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Published in: Japanese Journal of Ophthalmology 2/2018

01-03-2018 | Clinical Investigation

Semi-automated software to measure luminal and stromal areas of choroid in optical coherence tomographic images

Authors: Shozo Sonoda, Taiji Sakamoto, Naoko Kakiuchi, Hideki Shiihara, Tomonori Sakoguchi, Masatoshi Tomita, Takehiro Yamashita, Eisuke Uchino

Published in: Japanese Journal of Ophthalmology | Issue 2/2018

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Abstract

Purpose

To determine the capabilities of “EyeGround” software in measuring the choroidal cross sectional areas in optical coherence tomographic (OCT) images.

Study design

Cross sectional, prospective study.

Methods

The cross-sectional area of the subfoveal choroid within a 1500 µm diameter circle centered on the fovea was measured both with and without using the EyeGround software in the OCT images. The differences between the evaluation times and the results of the measurements were compared. The inter-rater, intra-rater, inter-method agreements were determined.

Results

Fifty-one eyes of 51 healthy subjects were studied: 24 men and 27 women with an average age of 35.0 ± 8.8 years. The time for analyzing a single image was significantly shorter with the software at 3.2±1.1 min than without the software at 12.1±5.1 min (P <0.001). The inter-method correlation efficient for the measurements of the whole choroid was high [0.989, 95% CI (0.981-0.994)]. With the software, the inter-rater correlation efficient was significantly high [0.997, 95% CI (0.995-0.999)], and the intra-rater correlation efficient was also significantly high [0.999, 95% CI (0.999-1.0)].

