超高分辨率OCT角膜上皮厚度自动测量的重复性研究
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浙江省医药卫生科技计划项目(No.2013KYA132); 温州市科技局项目(No.Y20110058; No.Y20110103)


Study of repeatability of corneal epithelium thickness profiles automatically measured by ultra-high resolution OCT system
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Supported by Medical and Healthy Technology Plan of Zhejiang( No.2013KYA132); Supported by Program of Wenzhou Science and Technology Bureau( No.Y20110058; No.Y20110103)

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    摘要:

    目的:研究基于自动分层算法的超高分辨率谱域OCT(UHR-OCT)用于角膜上皮厚度测量的重复性。

    方法:使用自行搭建的UHR-OCT系统采集18例健康受试者(年龄23.2±0.9岁)左眼的图像, 应用一种基于轴向梯度信息和最短路径的分层算法对得到的SD-OCT图像进行边界探测获取角膜上皮厚度。

    结果:自动与手动的上皮分层的位置有很好的相关性(P>0.05,配对t检验)。自动算法获取的6mm范围平均上皮厚度为52.1±2.1μm,范围从50.3±1.8μm到53.2±2.4μm, 与手动分层之间的角膜上皮厚度差异为0.4±0.3μm。 UHR-OCT自动算法重复测量上皮厚度的组内相关系数ICC和可重复性系数CoR分别为0.90±0.05,1.44±0.01μm。

    结论:对于超高分辨率OCT,自动分层方法在角膜上皮厚度测量中有着很好的准确性和可重复性。

    Abstract:

    AIM: To assess the repeatability of thickness profiles of corneal epithelium produced by aautomatic hierarchic algorithm that was applied to images obtained by a custom-built ultra-high resolution OCT( UHR-OCT)system.

    METHODS: Eighteen left eyes of 18 subjects(23.2±0.9)years; mean age±standard deviation)were imaged twice on non-consecutive days by a custom-built ultra-high resolution OCT(UHR-OCT)system. A hierarchic algorithm based on the axial gradient information and a shortest path search was developed to measure the corneal epithelial thickness profiles from the SD-OCT images.

    RESULTS: There was good correlation between theautomatic and manual hierarchy positions of the epithelium( p>0.05, paired t-test). The average epithelial thickness of the 6mm central corneal region determined by the automatic hierarchic algorithm was 52.1±2.1μm, ranging from 50.3±1.8μm to 53.2±2.4μm along the horizontal meridian. The epithelial thickness differences between automatic and manual hierarchy by the UHR-OCT systems were 0.4±0.3μm. The intraclass correlation coefficients(ICC)and coefficients of repeatability(CoR)with repeated UHR-OCT measurements for epithelial thickness were 0.90±0.05 and 1.44±0.01μm respectively.

    CONCLUSION:Regarding UHR-OCT system, the custom-developed automatic hierarchy has good repeatability and accuracy for measuring the thickness of corneal epithelium.

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徐肃仲,叶欣杰,许哲,等.超高分辨率OCT角膜上皮厚度自动测量的重复性研究.国际眼科杂志, 2013,13(12):2475-2478.

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  • 收稿日期:2013-09-12
  • 最后修改日期:2013-11-11
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  • 在线发布日期: 2013-11-25
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