基于扫源 OCT 的生物测量和眼底照片与光谱域 OCT 相比在中心型糖尿病黄斑水肿中的诊断效用。

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
S Sanjana Chouhan, Vidya Neelamegam, Keerthana Raghu, R Janani Surya, Jothi Balaji Janarthanam, Chetan Rao, Ayushi Mohapatra, Rajiv Raman
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引用次数: 0

摘要

目的:本研究旨在评估基于扫源光学相干断层成像(SS-OCT)的生物测量、眼底照片及其组合与金标准光谱域光学相干断层成像(SD-OCT)在检测中心内糖尿病性黄斑水肿(CI-DME)方面的一致性:我们进行了一项回顾性横断面研究,共有55名受试者(78只眼)通过临床和SD-OCT(卡尔蔡司医疗技术股份公司)诊断出患有糖尿病性黄斑水肿(DME)。研究采用了眼球后45度彩色眼底照片(Crystal-Vue NFC-700)、基于SS-OCT的生物测量(IOL-Master 700)获得的1毫米黄斑扫描以及SD-OCT获得的黄斑立方体扫描来检测DME,并将其分为CI-DME和NCI-DME:我们的研究结果表明,与金标准(SD-OCT)相比,基于 SS-OCT 的生物测量在检测 CI-DME 方面的灵敏度为 1(0.94-1.00),特异度为 0.63(0.31-0.89)。当结合眼底照片数据时,特异性降至 0.32(0.15-0.53)。单独使用眼底照片检测 CI-DME 的灵敏度较低,为 0.52(0.38-0.64),特异度为 0.45(0.16-0.76):总之,基于SS-OCT的生物测量法可作为一种有效的工具,用于检测接受白内障手术的糖尿病患者的CI-DME,并可在没有SD-OCT设备的中心作为一种筛查工具。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Diagnostic Utility of Swept-Source OCT-Based Biometry and Fundus Photographs Compared to Spectral Domain OCT in Center-Involving Diabetic Macular Edema.

Purpose: This study was aimed to evaluate the agreement between the swept-source optical coherence tomography (SS-OCT)-based biometry, fundus photographs, and their combination, in comparison to the gold standard spectral-domain optical coherence tomography (SD-OCT) for the detection of center-involving diabetic macular edema (CI-DME).

Methods: We conducted a retrospective cross-sectional study involving 55 subjects (78 eyes) diagnosed with diabetic macular edema (DME) detected clinically and on SD-OCT (Carl Zeiss Meditec AG). Post-mydriatic 45-degree color fundus photograph (Crystal-Vue NFC-700), 1 mm macular scan obtained from SS-OCT-based biometry (IOL-Master 700), and macula cube scan obtained from SD-OCT was used to detect and grade DME into CI-DME and NCI-DME.

Results: Our findings revealed that SS-OCT-based biometry was noted to have a high sensitivity of 1 (0.94-1.00) and a specificity of 0.63 (0.31-0.89) in detecting CI-DME compared to the gold standard (SD-OCT). When combined with data from fundus photographs, specificity decreased to 0.32 (0.15-0.53). Fundus photographs alone exhibited a low sensitivity of 0.52 (0.38-0.64) and a specificity of 0.45 (0.16-0.76) in CI-DME detection.

Conclusion: In conclusion, SS-OCT-based biometry can be used as an effective tool for the detection of CI-DME in diabetic patients undergoing cataract surgery and can serve as a screening tool in centers without SD-OCT facilities.

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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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