Diagnostic Capability of Peripapillary Three-dimensional Retinal Nerve Fiber Layer Volume for Glaucoma Using Optical Coherence Tomography Volume Scans
To determine the diagnostic capability of peripapillary 3-dimensional (3D) retinal nerve fiber layer (RNFL) volume measurements from spectral-domain optical coherence tomography (OCT) volume scans for open-angle glaucoma (OAG). Assessment of diagnostic accuracy. Setting: Academic clinical setting. S...
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| Veröffentlicht in: | American journal of ophthalmology 2017-10, Vol.182, p.180-193 |
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| creator | Khoueir, Ziad Jassim, Firas Poon, Linda Yi-Chieh Tsikata, Edem Ben-David, Geulah S. Liu, Yingna Shieh, Eric Lee, Ramon Guo, Rong Papadogeorgou, Georgia Braaf, Boy Simavli, Huseyin Que, Christian Vakoc, Benjamin J. Bouma, Brett E. de Boer, Johannes F. Chen, Teresa C. |
| description | To determine the diagnostic capability of peripapillary 3-dimensional (3D) retinal nerve fiber layer (RNFL) volume measurements from spectral-domain optical coherence tomography (OCT) volume scans for open-angle glaucoma (OAG).
Assessment of diagnostic accuracy.
Setting: Academic clinical setting. Study Population: Total of 180 patients (113 OAG and 67 normal subjects). Observation Procedures: One eye per subject was included. Peripapillary 3D RNFL volumes were calculated for global, quadrant, and sector regions, using 4 different-size annuli. Peripapillary 2D RNFL thickness circle scans were also obtained. Main Outcome Measures: Area under the receiver operating characteristic curve (AUROC) values, sensitivity, specificity, positive and negative predictive values, positive and negative likelihood ratios.
Among all 2D and 3D RNFL parameters, best diagnostic capability was associated with inferior quadrant 3D RNFL volume of the smallest annulus (AUROC value 0.977). Otherwise, global 3D RNFL volume AUROC values were comparable to global 2D RNFL thickness AUROC values for all 4 annulus sizes (P values: .0593 to .6866). When comparing the 4 annulus sizes for global RNFL volume, the smallest annulus had the best AUROC values (P values: .0317 to .0380). The smallest-size annulus may have the best diagnostic potential, partly owing to having no areas excluded for being larger than the 6 × 6 mm2 scanned region.
Peripapillary 3D RNFL volume showed excellent diagnostic performance for detecting glaucoma. Peripapillary 3D RNFL volume parameters have the same or better diagnostic capability compared to peripapillary 2D RNFL thickness measurements, although differences were not statistically significant. |
| doi_str_mv | 10.1016/j.ajo.2017.08.001 |
| format | Article |
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Assessment of diagnostic accuracy.
Setting: Academic clinical setting. Study Population: Total of 180 patients (113 OAG and 67 normal subjects). Observation Procedures: One eye per subject was included. Peripapillary 3D RNFL volumes were calculated for global, quadrant, and sector regions, using 4 different-size annuli. Peripapillary 2D RNFL thickness circle scans were also obtained. Main Outcome Measures: Area under the receiver operating characteristic curve (AUROC) values, sensitivity, specificity, positive and negative predictive values, positive and negative likelihood ratios.
Among all 2D and 3D RNFL parameters, best diagnostic capability was associated with inferior quadrant 3D RNFL volume of the smallest annulus (AUROC value 0.977). Otherwise, global 3D RNFL volume AUROC values were comparable to global 2D RNFL thickness AUROC values for all 4 annulus sizes (P values: .0593 to .6866). When comparing the 4 annulus sizes for global RNFL volume, the smallest annulus had the best AUROC values (P values: .0317 to .0380). The smallest-size annulus may have the best diagnostic potential, partly owing to having no areas excluded for being larger than the 6 × 6 mm2 scanned region.
