Ratiometric analysis of optical coherence tomography–measured in vivo retinal layer thicknesses for the detection of early diabetic retinopathy

Influence of diabetes mellitus (DM) and diabetic retinopathy (DR) on parafoveal retinal thicknesses and their ratios was evaluated. Six retinal layer boundaries were segmented from spectral‐domain optical coherence tomography images using open‐source software. Five study groups: (1) healthy control...

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Veröffentlicht in:Journal of biophotonics 2017-11, Vol.10 (11), p.1430-1441
Hauptverfasser: Bhaduri, Basanta, Shelton, Ryan L., Nolan, Ryan M., Hendren, Lucas, Almasov, Alexandra, Labriola, Leanne T., Boppart, Stephen A.
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container_end_page 1441
container_issue 11
container_start_page 1430
container_title Journal of biophotonics
container_volume 10
creator Bhaduri, Basanta
Shelton, Ryan L.
Nolan, Ryan M.
Hendren, Lucas
Almasov, Alexandra
Labriola, Leanne T.
Boppart, Stephen A.
description Influence of diabetes mellitus (DM) and diabetic retinopathy (DR) on parafoveal retinal thicknesses and their ratios was evaluated. Six retinal layer boundaries were segmented from spectral‐domain optical coherence tomography images using open‐source software. Five study groups: (1) healthy control (HC) subjects, and subjects with (2) controlled DM, (3) uncontrolled DM, (4) controlled DR and (5) uncontrolled DR, were identified. The one‐way analyses of variance (ANOVA) between adjacent study groups (i. e. 1 with 2, 2 with 3, etc) indicated differences in retinal thicknesses and ratios. Overall retinal thickness, ganglion cell layer (GCL) thickness, inner plexiform layer (IPL) thickness, and their combination (GCL+ IPL), appeared to be significantly less in the uncontrolled DM group when compared to controlled DM and controlled DR groups. Although the combination of nerve fiber layer (NFL) and GCL, and IPL thicknesses were not different, their ratio, (NFL+GCL)/IPL, was found to be significantly higher in the controlled DM group compared to the HC group. Comparisons of the controlled DR group with the controlled DM group, and with the uncontrolled DR group, do not show any differences in the layer thicknesses, though several significant ratios were obtained. Ratiometric analysis may provide more sensitive parameters for detecting changes in DR. Picture: A representative segmented OCT image of the human retina is shown. Six retinal layer boundaries were segmented from spectral‐domain optical coherence tomography (SD‐OCT) images using open‐source software. Five study groups were identified and one‐way analyses of variance (ANOVA) were performed between the adjacent study groups. ANOVA indicated differences in thicknesses and their ratios among the study groups. Ratiometric analysis may provide more sensitive parameters for detecting changes in diabetic mellitus (DM) and diabetic retinopathy (DR).
doi_str_mv 10.1002/jbio.201600282
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Six retinal layer boundaries were segmented from spectral‐domain optical coherence tomography images using open‐source software. Five study groups: (1) healthy control (HC) subjects, and subjects with (2) controlled DM, (3) uncontrolled DM, (4) controlled DR and (5) uncontrolled DR, were identified. The one‐way analyses of variance (ANOVA) between adjacent study groups (i. e. 1 with 2, 2 with 3, etc) indicated differences in retinal thicknesses and ratios. Overall retinal thickness, ganglion cell layer (GCL) thickness, inner plexiform layer (IPL) thickness, and their combination (GCL+ IPL), appeared to be significantly less in the uncontrolled DM group when compared to controlled DM and controlled DR groups. Although the combination of nerve fiber layer (NFL) and GCL, and IPL thicknesses were not different, their ratio, (NFL+GCL)/IPL, was found to be significantly higher in the controlled DM group compared to the HC group. Comparisons of the controlled DR group with the controlled DM group, and with the uncontrolled DR group, do not show any differences in the layer thicknesses, though several significant ratios were obtained. Ratiometric analysis may provide more sensitive parameters for detecting changes in DR. Picture: A representative segmented OCT image of the human retina is shown. Six retinal layer boundaries were segmented from spectral‐domain optical coherence tomography (SD‐OCT) images using open‐source software. Five study groups were identified and one‐way analyses of variance (ANOVA) were performed between the adjacent study groups. ANOVA indicated differences in thicknesses and their ratios among the study groups. 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Six retinal layer boundaries were segmented from spectral‐domain optical coherence tomography images using open‐source software. Five study groups: (1) healthy control (HC) subjects, and subjects with (2) controlled DM, (3) uncontrolled DM, (4) controlled DR and (5) uncontrolled DR, were identified. The one‐way analyses of variance (ANOVA) between adjacent study groups (i. e. 1 with 2, 2 with 3, etc) indicated differences in retinal thicknesses and ratios. Overall retinal thickness, ganglion cell layer (GCL) thickness, inner plexiform layer (IPL) thickness, and their combination (GCL+ IPL), appeared to be significantly less in the uncontrolled DM group when compared to controlled DM and controlled DR groups. Although the combination of nerve fiber layer (NFL) and GCL, and IPL thicknesses were not different, their ratio, (NFL+GCL)/IPL, was found to be significantly higher in the controlled DM group compared to the HC group. Comparisons of the controlled DR group with the controlled DM group, and with the uncontrolled DR group, do not show any differences in the layer thicknesses, though several significant ratios were obtained. Ratiometric analysis may provide more sensitive parameters for detecting changes in DR. Picture: A representative segmented OCT image of the human retina is shown. Six retinal layer boundaries were segmented from spectral‐domain optical coherence tomography (SD‐OCT) images using open‐source software. Five study groups were identified and one‐way analyses of variance (ANOVA) were performed between the adjacent study groups. ANOVA indicated differences in thicknesses and their ratios among the study groups. 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subjects Aged
clinical image analysis
Diabetes mellitus
diabetic retinopathy
Diabetic Retinopathy - diagnostic imaging
Diabetic Retinopathy - pathology
Early Diagnosis
Female
Humans
Image Processing, Computer-Assisted - methods
macula
Male
optical coherence tomography
retina
Retina - diagnostic imaging
Retina - pathology
Tomography, Optical Coherence
title Ratiometric analysis of optical coherence tomography–measured in vivo retinal layer thicknesses for the detection of early diabetic retinopathy
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