Reproducibility of Choroidal Thickness Measurements Across Three Spectral Domain Optical Coherence Tomography Systems

Purpose To investigate the reproducibility of choroidal thickness measurements in normal subjects on 3 spectral domain optical coherence tomography (SD-OCT) instruments: Zeiss Cirrus HD-OCT (Carl Zeiss Meditec Inc., Dublin, CA), Heidelberg Spectralis (Heidelberg Engineering, Heidelberg, Germany), a...

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Main Authors: Branchini, Lauren, Regatieri, Caio V., Flores-Moreno, Ignacio, Baumann, Bernhard, Fujimoto, James G., Duker, Jay S.
Other Authors: Massachusetts Institute of Technology. Department of Electrical Engineering and Computer Science
Format: Article
Language:en_US
Published: Elsevier 2015
Online Access:http://hdl.handle.net/1721.1/100253
https://orcid.org/0000-0002-0828-4357
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author Branchini, Lauren
Regatieri, Caio V.
Flores-Moreno, Ignacio
Baumann, Bernhard
Fujimoto, James G.
Duker, Jay S.
author2 Massachusetts Institute of Technology. Department of Electrical Engineering and Computer Science
author_facet Massachusetts Institute of Technology. Department of Electrical Engineering and Computer Science
Branchini, Lauren
Regatieri, Caio V.
Flores-Moreno, Ignacio
Baumann, Bernhard
Fujimoto, James G.
Duker, Jay S.
author_sort Branchini, Lauren
collection MIT
description Purpose To investigate the reproducibility of choroidal thickness measurements in normal subjects on 3 spectral domain optical coherence tomography (SD-OCT) instruments: Zeiss Cirrus HD-OCT (Carl Zeiss Meditec Inc., Dublin, CA), Heidelberg Spectralis (Heidelberg Engineering, Heidelberg, Germany), and Optovue RTVue (Optovue Inc., Fremont, CA). Design Cross-sectional non-interventional study. Participants Images were obtained in 28 eyes of 28 healthy undilated volunteers without ocular pathology in a clinical setting. Methods All subjects were imaged on the fovea using Cirrus HD 1-line raster, Spectralis enhanced depth imaging (EDI), and RTVue retina-cross. Main Outcome Measures The choroid was measured subfoveally, 750 μm temporal, and 750 μm nasal to the fovea. All measurements were performed by 2 independent observers. Two-way analysis of variance (ANOVA) with Bonferroni's post-test, Pearson correlation, and Bland–Altman analysis were used to compare measurements. Results The group of 28 subjects consisted of 7 men and 21 women, with an average age of 35.2 years (range, 23–64 years). A 2-way ANOVA with Bonferroni's post-test revealed no significant difference in the average subfoveal choroidal thickness (P > 0.05) among systems for any location: subfoveally, 750 μm temporal, and 750 μm nasal to the fovea. The measurements of choroidal thickness from any pair of 3 instruments (Cirrus vs. Spectralis, Cirrus vs. RTVue, Spectralis vs. RTVue) were also strongly correlated. The Pearson correlation among all 2 system pairs of the 3 systems was greater than 0.9 (P < 0.0001). The 95% limits of agreement among 4 choroidal thickness measurements were +11.21% to −13.57% (bias −1.17) between Cirrus and RTVue, +10.85% to −12.45% (bias −0.80) between Spectralis and RTVue, and +12.81% to −13.33% (bias −0.25) between Cirrus and Spectralis. Conclusions In our population of young healthy adults with normal vision, there was good reproducibility among choroidal thickness measurements of images acquired with Cirrus, Spectralis, and RTVue.
