Use of a Retinal Phantom to Facilitate Adaptive Optics Scanning Light Ophthalmoscopy Imaging in a Multicenter Clinical Trial.

IF 2.7 3区 医学 Q2 OPHTHALMOLOGY
Joseph Kreis, Jessica Wong, Yushan Yang, Palash Bharadwaj, Robert F Cooper, Mina Gaffney, Nivedhitha Govindasamy, Amy L Green, Brian P Higgins, Yu You Jiang, Angelos Kalitzeos, Michel Michaelides, Jessica I W Morgan, Jason Porter, Jeremy D Rogers, Ian Rosenthal, Ramkumar Sabesan, Kaitlyn A Sapoznik, Alexander W Schill, Ryan D Sochol, Yiyi Wang, Raymond L Warner, Emma Warr, Benjamin J Wendel, Niamh Wynne, Peiluo Xu, Sergey Tarima, Daniel X Hammer, Anant Agrawal, Jacque L Duncan, Joseph Carroll
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引用次数: 0

Abstract

Purpose: To describe the use of a model eye-mounted retinal phantom to support adaptive optics scanning light ophthalmoscope (AOSLO) imaging in a multicenter clinical trial (NCT05537220).

Methods: Six three-dimensional-printed retinal phantoms were mounted in model eyes. These phantoms contain equally spaced arrays of reflective "cone-like" structures mimicking foveal cone photoreceptor spacing. Intrasession repeatability of phantom imaging was assessed for all six phantoms on two custom AOSLOs. One phantom was also imaged on two additional AOSLOs to assess interdevice reproducibility. Lastly, each of the six phantoms was imaged longitudinally at their respective trial sites.

Results: Intrasession repeatability of phantom-derived horizontal "cone" spacing measures was high for two different AOSLOs. However, intersystem differences were found in the average horizontal "cone" spacing of five of eight patches assessed. Across four unique AOSLOs, intersystem differences were found in the average horizontal "cone" spacing of seven of eight patches assessed. A linear regression analysis of longitudinal phantom imaging with a single AOSLO revealed few significant changes in horizontal "cone" spacing over the course of about 2 years. Similar results were observed for vertical "cone" spacing measures across the three experiments.

Conclusions: Longitudinal spacing measurements were generally stable in our study. However, small but significant differences in spacing were observed between systems. The approach described here may facilitate combining cone metrics extracted from images acquired using different AOSLOs in multicenter studies.

Translational relevance: Cross-system validation strategies can support the use of AOSLO imaging in multicenter clinical trials.

在多中心临床试验中使用视网膜幻影促进自适应光学扫描光检眼镜成像。
目的:描述在一项多中心临床试验(NCT05537220)中使用模型眼载视网膜幻影来支持自适应光学扫描光检眼镜(AOSLO)成像。方法:将6个三维打印视网膜模型植入模型眼。这些幻影包含等间距的反射“锥状”结构阵列,模拟中央凹锥体感光器的间距。在两个定制的AOSLOs上评估所有6个幻像的术中重现性。在另外两个AOSLOs上对一个幻像进行成像,以评估设备间的再现性。最后,在它们各自的试验地点对每一个幻影进行纵向成像。结果:两种不同AOSLOs的幻影衍生水平“圆锥体”间距测量值具有较高的重复性。然而,在8个被评估的斑块中,有5个斑块的平均水平“锥”间距存在系统间差异。在四个独特的AOSLOs中,8个被评估斑块中有7个的平均水平“锥”间距存在系统间差异。纵向幻影成像的线性回归分析显示,在大约2年的时间里,水平“锥体”间距几乎没有显著变化。在三个实验中,垂直“锥”间距测量也观察到类似的结果。结论:纵向间距测量在我们的研究中是稳定的。然而,在不同的系统之间,观察到微小但显著的间距差异。本文所描述的方法可以促进从多中心研究中使用不同AOSLOs获得的图像中提取的锥指标的组合。翻译相关性:跨系统验证策略可以支持在多中心临床试验中使用AOSLO成像。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Translational Vision Science & Technology
Translational Vision Science & Technology Engineering-Biomedical Engineering
CiteScore
5.70
自引率
3.30%
发文量
346
审稿时长
25 weeks
期刊介绍: Translational Vision Science & Technology (TVST), an official journal of the Association for Research in Vision and Ophthalmology (ARVO), an international organization whose purpose is to advance research worldwide into understanding the visual system and preventing, treating and curing its disorders, is an online, open access, peer-reviewed journal emphasizing multidisciplinary research that bridges the gap between basic research and clinical care. A highly qualified and diverse group of Associate Editors and Editorial Board Members is led by Editor-in-Chief Marco Zarbin, MD, PhD, FARVO. The journal covers a broad spectrum of work, including but not limited to: Applications of stem cell technology for regenerative medicine, Development of new animal models of human diseases, Tissue bioengineering, Chemical engineering to improve virus-based gene delivery, Nanotechnology for drug delivery, Design and synthesis of artificial extracellular matrices, Development of a true microsurgical operating environment, Refining data analysis algorithms to improve in vivo imaging technology, Results of Phase 1 clinical trials, Reverse translational ("bedside to bench") research. TVST seeks manuscripts from scientists and clinicians with diverse backgrounds ranging from basic chemistry to ophthalmic surgery that will advance or change the way we understand and/or treat vision-threatening diseases. TVST encourages the use of color, multimedia, hyperlinks, program code and other digital enhancements.
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