PMID- 22297491 OWN - NLM STAT- MEDLINE DCOM- 20120503 LR - 20220310 IS - 1552-5783 (Electronic) IS - 0146-0404 (Linking) VI - 53 IP - 3 DP - 2012 Mar 21 TI - Automated assessment of drusen using three-dimensional spectral-domain optical coherence tomography. PG - 1576-83 LID - 10.1167/iovs.11-8103 [doi] AB - PURPOSE: To compare automated assessment of macular drusen delineated by the authors' originally developed algorithm on three-dimensional (3D) spectral-domain optical coherence tomography (SD-OCT) with the assessment by certified graders on color fundus photographs in nonneovascular age-related macular degeneration (AMD). METHODS: Automated assessment of macular drusen was performed using raster scan by 3D OCT scans in 18 eyes with nonneovascular AMD with at least one large druse (>/=125 mum) and predominantly soft indistinct drusen. Drusen was defined as the regions that have the distance between the retinal pigment epithelium and calculated Bruch's membrane lines > predefined threshold distances. The agreement was assessed on maximum drusen size and drusen area within grid between 3D SD-OCT and color fundus photographs, and false-negative and false-positive drusen at each threshold distance. RESULTS: There was agreement or agreement within one step in all eyes in maximum drusen size, and 15 (83.3%) of the eyes in the drusen area, except 6 pixels, regardless of threshold distances. However, the number of eyes with exact agreement in the drusen area increased when the threshold distances were smaller than 4 pixels. In the three cases with disagreement in the drusen area, false-negative drusen on 3D SD-OCT were characterized by being small in area and height. CONCLUSIONS: Automated assessment of drusen parameters based on the authors' algorithm on 3D SD-OCT, which was limited by the poor detection ability of small drusen, showed good agreement with the assessment by certified graders on color fundus photography in these subjects. FAU - Iwama, Daisuke AU - Iwama D AD - Department of Ophthalmology and Visual Sciences, Kyoto University Graduate School of Medicine, Kyoto, Japan. FAU - Hangai, Masanori AU - Hangai M FAU - Ooto, Sotaro AU - Ooto S FAU - Sakamoto, Atsushi AU - Sakamoto A FAU - Nakanishi, Hideo AU - Nakanishi H FAU - Fujimura, Takashi AU - Fujimura T FAU - Domalpally, Amitha AU - Domalpally A FAU - Danis, Ronald P AU - Danis RP FAU - Yoshimura, Nagahisa AU - Yoshimura N LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20120321 PL - United States TA - Invest Ophthalmol Vis Sci JT - Investigative ophthalmology & visual science JID - 7703701 SB - IM MH - Aged MH - Aged, 80 and over MH - Algorithms MH - *Diagnostic Techniques, Ophthalmological MH - Female MH - Humans MH - Japan MH - Macular Degeneration/*diagnosis MH - Male MH - Prospective Studies MH - Retinal Drusen/*diagnosis MH - Tomography, Optical Coherence/*methods EDAT- 2012/02/03 06:00 MHDA- 2012/05/04 06:00 CRDT- 2012/02/03 06:00 PHST- 2012/02/03 06:00 [entrez] PHST- 2012/02/03 06:00 [pubmed] PHST- 2012/05/04 06:00 [medline] AID - iovs.11-8103 [pii] AID - 10.1167/iovs.11-8103 [doi] PST - epublish SO - Invest Ophthalmol Vis Sci. 2012 Mar 21;53(3):1576-83. doi: 10.1167/iovs.11-8103.