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使用光学相干断层扫描的视网膜厚度分析:在视网膜疾病中的诊断与监测应用

Retinal Thickness Analysis Using Optical Coherence Tomography: Diagnostic and Monitoring Applications in Retinal Diseases.

作者信息

Ahn Seong Joon

机构信息

Department of Ophthalmology, Hanyang University Hospital, Hanyang University College of Medicine, Seoul 04763, Republic of Korea.

出版信息

Diagnostics (Basel). 2025 Mar 25;15(7):833. doi: 10.3390/diagnostics15070833.

DOI:10.3390/diagnostics15070833
PMID:40218183
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11988421/
Abstract

Retinal thickness analysis using optical coherence tomography (OCT) has become an indispensable tool in retinal disease management, providing high-resolution quantitative data for diagnosis, monitoring, and treatment planning. This analysis has been found to be particularly useful for both diagnostic and monitoring purposes across a wide range of retinal diseases, enabling precise disease characterization and treatment evaluation. This paper explores its applications across major retinal conditions, including age-related macular degeneration, diabetic retinopathy, retinal vein occlusion, and inherited retinal diseases. Emerging roles in other diseases such as neurodegenerative diseases and retinal drug toxicity are also highlighted. Despite challenges such as variability in measurements, segmentation errors, and interpretation difficulties, advancements in artificial intelligence and machine learning have significantly improved accuracy and efficiency. The integration of retinal thickness analysis with telemedicine platforms and standardized protocols further underscores its potential in delivering personalized care and enabling the early detection of ocular and systemic diseases. Retinal thickness analysis continues to play a pivotal and growing role in both clinical practice and research, bridging the gap between ophthalmology and broader medical fields.

摘要

使用光学相干断层扫描(OCT)进行视网膜厚度分析已成为视网膜疾病管理中不可或缺的工具,为诊断、监测和治疗规划提供高分辨率定量数据。已发现这种分析对于广泛的视网膜疾病的诊断和监测目的都特别有用,能够实现精确的疾病特征描述和治疗评估。本文探讨了其在主要视网膜疾病中的应用,包括年龄相关性黄斑变性、糖尿病性视网膜病变、视网膜静脉阻塞和遗传性视网膜疾病。还强调了其在神经退行性疾病和视网膜药物毒性等其他疾病中的新兴作用。尽管存在测量变异性、分割误差和解释困难等挑战,但人工智能和机器学习的进步已显著提高了准确性和效率。视网膜厚度分析与远程医疗平台和标准化协议的整合进一步凸显了其在提供个性化护理以及实现眼部和全身性疾病早期检测方面的潜力。视网膜厚度分析在临床实践和研究中继续发挥关键且日益重要的作用,弥合了眼科与更广泛医学领域之间的差距。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/39da/11988421/082cc1555309/diagnostics-15-00833-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/39da/11988421/b5b55531ac5d/diagnostics-15-00833-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/39da/11988421/082cc1555309/diagnostics-15-00833-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/39da/11988421/b5b55531ac5d/diagnostics-15-00833-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/39da/11988421/082cc1555309/diagnostics-15-00833-g002.jpg

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本文引用的文献

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Longitudinal Assessment of Structural and Functional Changes in Rod-cone Dystrophy: A 10-year Follow-up Study.视杆-视锥营养不良结构和功能变化的纵向评估:一项10年随访研究。
Ophthalmol Sci. 2024 Nov 6;5(2):100649. doi: 10.1016/j.xops.2024.100649. eCollection 2025 Mar-Apr.
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Pivotal Trial Toward Effectiveness of Self-administered OCT in Neovascular Age-related Macular Degeneration. Report 2-Artificial Intelligence Analytics.自我给药光学相干断层扫描在新生血管性年龄相关性黄斑变性中有效性的关键试验。报告2-人工智能分析
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Epiretinal membrane: an overview and update.
视网膜内膜:概述与更新。
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Pseudophakic cystoid macular edema.人工晶状体眼黄斑囊样水肿
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Retinal Imaging Findings in Inherited Retinal Diseases.遗传性视网膜疾病的视网膜成像结果
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Comparison of retinal thickness measurements among four different optical coherence tomography devices.四种不同光学相干断层扫描仪测量视网膜厚度的比较。
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Anti-vascular endothelial growth factor for diabetic macular oedema: a network meta-analysis.抗血管内皮生长因子治疗糖尿病性黄斑水肿:一项网状Meta分析。
Cochrane Database Syst Rev. 2023 Jun 27;2023(6):CD007419. doi: 10.1002/14651858.CD007419.pub7.
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Correlation between refractive errors and ocular biometric parameters in children and adolescents: a systematic review and meta-analysis.儿童和青少年屈光不正与眼生物测量参数的相关性:系统评价和荟萃分析。
BMC Ophthalmol. 2023 Nov 21;23(1):472. doi: 10.1186/s12886-023-03222-7.
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Optical coherence tomography in the management of diabetic macular oedema.光学相干断层扫描在糖尿病性黄斑水肿治疗中的应用。
Prog Retin Eye Res. 2024 Jan;98:101220. doi: 10.1016/j.preteyeres.2023.101220. Epub 2023 Nov 7.
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Preterm infant retinal OCT markers of perinatal health and retinopathy of prematurity.围产期健康和早产儿视网膜病变的早产儿视网膜OCT标志物。
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