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spelling mit-1721.1/1002532022-10-01T20:05:44Z Reproducibility of Choroidal Thickness Measurements Across Three Spectral Domain Optical Coherence Tomography Systems Branchini, Lauren Regatieri, Caio V. Flores-Moreno, Ignacio Baumann, Bernhard Fujimoto, James G. Duker, Jay S. Massachusetts Institute of Technology. Department of Electrical Engineering and Computer Science Massachusetts Institute of Technology. Research Laboratory of Electronics Baumann, Bernhard Fujimoto, James G. Purpose To investigate the reproducibility of choroidal thickness measurements in normal subjects on 3 spectral domain optical coherence tomography (SD-OCT) instruments: Zeiss Cirrus HD-OCT (Carl Zeiss Meditec Inc., Dublin, CA), Heidelberg Spectralis (Heidelberg Engineering, Heidelberg, Germany), and Optovue RTVue (Optovue Inc., Fremont, CA). Design Cross-sectional non-interventional study. Participants Images were obtained in 28 eyes of 28 healthy undilated volunteers without ocular pathology in a clinical setting. Methods All subjects were imaged on the fovea using Cirrus HD 1-line raster, Spectralis enhanced depth imaging (EDI), and RTVue retina-cross. Main Outcome Measures The choroid was measured subfoveally, 750 μm temporal, and 750 μm nasal to the fovea. All measurements were performed by 2 independent observers. Two-way analysis of variance (ANOVA) with Bonferroni's post-test, Pearson correlation, and Bland–Altman analysis were used to compare measurements. Results The group of 28 subjects consisted of 7 men and 21 women, with an average age of 35.2 years (range, 23–64 years). A 2-way ANOVA with Bonferroni's post-test revealed no significant difference in the average subfoveal choroidal thickness (P > 0.05) among systems for any location: subfoveally, 750 μm temporal, and 750 μm nasal to the fovea. The measurements of choroidal thickness from any pair of 3 instruments (Cirrus vs. Spectralis, Cirrus vs. RTVue, Spectralis vs. RTVue) were also strongly correlated. The Pearson correlation among all 2 system pairs of the 3 systems was greater than 0.9 (P < 0.0001). The 95% limits of agreement among 4 choroidal thickness measurements were +11.21% to −13.57% (bias −1.17) between Cirrus and RTVue, +10.85% to −12.45% (bias −0.80) between Spectralis and RTVue, and +12.81% to −13.33% (bias −0.25) between Cirrus and Spectralis. Conclusions In our population of young healthy adults with normal vision, there was good reproducibility among choroidal thickness measurements of images acquired with Cirrus, Spectralis, and RTVue. Research to Prevent Blindness, Inc. (United States) National Institutes of Health (U.S.) (Contract RO1-EY11289-25) National Institutes of Health (U.S.) (Contract R01-EY13178-10) National Institutes of Health (U.S.) (Contract R01-EY013516-07) National Institutes of Health (U.S.) (Contract R01-EY019029-02) United States. Air Force Office of Scientific Research (FA9550-10-1-0551) United States. Air Force Office of Scientific Research (FA9550-10-1-0063) 2015-12-14T23:04:16Z 2015-12-14T23:04:16Z 2011-09 2011-06 Article http://purl.org/eprint/type/JournalArticle 01616420 http://hdl.handle.net/1721.1/100253 Branchini, Lauren, Caio V. Regatieri, Ignacio Flores-Moreno, Bernhard Baumann, James G. Fujimoto, and Jay S. Duker. “Reproducibility of Choroidal Thickness Measurements Across Three Spectral Domain Optical Coherence Tomography Systems.” Ophthalmology 119, no. 1 (January 2012): 119–123. https://orcid.org/0000-0002-0828-4357 en_US http://dx.doi.org/10.1016/j.ophtha.2011.07.002 Ophthalmology Creative Commons Attribution http://creativecommons.org/licenses/by-nc-nd/4.0/ application/pdf Elsevier PMC
spellingShingle Branchini, Lauren
Regatieri, Caio V.
Flores-Moreno, Ignacio
Baumann, Bernhard
Fujimoto, James G.
Duker, Jay S.
Reproducibility of Choroidal Thickness Measurements Across Three Spectral Domain Optical Coherence Tomography Systems
title Reproducibility of Choroidal Thickness Measurements Across Three Spectral Domain Optical Coherence Tomography Systems
title_full Reproducibility of Choroidal Thickness Measurements Across Three Spectral Domain Optical Coherence Tomography Systems
title_fullStr Reproducibility of Choroidal Thickness Measurements Across Three Spectral Domain Optical Coherence Tomography Systems
title_full_unstemmed Reproducibility of Choroidal Thickness Measurements Across Three Spectral Domain Optical Coherence Tomography Systems
title_short Reproducibility of Choroidal Thickness Measurements Across Three Spectral Domain Optical Coherence Tomography Systems
title_sort reproducibility of choroidal thickness measurements across three spectral domain optical coherence tomography systems
url http://hdl.handle.net/1721.1/100253
https://orcid.org/0000-0002-0828-4357
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