Peripapillary 3D RNFL volume showed excellent diagnostic performance for detecting glaucoma. Peripapillary 3D RNFL volume parameters have the same or better diagnostic capability compared to peripapillary 2D RNFL thickness measurements, although differences were not statistically significant.</description><identifier>ISSN: 0002-9394</identifier><identifier>EISSN: 1879-1891</identifier><identifier>DOI: 10.1016/j.ajo.2017.08.001</identifier><identifier>PMID: 28807732</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Aged ; Area Under Curve ; Cross-Sectional Studies ; Defects ; Diabetic retinopathy ; False Negative Reactions ; Female ; Glaucoma ; Glaucoma, Open-Angle - diagnosis ; Humans ; Imaging, Three-Dimensional ; Intraocular Pressure - physiology ; Male ; Medical diagnosis ; Medical imaging ; Middle Aged ; Nerve Fibers - pathology ; Ophthalmology ; Optic Disk ; Optic nerve ; Optics ; Predictive Value of Tests ; Reproducibility of Results ; Retina ; Retinal Ganglion Cells - pathology ; ROC Curve ; Sensitivity and Specificity ; Tomography ; Tomography, Optical Coherence - methods ; Tomography, Optical Coherence - standards ; Visual Field Tests ; Visual Fields - physiology</subject><ispartof>American journal of ophthalmology, 2017-10, Vol.182, p.180-193</ispartof><rights>2017 Elsevier Inc.</rights><rights>Copyright © 2017 Elsevier Inc. All rights reserved.</rights><rights>Copyright Elsevier Limited Oct 1, 2017</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c424t-2cbfc3d100949218d2c62f31ae428e141e0be4fcc54c23a8d32d99d7aecf60df3</citedby><cites>FETCH-LOGICAL-c424t-2cbfc3d100949218d2c62f31ae428e141e0be4fcc54c23a8d32d99d7aecf60df3</cites><orcidid>0000-0001-7671-3224 ; 0000-0003-2008-2114 ; 0000-0003-1717-1618 ; 0000-0003-1657-9099 ; 0000-0003-1706-4011</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0002939417303343$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28807732$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Khoueir, Ziad</creatorcontrib><creatorcontrib>Jassim, Firas</creatorcontrib><creatorcontrib>Poon, Linda Yi-Chieh</creatorcontrib><creatorcontrib>Tsikata, Edem</creatorcontrib><creatorcontrib>Ben-David, Geulah S.</creatorcontrib><creatorcontrib>Liu, Yingna</creatorcontrib><creatorcontrib>Shieh, Eric</creatorcontrib><creatorcontrib>Lee, Ramon</creatorcontrib><creatorcontrib>Guo, Rong</creatorcontrib><creatorcontrib>Papadogeorgou, Georgia</creatorcontrib><creatorcontrib>Braaf, Boy</creatorcontrib><creatorcontrib>Simavli, Huseyin</creatorcontrib><creatorcontrib>Que, Christian</creatorcontrib><creatorcontrib>Vakoc, Benjamin J.</creatorcontrib><creatorcontrib>Bouma, Brett E.</creatorcontrib><creatorcontrib>de Boer, Johannes F.</creatorcontrib><creatorcontrib>Chen, Teresa C.</creatorcontrib><title>Diagnostic Capability of Peripapillary Three-dimensional Retinal Nerve Fiber Layer Volume for Glaucoma Using Optical Coherence Tomography Volume Scans</title><title>American journal of ophthalmology</title><addtitle>Am J Ophthalmol</addtitle><description>To determine the diagnostic capability of peripapillary 3-dimensional (3D) retinal nerve fiber layer (RNFL) volume measurements from spectral-domain optical coherence tomography (OCT) volume scans for open-angle glaucoma (OAG).
Assessment of diagnostic accuracy.
Setting: Academic clinical setting. Study Population: Total of 180 patients (113 OAG and 67 normal subjects). Observation Procedures: One eye per subject was included. Peripapillary 3D RNFL volumes were calculated for global, quadrant, and sector regions, using 4 different-size annuli. Peripapillary 2D RNFL thickness circle scans were also obtained. Main Outcome Measures: Area under the receiver operating characteristic curve (AUROC) values, sensitivity, specificity, positive and negative predictive values, positive and negative likelihood ratios.
