三维前段光学连贯断层扫描在检测角度关闭的诊断能力
Sunee Chansangpetch1,2,3, Phichayut Phinyo1,4, Jayanton Patumanond3
1Department of Ophthalmology, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Thai Red Cross Society, Bangkok.
Journal of glaucoma
|May 23, 2024
概括
三维 (3D) 角度参数在检测角度关闭方面表现出色. 然而,某些二维 (2D) 水平参数提供了可比的诊断准确性,表明了更简单的临床应用的潜力.
科学领域:
- 眼科医生 眼科 眼科
- 解剖成像 解剖成像 解剖成像
- 青光眼的诊断 青光眼的诊断
背景情况:
- 视角闭眼 (angle closure glaucoma) 是导致视力丧失的重要原因之一.
- 准确检测角度闭合对于及时干预至关重要.
- 前段光学连贯断层扫描 (AS-OCT) 是一个关键的成像模式.
研究的目的:
- 为了比较2D水平与3D角度参数的诊断性能,这些参数是从扫描源AS-OCT (CASIA2) 来获得的,用于探测角度闭合.
- 评估新的3D角度参数及其切割值.
主要方法:
- 一项横截面研究包括118名发病患者 (59个开放,59个闭合角度).
- 角度开口距离 (AOD),角度隙面积 (ARA) 和状虹膜空间面积 (TISA) 在距离状突起的250,500和750微米处使用360度半径扫描进行测量.
- 3D参数被分析为平均值和估计的表面/体积,然后与使用接收器操作特征曲线 (AUC) 的2D水平参数进行比较.
主要成果:
- 在估计的3D AOD参数 (AOD-500估计3D:AUC 0.950;AOD-750估计3D:AUC 0.948) 观察到的最高诊断性能.
- 与其二维对应物相比,3D参数显著改善了ARA-250和TISA-250的AUC (P < 0.02).
- 对于AOD-250或500/750微米的参数,没有发现明显的AUC改善;几个2D和3D参数显示了相似的高性能.
结论:
- 拟议的3D角度参数证明了对角关闭检测的优秀诊断性能.
- 尽管3D参数的高性能,某些2D水平测量 (TISA-750,AOD-750,AOD-500) 实现类似的诊断准确度.
- 在某些测量中,3D分析对优化的2D水平参数的增量好处可能是有限的.
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