PMID- 25337716 OWN - NLM STAT- MEDLINE DCOM- 20150706 LR - 20211021 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 9 IP - 10 DP - 2014 TI - Objective determination of optimal number of spectral-domain optical coherence tomographic images of retina to average. PG - e110550 LID - 10.1371/journal.pone.0110550 [doi] LID - e110550 AB - PURPOSE: To determine by objective methods the minimum number of spectral-domain optical coherence tomographic (SD-OCT) images to average to obtain the clearest retinal image. METHODS: SD-OCT Images were obtained from 9 healthy eyes and also from a phantom eye model. The SD-OCT images were obtained by averaging 1, 5, 20, 60, and 100 B-scan images. The reflectivity (mean gray value) of the different retinal layers was evaluated in these images. The image quality was evaluated by the size of the standard deviations (SDs) and the contrast-to-noise ratios (CNRs). A phantom eye model made by TiO2 silicone plates was also examined. RESULTS: The SDs decreased significantly when the number of images averaged increased from 1 to 5 and also from 5 to 20 (P<0.05, post hoc Tukey's honestly significant difference tests). The SD of the automatic real time averaging of 1 (ART = 1) and ART = 5 were significantly larger than the SD of ART = 100 (P<0.05). The SDs of all other averaged numbers were not significantly larger than that of ART = 100. The CNR increased with an increase in the number of images averaged, and there was a significant increase between ART = 1 to 5 and between ART = 5 to 20 (P<0.05). No significant differences in the CNR was observed between ART = 5, ART = 20 and ART = 60. Similar results were obtained with the phantom eye model. CONCLUSIONS: Although the image quality of the SD-OCT images of the retina improved with an increase in the number of images averaged, it does not improve significantly by averaging more than 20 images. FAU - Shirasawa, Makoto AU - Shirasawa M AD - Department of Ophthalmology, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan. FAU - Sakamoto, Taiji AU - Sakamoto T AD - Department of Ophthalmology, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan. FAU - Terasaki, Hiroto AU - Terasaki H AD - Department of Ophthalmology, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan. FAU - Yamashita, Takehiro AU - Yamashita T AD - Department of Ophthalmology, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan. FAU - Uchino, Eisuke AU - Uchino E AD - Department of Ophthalmology, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan. FAU - Sonoda, Shozo AU - Sonoda S AD - Department of Ophthalmology, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan. LA - eng PT - Journal Article PT - Observational Study PT - Research Support, Non-U.S. Gov't DEP - 20141022 PL - United States TA - PLoS One JT - PloS one JID - 101285081 SB - IM MH - Adult MH - Cross-Sectional Studies MH - Female MH - Humans MH - Male MH - Phantoms, Imaging MH - Prospective Studies MH - Reference Values MH - Retina/*anatomy & histology MH - Signal-To-Noise Ratio MH - *Tomography, Optical Coherence MH - Young Adult PMC - PMC4206300 COIS- Competing Interests: The authors have declared that no competing interests exist. EDAT- 2014/10/23 06:00 MHDA- 2015/07/07 06:00 PMCR- 2014/10/22 CRDT- 2014/10/23 06:00 PHST- 2014/05/26 00:00 [received] PHST- 2014/09/15 00:00 [accepted] PHST- 2014/10/23 06:00 [entrez] PHST- 2014/10/23 06:00 [pubmed] PHST- 2015/07/07 06:00 [medline] PHST- 2014/10/22 00:00 [pmc-release] AID - PONE-D-14-23399 [pii] AID - 10.1371/journal.pone.0110550 [doi] PST - epublish SO - PLoS One. 2014 Oct 22;9(10):e110550. doi: 10.1371/journal.pone.0110550. eCollection 2014.