PMID- 24084089 OWN - NLM STAT- MEDLINE DCOM- 20140124 LR - 20220321 IS - 1552-5783 (Electronic) IS - 0146-0404 (Print) IS - 0146-0404 (Linking) VI - 54 IP - 12 DP - 2013 Nov 15 TI - Fully automatic software for retinal thickness in eyes with diabetic macular edema from images acquired by cirrus and spectralis systems. PG - 7595-602 LID - 10.1167/iovs.13-11762 [doi] AB - PURPOSE: To determine whether a novel automatic segmentation program, the Duke Optical Coherence Tomography Retinal Analysis Program (DOCTRAP), can be applied to spectral-domain optical coherence tomography (SD-OCT) images obtained from different commercially available SD-OCT in eyes with diabetic macular edema (DME). METHODS: A novel segmentation framework was used to segment the retina, inner retinal pigment epithelium, and Bruch's membrane on images from eyes with DME acquired by one of two SD-OCT systems, Spectralis or Cirrus high definition (HD)-OCT. Thickness data obtained by the DOCTRAP software were compared with those produced by Spectralis and Cirrus. Measurement agreement and its dependence were assessed using intraclass correlation (ICC). RESULTS: A total of 40 SD-OCT scans from 20 subjects for each machine were included in the analysis. Spectralis: the mean thickness in the 1-mm central area determined by DOCTRAP and Spectralis was 463.8 +/- 107.5 mum and 467.0 +/- 108.1 mum, respectively (ICC, 0.999). There was also a high level agreement in surrounding areas (out to 3 mm). Cirrus: the mean thickness in the 1-mm central area was 440.8 +/- 183.4 mum and 442.7 +/- 182.4 mum by DOCTRAP and Cirrus, respectively (ICC, 0.999). The thickness agreement in surrounding areas (out to 3 mm) was more variable due to Cirrus segmentation errors in one subject (ICC, 0.734-0.999). After manual correction of the errors, there was a high level of thickness agreement in surrounding areas (ICC, 0.997-1.000). CONCLUSIONS: The DOCTRAP may be useful to compare retinal thicknesses in eyes with DME across OCT platforms. FAU - Lee, Joo Yong AU - Lee JY AD - Department of Ophthalmology, Duke University Medical Center, Durham, North Carolina. FAU - Chiu, Stephanie J AU - Chiu SJ FAU - Srinivasan, Pratul P AU - Srinivasan PP FAU - Izatt, Joseph A AU - Izatt JA FAU - Toth, Cynthia A AU - Toth CA FAU - Farsiu, Sina AU - Farsiu S FAU - Jaffe, Glenn J AU - Jaffe GJ LA - eng GR - P30 EY005722/EY/NEI NIH HHS/United States GR - R01 EY022691/EY/NEI NIH HHS/United States PT - Comparative Study PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20131115 PL - United States TA - Invest Ophthalmol Vis Sci JT - Investigative ophthalmology & visual science JID - 7703701 SB - IM MH - Algorithms MH - Diabetic Retinopathy/*diagnosis MH - Humans MH - Image Processing, Computer-Assisted/*instrumentation MH - Macular Edema/*diagnosis MH - Organ Size MH - Retina/*pathology MH - Retinal Photoreceptor Cell Inner Segment/pathology MH - Retinal Photoreceptor Cell Outer Segment/pathology MH - Retinal Pigment Epithelium/pathology MH - *Software MH - Tomography, Optical Coherence/instrumentation/*methods PMC - PMC4428560 OTO - NOTNLM OT - diabetic macular edema (DME) OT - segmentation OT - spectral-domain optical coherence tomography (SD-OCT) EDAT- 2013/10/03 06:00 MHDA- 2014/01/25 06:00 PMCR- 2014/05/01 CRDT- 2013/10/03 06:00 PHST- 2013/10/03 06:00 [entrez] PHST- 2013/10/03 06:00 [pubmed] PHST- 2014/01/25 06:00 [medline] PHST- 2014/05/01 00:00 [pmc-release] AID - iovs.13-11762 [pii] AID - 10.1167/iovs.13-11762 [doi] PST - epublish SO - Invest Ophthalmol Vis Sci. 2013 Nov 15;54(12):7595-602. doi: 10.1167/iovs.13-11762.