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健康个体和糖尿病个体的频域光相干断层扫描测量脉络膜厚度的可重复性评估。

REPEATABILITY OF CHOROIDAL THICKNESS MEASUREMENTS ASSESSED WITH SWEPT-SOURCE OPTICAL COHERENCE TOMOGRAPHY IN HEALTHY AND DIABETIC INDIVIDUALS.

机构信息

Department of Ophthalmology, IIS-Aragon, Miguel Servet University Hospital, Zaragoza, Spain.

Department of Surgery, Gynecology and Obstetrics, University of Zaragoza, Zaragoza, Spain.

出版信息

Retina. 2019 Apr;39(4):786-793. doi: 10.1097/IAE.0000000000002022.

Abstract

PURPOSE

To assess the intrasession repeatability of choroidal thickness measurements obtained using swept-source optical coherence tomography in Type 2 diabetic (T2D) patients and healthy controls.

METHODS

This was a single-center, prospective, observational, cross-sectional study with consecutive inclusion of 33 healthy subjects and 43 T2D patients. Subjects underwent three consecutive swept-source optical coherence tomography scans in a single session. After automatic delineation of the choroid, subfoveal choroidal thickness, and thickness at 500-μm intervals up to 2,500 μm nasal and temporal from the fovea were measured using the software caliper by the same operator. Intraclass correlation coefficients (ICCs), coefficients of variation, and test-retest variability were calculated.

RESULTS

Mean subfoveal choroidal thickness in healthy subjects and in T2D patients was 229.97 ± 79.9 and 192.67 ± 74.3 μm, respectively (P = 0.013). All intrasession intraclass correlation coefficients were higher than 0.95 and 0.99, respectively. Coefficients of variations were less than 4.4% and 1.8%, respectively. Test-retest variability ranged from 0.76 μm to 11.12 μm and 0.64 μm to 6.29 μm, respectively. No significant differences were found in the intrasession repeatability of any choroidal measurement between healthy subjects and T2D patients.

CONCLUSION

Swept-source optical coherence tomography provided excellent intrasession repeatability of choroidal thickness measurements in healthy subjects and T2D patients.

摘要

目的

评估 2 型糖尿病(T2D)患者和健康对照者使用扫频源光相干断层扫描(OCT)获得的脉络膜厚度测量的日内重复性。

方法

这是一项单中心、前瞻性、观察性、横断面研究,连续纳入 33 名健康受试者和 43 名 T2D 患者。受试者在单次就诊中接受了三次连续的扫频源 OCT 扫描。在自动勾画脉络膜后,使用软件卡尺由同一位操作者测量黄斑下脉络膜厚度以及距黄斑鼻侧和颞侧 500μm 间隔处至 2500μm 处的脉络膜厚度。计算了组内相关系数(ICC)、变异系数和测试-再测试可变性。

结果

健康受试者和 T2D 患者的黄斑下脉络膜平均厚度分别为 229.97±79.9μm 和 192.67±74.3μm(P=0.013)。所有日内 ICC 均高于 0.95 和 0.99。变异系数分别小于 4.4%和 1.8%。测试-再测试可变性范围分别为 0.76μm 至 11.12μm 和 0.64μm 至 6.29μm。在健康受试者和 T2D 患者之间,任何脉络膜测量的日内重复性均无显著差异。

结论

扫频源 OCT 为健康受试者和 T2D 患者的脉络膜厚度测量提供了出色的日内重复性。

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