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Artifacts in automatic retinal segmentation using different optical coherence tomography instruments.

Andrea Giani1, Mario Cigada, Daniel D Esmaili

  • 1G. B. Bietti Eye Foundation, IRCCS, Rome, Italy. andreagiani@gmail.com

Retina (Philadelphia, Pa.)
|January 23, 2010
PubMed
Summary
This summary is machine-generated.

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Different optical coherence tomography (OCT) instruments show varying artifact errors in retinal segmentation. Spectral-domain OCT reduces but doesn't eliminate these errors, which are more common in pathologic eyes.

Area of Science:

  • Ophthalmology
  • Medical Imaging
  • Biomedical Engineering

Background:

  • Accurate retinal segmentation is crucial for diagnosing and monitoring various eye conditions.
  • Optical coherence tomography (OCT) is a key technology for in vivo imaging of retinal layers.
  • Automated segmentation algorithms aim to improve efficiency and reproducibility in OCT analysis.

Purpose of the Study:

  • To compare and evaluate artifact errors in automatic inner and outer retinal boundary detection.
  • To assess the performance of different time-domain and spectral-domain OCT instruments in retinal segmentation.
  • To identify factors influencing segmentation accuracy, such as eye pathology and device type.

Main Methods:

  • Six different OCT devices (time-domain and spectral-domain) were used to image normal and pathologic eyes.

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  • Standard analysis protocols were applied for macular thickness evaluation.
  • Error frequencies, including percentage of examinations with errors (EF-exam) and errors per B-scan, were calculated for each instrument.
  • Main Results:

    • The overall EF-exam across all instruments was 25.8%, with normal eyes showing 6.9% and pathologic eyes 32.7%.
    • Pathologic eyes with macular holes (83.3%), epiretinal membrane with cystoid macular edema (66.6%), and neovascular AMD (50.3%) had the highest EF-exam.
    • Significant differences in EF-exam were observed among OCT instruments (P < 0.0001), with Zeiss Stratus showing the highest error rate per B-scan.

    Conclusions:

    • Spectral-domain OCT instruments demonstrate improved, though not perfect, retinal segmentation compared to older technologies.
    • Segmentation accuracy is consistently lower in pathologic eyes than in normal eyes across all tested OCT devices.
    • Differences in segmentation errors are likely due to variations in analysis algorithms, highlighting the need for manual adjustment evaluation and interoperator variability assessment.