PMID- 30091323 OWN - NLM STAT- MEDLINE DCOM- 20180831 LR - 20181202 IS - 1976-2437 (Electronic) IS - 0513-5796 (Print) IS - 0513-5796 (Linking) VI - 59 IP - 7 DP - 2018 Sep TI - Diagnostic Ability of Swept-Source and Spectral-Domain Optical Coherence Tomography for Glaucoma. PG - 887-896 LID - 10.3349/ymj.2018.59.7.887 [doi] AB - PURPOSE: To compare the diagnostic abilities of swept-source optical coherence tomography (OCT) [Deep Range Imaging OCT-1 (DRI-OCT)] and spectral-domain OCT (Cirrus HD-OCT) for glaucoma in Korean adults. MATERIALS AND METHODS: This retrospective study involved measuring peripapillary retinal nerve fiber layer (PP-RNFL) thickness, full macular thickness, and ganglion cell-inner plexiform layer (GC-IPL) thickness on two different OCT systems. We used three-dimensional optic disc scanning of DRI-OCT and included 12 clock-hour sectors for measurement of the PP-RNFL. Areas under receiver operating characteristic curves (AUCs) were calculated and compared to determine how well each system could distinguish control and glaucomatous patients. RESULTS: Ninety-one healthy and 58 glaucomatous eyes were included. Both systems could clearly distinguish between control eyes and eyes with moderate to severe glaucoma. Among all sectors, the AUC values of areas associated with glaucoma were >0.7 for both OCTs. The PP-RNFL sector of highest AUC value on both OCTs was the inferior sector of the clock-hour map (0.968 and 0.959 in DRI-OCT and Cirrus HD-OCT, respectively). Among macular thickness sectors, AUC values were highest on both OCTs for the outer inferior sector (0.859 and 0.853 in DRI-OCT and Cirrus HD-OCT, respectively). The GC-IPL also provided high diagnostic values (DRI-OCT and Cirrus HD-OCT were the best in the average and inferior sectors, respectively). CONCLUSION: Although the two OCT systems provided different thickness measurements, DRI-OCT exhibited as good, if not better, diagnostic ability for glaucoma as Cirrus HD-OCT in Korean adults. CI - (c) Copyright: Yonsei University College of Medicine 2018. FAU - Lee, Sang Yeop AU - Lee SY AD - Department of Ophthalmology, Severance Hospital, Institute of Vision Research, Yonsei University College of Medicine, Seoul, Korea. FAU - Bae, Hyoung Won AU - Bae HW AD - Department of Ophthalmology, Severance Hospital, Institute of Vision Research, Yonsei University College of Medicine, Seoul, Korea. FAU - Seong, Gong Je AU - Seong GJ AD - Department of Ophthalmology, Severance Hospital, Institute of Vision Research, Yonsei University College of Medicine, Seoul, Korea. FAU - Kim, Chan Yun AU - Kim CY AUID- ORCID: 0000-0002-8373-9999 AD - Department of Ophthalmology, Severance Hospital, Institute of Vision Research, Yonsei University College of Medicine, Seoul, Korea. kcyeye@yuhs.ac. LA - eng PT - Journal Article PL - Korea (South) TA - Yonsei Med J JT - Yonsei medical journal JID - 0414003 SB - IM MH - Adult MH - Aged MH - Area Under Curve MH - Case-Control Studies MH - Female MH - Glaucoma/*diagnosis MH - Humans MH - Intraocular Pressure/physiology MH - Male MH - Middle Aged MH - Nerve Fibers/*pathology MH - Optic Disk/*pathology MH - Predictive Value of Tests MH - ROC Curve MH - Reproducibility of Results MH - Republic of Korea MH - Retinal Ganglion Cells/*pathology MH - Retrospective Studies MH - Sensitivity and Specificity MH - Tomography, Optical Coherence/*methods PMC - PMC6082988 OTO - NOTNLM OT - Glaucoma OT - diagnostic ability OT - spectral domain optical coherence tomography OT - swept source optical coherence tomography COIS- The authors have no financial conflicts of interest. EDAT- 2018/08/10 06:00 MHDA- 2018/09/01 06:00 PMCR- 2018/09/01 CRDT- 2018/08/10 06:00 PHST- 2018/03/22 00:00 [received] PHST- 2018/06/25 00:00 [revised] PHST- 2018/07/03 00:00 [accepted] PHST- 2018/08/10 06:00 [entrez] PHST- 2018/08/10 06:00 [pubmed] PHST- 2018/09/01 06:00 [medline] PHST- 2018/09/01 00:00 [pmc-release] AID - 59.887 [pii] AID - 10.3349/ymj.2018.59.7.887 [doi] PST - ppublish SO - Yonsei Med J. 2018 Sep;59(7):887-896. doi: 10.3349/ymj.2018.59.7.887.