Repeatability and Reproducibility of Macular Hole Size Measurements Using Optical Coherence Tomography

The purpose of this study was to assess the repeatability and reproducibility of measuring the minimum linear diameter (MLD) of macular holes (MHs) using horizontal linear and radial scan modes in optical coherence tomography (OCT). Patients with concurrent sets of radial and horizontal linear OCT v...

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Main Authors: Carmen Baumann, Ahmed Almarzooqi, Katharina Blobner, Daniel Zapp, Katharina Kirchmair, Lydia S. Schwer, Chris P. Lohmann, Stephen B. Kaye
Format: Article
Language:English
Published: MDPI AG 2021-06-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/10/13/2899
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author Carmen Baumann
Ahmed Almarzooqi
Katharina Blobner
Daniel Zapp
Katharina Kirchmair
Lydia S. Schwer
Chris P. Lohmann
Stephen B. Kaye
author_facet Carmen Baumann
Ahmed Almarzooqi
Katharina Blobner
Daniel Zapp
Katharina Kirchmair
Lydia S. Schwer
Chris P. Lohmann
Stephen B. Kaye
author_sort Carmen Baumann
collection DOAJ
description The purpose of this study was to assess the repeatability and reproducibility of measuring the minimum linear diameter (MLD) of macular holes (MHs) using horizontal linear and radial scan modes in optical coherence tomography (OCT). Patients with concurrent sets of radial and horizontal linear OCT volume scans were included. The MLD was measured twice in both scan modes by six raters of three different experience levels (groups). Outcome measures were the reliability and repeatability of MLD measurements. Fifty patients were included. Mean MLD was 317.21(±170.63) µm in horizontal linear and 364.52 (±161.71) µm in radial mode, a difference of 47.31 (±26.48) µm (<i>p</i> < 0.001). In the radial scan mode, MLD was identified within 15° of the horizontal meridian in 27% and within 15° of the vertical meridian in 26.7%, with the remainder (46.3%) in oblique meridians. The intra-group coefficients of repeatability (CR) for horizontal linear mode were 23 µm, 33 µm and 45 µm, and for radial mode 25 µm, 44 µm and 57 µm for groups 1, 2 and 3, respectively. The inter-group CR, taking group 1 as reference standard for groups 2 and 3, were 74 µm and 71 µm for the linear mode, and 62 µm and 78 µm for radial mode. The radial mode provides good repeatability and reliability for measurement of MLD. In a majority of cases the MLD does not lie in the horizontal meridian and would be underestimated using a horizontal OCT mode.
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spelling doaj.art-643df3ce83fc43d8af5626004863f8be2023-12-03T13:16:01ZengMDPI AGJournal of Clinical Medicine2077-03832021-06-011013289910.3390/jcm10132899Repeatability and Reproducibility of Macular Hole Size Measurements Using Optical Coherence TomographyCarmen Baumann0Ahmed Almarzooqi1Katharina Blobner2Daniel Zapp3Katharina Kirchmair4Lydia S. Schwer5Chris P. Lohmann6Stephen B. Kaye7Ophthalmology Department, Technical University of Munich (TUM), 81675 Munich, GermanyOphthalmology Department, Technical University of Munich (TUM), 81675 Munich, GermanyOphthalmology Department, Technical University of Munich (TUM), 81675 Munich, GermanyOphthalmology Department, Technical University of Munich (TUM), 81675 Munich, GermanyOphthalmology Department, Technical University of Munich (TUM), 81675 Munich, GermanyOphthalmology Department, Technical University of Munich (TUM), 81675 Munich, GermanyOphthalmology Department, Technical University of Munich (TUM), 81675 Munich, GermanyDepartment of Eye and Vision Science, University of Liverpool, William Henry Duncan Building, 6 West Derby Street, Liverpool L7 8TX, UKThe purpose of this study was to assess the repeatability and reproducibility of measuring the minimum linear diameter (MLD) of macular holes (MHs) using horizontal linear and radial scan modes in optical coherence tomography (OCT). Patients with concurrent sets of radial and horizontal linear OCT volume scans were included. The MLD was measured twice in both scan modes by six raters of three different experience levels (groups). Outcome measures were the reliability and repeatability of MLD measurements. Fifty patients were included. Mean MLD was 317.21(±170.63) µm in horizontal linear and 364.52 (±161.71) µm in radial mode, a difference of 47.31 (±26.48) µm (<i>p</i> < 0.001). In the radial scan mode, MLD was identified within 15° of the horizontal meridian in 27% and within 15° of the vertical meridian in 26.7%, with the remainder (46.3%) in oblique meridians. The intra-group coefficients of repeatability (CR) for horizontal linear mode were 23 µm, 33 µm and 45 µm, and for radial mode 25 µm, 44 µm and 57 µm for groups 1, 2 and 3, respectively. The inter-group CR, taking group 1 as reference standard for groups 2 and 3, were 74 µm and 71 µm for the linear mode, and 62 µm and 78 µm for radial mode. The radial mode provides good repeatability and reliability for measurement of MLD. In a majority of cases the MLD does not lie in the horizontal meridian and would be underestimated using a horizontal OCT mode.https://www.mdpi.com/2077-0383/10/13/2899macular holeoptical coherence tomographyscan patternminimum linear diameter
spellingShingle Carmen Baumann
Ahmed Almarzooqi
Katharina Blobner
Daniel Zapp
Katharina Kirchmair
Lydia S. Schwer
Chris P. Lohmann
Stephen B. Kaye
Repeatability and Reproducibility of Macular Hole Size Measurements Using Optical Coherence Tomography
Journal of Clinical Medicine
macular hole
optical coherence tomography
scan pattern
minimum linear diameter
title Repeatability and Reproducibility of Macular Hole Size Measurements Using Optical Coherence Tomography
title_full Repeatability and Reproducibility of Macular Hole Size Measurements Using Optical Coherence Tomography
title_fullStr Repeatability and Reproducibility of Macular Hole Size Measurements Using Optical Coherence Tomography
title_full_unstemmed Repeatability and Reproducibility of Macular Hole Size Measurements Using Optical Coherence Tomography
title_short Repeatability and Reproducibility of Macular Hole Size Measurements Using Optical Coherence Tomography
title_sort repeatability and reproducibility of macular hole size measurements using optical coherence tomography
topic macular hole
optical coherence tomography
scan pattern
minimum linear diameter
url https://www.mdpi.com/2077-0383/10/13/2899
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