Among all 2D and 3D RNFL parameters, best diagnostic capability was associated with inferior quadrant 3D RNFL volume of the smallest annulus (AUROC value 0.977). Otherwise, global 3D RNFL volume AUROC values were comparable to global 2D RNFL thickness AUROC values for all 4 annulus sizes (P values: .0593 to .6866). When comparing the 4 annulus sizes for global RNFL volume, the smallest annulus had the best AUROC values (P values: .0317 to .0380). The smallest-size annulus may have the best diagnostic potential, partly owing to having no areas excluded for being larger than the 6 × 6 mm2 scanned region.
Peripapillary 3D RNFL volume showed excellent diagnostic performance for detecting glaucoma. Peripapillary 3D RNFL volume parameters have the same or better diagnostic capability compared to peripapillary 2D RNFL thickness measurements, although differences were not statistically significant.</description><subject>Aged</subject><subject>Area Under Curve</subject><subject>Cross-Sectional Studies</subject><subject>Defects</subject><subject>Diabetic retinopathy</subject><subject>False Negative Reactions</subject><subject>Female</subject><subject>Glaucoma</subject><subject>Glaucoma, Open-Angle - diagnosis</subject><subject>Humans</subject><subject>Imaging, Three-Dimensional</subject><subject>Intraocular Pressure - physiology</subject><subject>Male</subject><subject>Medical diagnosis</subject><subject>Medical imaging</subject><subject>Middle Aged</subject><subject>Nerve Fibers - pathology</subject><subject>Ophthalmology</subject><subject>Optic Disk</subject><subject>Optic nerve</subject><subject>Optics</subject><subject>Predictive Value of Tests</subject><subject>Reproducibility of Results</subject><subject>Retina</subject><subject>Retinal Ganglion Cells - pathology</subject><subject>ROC Curve</subject><subject>Sensitivity and Specificity</subject><subject>Tomography</subject><subject>Tomography, Optical Coherence - methods</subject><subject>Tomography, Optical Coherence - standards</subject><subject>Visual Field Tests</subject><subject>Visual Fields - physiology</subject><issn>0002-9394</issn><issn>1879-1891</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kUFv1DAQhS0EotvCD-CCLHHhkuBx3CQWJ7TQgrSiCLZcLcee7HqVxKmdVNo_wu-to205cODikaXvvdG8R8gbYDkwKD8ccn3wOWdQ5azOGYNnZAV1JTOoJTwnK8YYz2QhxRk5j_GQvmUlqpfkjNc1q6qCr8ifz07vBh8nZ-haj7pxnZuO1Lf0BwY36tF1nQ5Hut0HxMy6Hofo_KA7-hMnt8zvGO6RXrkGA93oY3p_-27ukbY-0OtOz8b3mt5GN-zozZj2JM3a7zHgYJBufe93QY_745Psl9FDfEVetLqL-PpxXpDbqy_b9ddsc3P9bf1pkxnBxZRx07SmsMCYFJJDbbkpeVuARsFrBAHIGhStMZfC8ELXtuBWSltpNG3JbFtckPcn3zH4uxnjpHoXDaabB_RzVCC5BFbUokzou3_Qg59DSmChqgpAXhaQKDhRJvgYA7ZqDK5PCSpgailNHVQqTS2lKVarVFrSvH10npse7V_FU0sJ-HgCMEVx7zCoaNwSn3UBzaSsd_-xfwAs06m9</recordid><startdate>201710</startdate><enddate>201710</enddate><creator>Khoueir, Ziad</creator><creator>Jassim, Firas</creator><creator>Poon, Linda Yi-Chieh</creator><creator>Tsikata, Edem</creator><creator>Ben-David, Geulah S.</creator><creator>Liu, Yingna</creator><creator>Shieh, Eric</creator><creator>Lee, Ramon</creator><creator>Guo, Rong</creator><creator>Papadogeorgou, Georgia</creator><creator>Braaf, Boy</creator><creator>Simavli, Huseyin</creator><creator>Que, Christian</creator><creator>Vakoc, Benjamin J.</creator><creator>Bouma, Brett E.</creator><creator>de Boer, Johannes F.</creator><creator>Chen, Teresa C.