PMID- 28861029 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220408 IS - 1664-2295 (Print) IS - 1664-2295 (Electronic) IS - 1664-2295 (Linking) VI - 8 DP - 2017 TI - Repeatability and Reproducibility of Retinal Neuronal and Axonal Measures on Spectral-Domain Optical Coherence Tomography in Patients with Cognitive Impairment. PG - 359 LID - 10.3389/fneur.2017.00359 [doi] LID - 359 AB - BACKGROUND: With increasing interest in determining if measurement of retinal neuronal structure with spectral-domain optical coherence tomography (SD-OCT) is useful in accessing neurodegenerative process in cognitive decline and development of dementia, it is important to evaluate whether the SD-OCT measurements are repeatable and reproducible in these patients. METHODS: This is a retrospective cohort study. Patients with Alzheimer's disease (AD) or mild cognitive impairment (MCI) with no change in global clinical dementia rating (CDR) score at 1-year follow-up were eligible to be included. Ganglion cell-inner plexiform layer (GC-IPL) and retinal nerve fiber layer (RNFL) parameters were measured with SD-OCT at baseline, 6-month, and 1-year follow-up visits. At baseline, SD-OCT scans were repeated to access intra-visit repeatability of the SD-OCT measurement. SD-OCT measurement over three visits was used to access inter-visit reproducibility. We calculated intraclass correlation coefficients (ICC) and coefficients of variation (CoVs). RESULTS: We included 32 patients with stable AD and 29 patients with stable MCI in the final analysis. For GC-IPL measures, the average intra-visit ICC was 0.969 (range: 0.948-0.985), and CoV was 1.81% (range: 1.14-2.40); while the average inter-visit ICC was 0.968 (0.941-0.985), and CoV was 1.91% (range: 1.24-2.32). The average ICC and CoV of intra-visit RNFL measured were 0.965 (range: 0.937-0.986) and 2.32% (range: 1.34-2.90%), respectively. The average ICC and CoV of inter-visit RNFL measures were 0.927 (range: 0.845-0.961) and 3.83% (range: 2.71-5.25%), respectively. CONCLUSION: Both GC-IPL and RNFL measurements had good intra-visit repeatability and inter-visit reproducibility over 1 year in elderly patients with no decline in cognitive function, suggesting that SD-OCT is a reliable tool to assess neurodegenerative process over time. FAU - Loh, Edwin Hong-Teck AU - Loh EH AD - Singapore Eye Research Institute, Singapore National Eye Centre, Singapore, Singapore. FAU - Ong, Yi-Ting AU - Ong YT AD - Singapore Eye Research Institute, Singapore National Eye Centre, Singapore, Singapore. AD - Duke-NUS Medical School, National University of Singapore, Singapore, Singapore. FAU - Venketasubramanian, Narayanaswamy AU - Venketasubramanian N AD - Memory Aging and Cognition Centre, National University Health System, Singapore, Singapore. AD - Raffles Neuroscience Centre, Raffles Hospital, Singapore, Singapore. FAU - Hilal, Saima AU - Hilal S AD - Memory Aging and Cognition Centre, National University Health System, Singapore, Singapore. FAU - Thet, Naing AU - Thet N AD - Department of Ophthalmology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore. FAU - Wong, Tien Yin AU - Wong TY AD - Singapore Eye Research Institute, Singapore National Eye Centre, Singapore, Singapore. AD - Duke-NUS Medical School, National University of Singapore, Singapore, Singapore. AD - Department of Ophthalmology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore. FAU - Chen, Christopher P L AU - Chen CPL AD - Memory Aging and Cognition Centre, National University Health System, Singapore, Singapore. AD - Department of Pharmacology, National University of Singapore, Singapore, Singapore. FAU - Cheung, Carol Yim-Lui AU - Cheung CY AD - Singapore Eye Research Institute, Singapore National Eye Centre, Singapore, Singapore. AD - Department of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Hong Kong, Hong Kong. LA - eng PT - Journal Article DEP - 20170815 PL - Switzerland TA - Front Neurol JT - Frontiers in neurology JID - 101546899 PMC - PMC5559462 OTO - NOTNLM OT - dementia OT - mild cognitive impairment OT - optical coherence tomography OT - repeatability OT - reproducibility OT - retina EDAT- 2017/09/02 06:00 MHDA- 2017/09/02 06:01 PMCR- 2017/08/15 CRDT- 2017/09/02 06:00 PHST- 2017/04/18 00:00 [received] PHST- 2017/07/07 00:00 [accepted] PHST- 2017/09/02 06:00 [entrez] PHST- 2017/09/02 06:00 [pubmed] PHST- 2017/09/02 06:01 [medline] PHST- 2017/08/15 00:00 [pmc-release] AID - 10.3389/fneur.2017.00359 [doi] PST - epublish SO - Front Neurol. 2017 Aug 15;8:359. doi: 10.3389/fneur.2017.00359. eCollection 2017.