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便携式光学相干断层扫描的可重复性及其与传统光学相干断层扫描的比较。

Reproducibility of Portable OCT and Comparison with Conventional OCT.

作者信息

Nakamura Marie, Hirano Takao, Chiku Yoshiaki, Takahashi Yoshiaki, Miyasaka Hideki, Kakihara Shinji, Hoshiyama Ken, Murata Toshinori

机构信息

Department of Ophthalmology, Shinshu University School of Medicine, Matsumoto 390-8621, Japan.

出版信息

Diagnostics (Basel). 2024 Jun 21;14(13):1320. doi: 10.3390/diagnostics14131320.

Abstract

Optical coherence tomography (OCT) is an indispensable instrument in ophthalmology; however, some facilities lack permanent OCT devices. ACT100, a portable SD-OCT system, allows for medical examinations at hospitals that do not have OCT and house calls. We investigated the usefulness of ACT100 by examining the reproducibility of retinal thickness measurements in 35 healthy participants with normal eyes using ACT100 and Cirrus. Using two OCTs, the OCT imaging of both eyes of each subject was performed. Macular retinal thickness was evaluated using the average value in nine lesions of the Early Treatment Diabetic Retinopathy Study (ETDRS) circle. Both models captured images in all cases. In the right eye, mean retinal thickness was significantly lower than in the ACT100 group in all regions; however, the measured values correlated well. The intraclass correlation coefficients showed the same high reliability as the Cirrus. The coefficients of variation (CVs) of both models showed little variation and high stability; however, the CV of ACT100 was significantly higher. The left eye was almost identical. Macular retinal thickness measured using ACT100 showed slightly greater variability than that by Cirrus; the reproducibility was good and correlated well with that of Cirrus. This technique is a suitable alternative to conventional OCT.

摘要

光学相干断层扫描(OCT)是眼科不可或缺的仪器;然而,一些机构缺乏永久性的OCT设备。ACT100是一种便携式SD-OCT系统,可在没有OCT的医院进行医学检查并提供上门服务。我们通过使用ACT100和Cirrus对35名正常眼的健康参与者进行视网膜厚度测量的可重复性研究,来探究ACT100的实用性。使用两种OCT对每个受试者的双眼进行OCT成像。使用糖尿病视网膜病变早期治疗研究(ETDRS)环九个区域的平均值评估黄斑视网膜厚度。两种型号在所有情况下均能采集图像。在右眼,所有区域的平均视网膜厚度均显著低于ACT100组;然而,测量值相关性良好。组内相关系数显示与Cirrus具有同样高的可靠性。两种型号的变异系数(CV)变化不大且稳定性高;然而,ACT100的CV显著更高。左眼情况几乎相同。使用ACT100测量的黄斑视网膜厚度比Cirrus测量的略有更大变异性;可重复性良好且与Cirrus的相关性良好。该技术是传统OCT的合适替代方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d87f/11240703/4e947b02aaea/diagnostics-14-01320-g001.jpg

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