</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-7671-3224</orcidid><orcidid>https://orcid.org/0000-0003-2008-2114</orcidid><orcidid>https://orcid.org/0000-0003-1717-1618</orcidid><orcidid>https://orcid.org/0000-0003-1657-9099</orcidid><orcidid>https://orcid.org/0000-0003-1706-4011</orcidid></search><sort><creationdate>201710</creationdate><title>Diagnostic Capability of Peripapillary Three-dimensional Retinal Nerve Fiber Layer Volume for Glaucoma Using Optical Coherence Tomography Volume Scans</title><author>Khoueir, Ziad ; Jassim, Firas ; Poon, Linda Yi-Chieh ; Tsikata, Edem ; Ben-David, Geulah S. ; Liu, Yingna ; Shieh, Eric ; Lee, Ramon ; Guo, Rong ; Papadogeorgou, Georgia ; Braaf, Boy ; Simavli, Huseyin ; Que, Christian ; Vakoc, Benjamin J. ; Bouma, Brett E. ; de Boer, Johannes F. ; Chen, Teresa C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c424t-2cbfc3d100949218d2c62f31ae428e141e0be4fcc54c23a8d32d99d7aecf60df3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Aged</topic><topic>Area Under Curve</topic><topic>Cross-Sectional Studies</topic><topic>Defects</topic><topic>Diabetic retinopathy</topic><topic>False Negative Reactions</topic><topic>Female</topic><topic>Glaucoma</topic><topic>Glaucoma, Open-Angle - diagnosis</topic><topic>Humans</topic><topic>Imaging, Three-Dimensional</topic><topic>Intraocular Pressure - physiology</topic><topic>Male</topic><topic>Medical diagnosis</topic><topic>Medical imaging</topic><topic>Middle Aged</topic><topic>Nerve Fibers - pathology</topic><topic>Ophthalmology</topic><topic>Optic Disk</topic><topic>Optic nerve</topic><topic>Optics</topic><topic>Predictive Value of Tests</topic><topic>Reproducibility of Results</topic><topic>Retina</topic><topic>Retinal Ganglion Cells - pathology</topic><topic>ROC Curve</topic><topic>Sensitivity and Specificity</topic><topic>Tomography</topic><topic>Tomography, Optical Coherence - methods</topic><topic>Tomography, Optical Coherence - standards</topic><topic>Visual Field Tests</topic><topic>Visual Fields - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Khoueir, Ziad</creatorcontrib><creatorcontrib>Jassim, Firas</creatorcontrib><creatorcontrib>Poon, Linda Yi-Chieh</creatorcontrib><creatorcontrib>Tsikata, Edem</creatorcontrib><creatorcontrib>Ben-David, Geulah S.</creatorcontrib><creatorcontrib>Liu, Yingna</creatorcontrib><creatorcontrib>Shieh, Eric</creatorcontrib><creatorcontrib>Lee, Ramon</creatorcontrib><creatorcontrib>Guo, Rong</creatorcontrib><creatorcontrib>Papadogeorgou, Georgia</creatorcontrib><creatorcontrib>Braaf, Boy</creatorcontrib><creatorcontrib>Simavli, Huseyin</creatorcontrib><creatorcontrib>Que, Christian</creatorcontrib><creatorcontrib>Vakoc, Benjamin J.</creatorcontrib><creatorcontrib>Bouma, Brett E.</creatorcontrib><creatorcontrib>de Boer, Johannes F.</creatorcontrib><creatorcontrib>Chen, Teresa C.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Khoueir, Ziad</au><au>Jassim, Firas</au><au>Poon, Linda Yi-Chieh</au><au>Tsikata, Edem</au><au>Ben-David, Geulah S.</au><au>Liu, Yingna</au><au>Shieh, Eric</au><au>Lee, Ramon</au><au>Guo, Rong</au><au>Papadogeorgou, Georgia</au><au>Braaf, Boy</au><au>Simavli, Huseyin</au><au>Que, Christian</au><au>Vakoc, Benjamin J.</au><au>Bouma, Brett E.</au><au>de Boer, Johannes F.</au><au>Chen, Teresa C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Diagnostic Capability of Peripapillary Three-dimensional Retinal Nerve Fiber Layer Volume for Glaucoma Using Optical Coherence Tomography Volume Scans</atitle><jtitle>American journal of ophthalmology</jtitle><addtitle>Am J Ophthalmol</addtitle><date>2017-10</date><risdate>2017</risdate><volume>182</volume><spage>180</spage><epage>193</epage><pages>180-193</pages><issn>0002-9394</issn><eissn>1879-1891</eissn><abstract>To determine the diagnostic capability of peripapillary 3-dimensional (3D) retinal nerve fiber layer (RNFL) volume measurements from spectral-domain optical coherence tomography (OCT) volume scans for open-angle glaucoma (OAG).
