedeek Ragui W, Li Yueju, Beckett Laurel, Redenbo Ellen, Chandra Karishma, Park Susanna S

机构信息

Department of Ophthalmology & Vision Science, University of California Davis Eye Center, Sacramento, California 95817, USA.

出版信息

Ophthalmic Surg Lasers Imaging. 2012 Mar-Apr;43(2):97-108. doi: 10.3928/15428877-20111222-02. Epub 2012 Jan 3.

Abstract

BACKGROUND AND OBJECTIVE

To study the effect of image resolution, eye tracking, and image registration on central macular thickness reproducibility (rCMT) among spectral-domain and time-domain optical coherence tomography (SD-OCT and TD-OCT) instruments.

PATIENTS AND METHODS

Seventy-six eyes were imaged (44 normal, 32 maculopathy) either twice using four SD-OCT and one TD-OCT devices or three times using Spectralis SD-OCT (with and without eye tracking) (Heidelberg Engineering, Inc., Heidelberg, Germany). Cirrus images (Carl Zeiss Meditec, Dublin, CA) were further analyzed with three-point image registration.

RESULTS

All instruments had superior rCMT in normal versus pathologic eyes (P < .001). No difference in rCMT was noted among instruments in normal eyes (P = .92), but TD-OCT was superior to SD-OCT (P = .017) in pathologic eyes. Cirrus image registration improved rCMT for normal eyes (P = .04), with borderline improvement in pathologic eyes (P = .06). Spectralis eye tracking improved rCMT in normal (P = .01) and pathologic (P = .004) eyes.

CONCLUSION

Higher image resolution with SD-OCT may not improve rCMT, but image registration and eye tracking options may improve rCMT.

摘要

背景与目的

研究图像分辨率、眼动追踪及图像配准对光谱域和时域光学相干断层扫描(SD-OCT和TD-OCT)设备测量中心黄斑厚度重复性(rCMT)的影响。

患者与方法

76只眼睛接受成像检查(44只正常眼,32只患黄斑病变眼),分别使用四台SD-OCT设备和一台TD-OCT设备进行两次成像,或使用Spectralis SD-OCT(有或没有眼动追踪功能)(德国海德堡海德堡工程公司)进行三次成像。对Cirrus图像(美国加利福尼亚州都柏林卡尔·蔡司医疗技术公司)采用三点图像配准法进行进一步分析。

结果

所有设备在正常眼与病变眼中均具有较好的rCMT(P <.001)。在正常眼中,各设备间rCMT无差异(P =.92),但在病变眼中,TD-OCT优于SD-OCT(P =.017)。Cirrus图像配准改善了正常眼的rCMT(P =.04),在病变眼中有临界改善(P =.06)。Spectralis眼动追踪功能改善了正常眼(P =.01)和病变眼(P =.004)的rCMT。

结论

SD-OCT更高的图像分辨率可能不会改善rCMT,但图像配准和眼动追踪功能可能会改善rCMT。

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