PMID- 31588371 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220410 IS - 2164-2591 (Print) IS - 2164-2591 (Electronic) IS - 2164-2591 (Linking) VI - 8 IP - 5 DP - 2019 Sep TI - Validation of Optical Coherence Tomography Retinal Segmentation in Neurodegenerative Disease. PG - 6 LID - 10.1167/tvst.8.5.6 [doi] LID - 6 AB - PURPOSE: This study assessed agreement between an automated spectral-domain optical coherence tomography (SD-OCT) retinal segmentation software and manually corrected segmentation to validate its use in a prospective clinical study of neurodegenerative diseases (NDD). METHODS: The sample comprised 30 subjects with NDD, including vascular cognitive impairment, frontotemporal dementia, Parkinson's disease, and Alzheimer's disease. Macular SD-OCT scans were acquired and segmented using Heidelberg Spectralis. For the central foveal B scan of each eye, eight segmentation lines were examined to determine the proportion of each line that the software erroneously delineated. Errors in four lines were manually corrected in all B scans spanning a 6-mm circle centered on the foveola. Mean volume and thickness measurements for four retinal layers (total retina, retinal nerve fiber layer [RNFL], inner retinal layers, and outer retinal layers) were obtained before and after correction. RESULTS: The outer plexiform layer line had one of the lowest mean error ratios (2%), while RNFL had the highest (23%). Agreement between automated software and trained observer was excellent (ICC > 0.98) for retinal thickness and volume of all layers. Mean volume differences between software and observers for the four layers ranged from -0.003 to 0.006 mm(3). Mean thickness differences ranged from -1.855 to 1.859 mum. CONCLUSIONS: Despite occasional small errors in software-generated retinal sublayer segmentation, agreement was excellent between software-derived and observer-corrected mean volume and thickness sublayer measurements. TRANSLATIONAL RELEVANCE: Automated SD-OCT segmentation software generates valid measurements of retinal layer volume and thickness in NDD subjects, thereby avoiding the need to manually correct nonobvious delineation errors. CI - Copyright 2019 The Authors. FAU - Wong, Bryan M AU - Wong BM AD - University of Waterloo, School of Optometry and Vision Science, Waterloo, Ontario, Canada. AD - University of Toronto, Faculty of Medicine, Toronto, Ontario, Canada. FAU - Cheng, Richard W AU - Cheng RW AD - University of Waterloo, School of Optometry and Vision Science, Waterloo, Ontario, Canada. FAU - Mandelcorn, Efrem D AU - Mandelcorn ED AD - University of Toronto, Department of Ophthalmology and Vision Sciences, Toronto, Ontario, Canada. AD - Kensington Eye Institute, Toronto, Ontario, Canada. FAU - Margolin, Edward AU - Margolin E AD - University of Toronto, Department of Ophthalmology and Vision Sciences, Toronto, Ontario, Canada. AD - Kensington Eye Institute, Toronto, Ontario, Canada. FAU - El-Defrawy, Sherif AU - El-Defrawy S AD - University of Toronto, Department of Ophthalmology and Vision Sciences, Toronto, Ontario, Canada. AD - Kensington Eye Institute, Toronto, Ontario, Canada. FAU - Yan, Peng AU - Yan P AD - University of Toronto, Department of Ophthalmology and Vision Sciences, Toronto, Ontario, Canada. AD - Kensington Eye Institute, Toronto, Ontario, Canada. FAU - Santiago, Anna T AU - Santiago AT AD - Baycrest, Rotman Research Institute, Toronto, Ontario, Canada. FAU - Leontieva, Elena AU - Leontieva E AD - University of Waterloo, School of Optometry and Vision Science, Waterloo, Ontario, Canada. FAU - Lou, Wendy AU - Lou W AD - University of Toronto, Dalla Lana School of Public Health, Toronto, Ontario, Canada. CN - ONDRI Investigators FAU - Hatch, Wendy AU - Hatch W AD - University of Toronto, Department of Ophthalmology and Vision Sciences, Toronto, Ontario, Canada. AD - Kensington Eye Institute, Toronto, Ontario, Canada. FAU - Hudson, Christopher AU - Hudson C AD - University of Waterloo, School of Optometry and Vision Science, Waterloo, Ontario, Canada. AD - University of Toronto, Department of Ophthalmology and Vision Sciences, Toronto, Ontario, Canada. LA - eng PT - Journal Article DEP - 20190911 PL - United States TA - Transl Vis Sci Technol JT - Translational vision science & technology JID - 101595919 PMC - PMC6753973 OTO - NOTNLM OT - Parkinson's disease OT - automated segmentation OT - optical coherence tomography OT - retinal nerve fibre layer OT - retinal thickness EDAT- 2019/10/08 06:00 MHDA- 2019/10/08 06:01 PMCR- 2019/09/11 CRDT- 2019/10/08 06:00 PHST- 2019/02/12 00:00 [received] PHST- 2019/04/24 00:00 [accepted] PHST- 2019/10/08 06:00 [entrez] PHST- 2019/10/08 06:00 [pubmed] PHST- 2019/10/08 06:01 [medline] PHST- 2019/09/11 00:00 [pmc-release] AID - TVST-19-1428 [pii] AID - 10.1167/tvst.8.5.6 [doi] PST - epublish SO - Transl Vis Sci Technol. 2019 Sep 11;8(5):6. doi: 10.1167/tvst.8.5.6. eCollection 2019 Sep.