Assessment of diagnostic accuracy.
Setting: Academic clinical setting. Study Population: Total of 180 patients (113 OAG and 67 normal subjects). Observation Procedures: One eye per subject was included. Peripapillary 3D RNFL volumes were calculated for global, quadrant, and sector regions, using 4 different-size annuli. Peripapillary 2D RNFL thickness circle scans were also obtained. Main Outcome Measures: Area under the receiver operating characteristic curve (AUROC) values, sensitivity, specificity, positive and negative predictive values, positive and negative likelihood ratios.
Among all 2D and 3D RNFL parameters, best diagnostic capability was associated with inferior quadrant 3D RNFL volume of the smallest annulus (AUROC value 0.977). Otherwise, global 3D RNFL volume AUROC values were comparable to global 2D RNFL thickness AUROC values for all 4 annulus sizes (P values: .0593 to .6866). When comparing the 4 annulus sizes for global RNFL volume, the smallest annulus had the best AUROC values (P values: .0317 to .0380). The smallest-size annulus may have the best diagnostic potential, partly owing to having no areas excluded for being larger than the 6 × 6 mm2 scanned region.
Peripapillary 3D RNFL volume showed excellent diagnostic performance for detecting glaucoma. Peripapillary 3D RNFL volume parameters have the same or better diagnostic capability compared to peripapillary 2D RNFL thickness measurements, although differences were not statistically significant.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>28807732</pmid><doi>10.1016/j.ajo.2017.08.001</doi><tpages>14</tpages><orcidid>https://orcid.org/0000-0001-7671-3224</orcidid><orcidid>https://orcid.org/0000-0003-2008-2114</orcidid><orcidid>https://orcid.org/0000-0003-1717-1618</orcidid><orcidid>https://orcid.org/0000-0003-1657-9099</orcidid><orcidid>https://orcid.org/0000-0003-1706-4011</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | American journal of ophthalmology, 2017-10, Vol.182, p.180-193 |
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| subjects | Aged Area Under Curve Cross-Sectional Studies Defects Diabetic retinopathy False Negative Reactions Female Glaucoma Glaucoma, Open-Angle - diagnosis Humans Imaging, Three-Dimensional Intraocular Pressure - physiology Male Medical diagnosis Medical imaging Middle Aged Nerve Fibers - pathology Ophthalmology Optic Disk Optic nerve Optics Predictive Value of Tests Reproducibility of Results Retina Retinal Ganglion Cells - pathology ROC Curve Sensitivity and Specificity Tomography Tomography, Optical Coherence - methods Tomography, Optical Coherence - standards Visual Field Tests Visual Fields - physiology |
| title | Diagnostic Capability of Peripapillary Three-dimensional Retinal Nerve Fiber Layer Volume for Glaucoma Using Optical Coherence Tomography Volume Scans |
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