Conclusion

The EyeGround software can measure the choroidal area in the OCT cross sectional images with good reproducibility and in a significantly shorter times. It can be a valuable tool for analyzing the choroid.
Appendix
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Literature
2.
go back to reference Lutty GA, Cao J, McLeod DS. Relationship of polymorphonuclear leukocytes to capillary dropout in the human diabetic choroid. Am J Pathol. 1997;151:707–14.PubMedPubMedCentral Lutty GA, Cao J, McLeod DS. Relationship of polymorphonuclear leukocytes to capillary dropout in the human diabetic choroid. Am J Pathol. 1997;151:707–14.PubMedPubMedCentral
3.
go back to reference Imamura Y, Fujiwara T, Margolis R, Spaide RF. Enhanced depth imaging optical coherence tomography of the choroid in central serous chorioretinopathy. Retina. 2009;29:1469–73.CrossRefPubMed Imamura Y, Fujiwara T, Margolis R, Spaide RF. Enhanced depth imaging optical coherence tomography of the choroid in central serous chorioretinopathy. Retina. 2009;29:1469–73.CrossRefPubMed
4.
go back to reference Laude A, Cackett PD, Vithana EN, Yeo IY, Wong D, Koh AH, et al. Polypoidal choroidal vasculopathy and neovascular age-related macular degeneration: same or different disease? Prog Retin Eye Res. 2010;29:19–29.CrossRefPubMed Laude A, Cackett PD, Vithana EN, Yeo IY, Wong D, Koh AH, et al. Polypoidal choroidal vasculopathy and neovascular age-related macular degeneration: same or different disease? Prog Retin Eye Res. 2010;29:19–29.CrossRefPubMed
5.
go back to reference Saito M, Kano M, Itagaki K, Ise S, Imaizumi K, Sekiryu T. Subfoveal choroidal thickness in polypoidal choroidal vasculopathy after switching to intravitreal aflibercept injection. Jpn J Ophthalmol. 2016;60:35–41.CrossRefPubMed Saito M, Kano M, Itagaki K, Ise S, Imaizumi K, Sekiryu T. Subfoveal choroidal thickness in polypoidal choroidal vasculopathy after switching to intravitreal aflibercept injection. Jpn J Ophthalmol. 2016;60:35–41.CrossRefPubMed
6.
go back to reference Yoshikawa M, Akagi T, Nakanishi H, Ikeda HO, Morooka S, Yamada H, et al. Longitudinal change in choroidal thickness after trabeculectomy in primary open-angle glaucoma patients. Jpn J Ophthalmol. 2017;61:105–12.CrossRefPubMed Yoshikawa M, Akagi T, Nakanishi H, Ikeda HO, Morooka S, Yamada H, et al. Longitudinal change in choroidal thickness after trabeculectomy in primary open-angle glaucoma patients. Jpn J Ophthalmol. 2017;61:105–12.CrossRefPubMed
7.
go back to reference Spaide RF, Koizumi H, Pozzoni MC. Enhanced depth imaging spectral-domain optical coherence tomography. Am J Ophthalmol. 2008;146:496–500.CrossRefPubMed Spaide RF, Koizumi H, Pozzoni MC. Enhanced depth imaging spectral-domain optical coherence tomography. Am J Ophthalmol. 2008;146:496–500.CrossRefPubMed
8.
go back to reference Yamazaki T, Koizumi H, Yamagishi T, Kinoshita S. Subfoveal choroidal thickness after ranibizumab therapy for neovascular age-related macular degeneration: 12-month results. Ophthalmology. 2012;119:1621–7.CrossRefPubMed Yamazaki T, Koizumi H, Yamagishi T, Kinoshita S. Subfoveal choroidal thickness after ranibizumab therapy for neovascular age-related macular degeneration: 12-month results. Ophthalmology. 2012;119:1621–7.CrossRefPubMed
11.
go back to reference Branchini LA, Adhi M, Regatieri CV, Nandakumar N, Liu JJ, Laver N, et al. Analysis of choroidal morphologic features and vasculature in healthy eyes using spectral-domain optical coherence tomography. Ophthalmology. 2013;120:1901–8.CrossRefPubMedPubMedCentral Branchini LA, Adhi M, Regatieri CV, Nandakumar N, Liu JJ, Laver N, et al. Analysis of choroidal morphologic features and vasculature in healthy eyes using spectral-domain optical coherence tomography. Ophthalmology. 2013;120:1901–8.CrossRefPubMedPubMedCentral
12.
go back to reference Sohrab M, Wu K, Fawzi AA. A pilot study of morphometric analysis of choroidal vasculature in vivo, using en face optical coherence tomography. PLoS One. 2012;7:e48631.CrossRefPubMedPubMedCentral Sohrab M, Wu K, Fawzi AA. A pilot study of morphometric analysis of choroidal vasculature in vivo, using en face optical coherence tomography. PLoS One. 2012;7:e48631.CrossRefPubMedPubMedCentral
13.
go back to reference Sonoda S, Sakamoto T, Yamashita T, Shirasawa M, Uchino E, Terasaki H, et al. Choroidal structure in normal eyes and after photodynamic therapy determined by binarization of optical coherence tomographic images. Investig Ophthalmol Vis Sci. 2014;55:3893–9.CrossRef Sonoda S, Sakamoto T, Yamashita T, Shirasawa M, Uchino E, Terasaki H, et al. Choroidal structure in normal eyes and after photodynamic therapy determined by binarization of optical coherence tomographic images. Investig Ophthalmol Vis Sci. 2014;55:3893–9.CrossRef
15.
go back to reference Iwata A, Mitamura Y, Niki M, Semba K, Egawa M, Katome T, et al. Binarization of enhanced depth imaging optical coherence tomographic images of an eye with Wyburn–Mason syndrome: a case report. BMC Ophthalmol. 2015;15:19.CrossRefPubMedPubMedCentral Iwata A, Mitamura Y, Niki M, Semba K, Egawa M, Katome T, et al. Binarization of enhanced depth imaging optical coherence tomographic images of an eye with Wyburn–Mason syndrome: a case report. BMC Ophthalmol. 2015;15:19.CrossRefPubMedPubMedCentral
16.
go back to reference Egawa M, Mitamura Y, Semba K, Naito T, Sonoda S, Sakamoto T. Changes of choroidal structure after treatment of primary intraocular lymphoma. BMC Ophthalmol. 2015;15:136.CrossRefPubMedPubMedCentral Egawa M, Mitamura Y, Semba K, Naito T, Sonoda S, Sakamoto T. Changes of choroidal structure after treatment of primary intraocular lymphoma. BMC Ophthalmol. 2015;15:136.CrossRefPubMedPubMedCentral
17.
27.
go back to reference Yamashita T, Yamashita T, Shirasawa M, Arimura N, Terasaki H, Sakamoto T. Repeatability and reproducibility of subfoveal choroidal thickness in normal eyes of japanese using different SD-OCT devices. Investig Ophthalmol Vis Sci. 2012;53:1102–7.CrossRef Yamashita T, Yamashita T, Shirasawa M, Arimura N, Terasaki H, Sakamoto T. Repeatability and reproducibility of subfoveal choroidal thickness in normal eyes of japanese using different SD-OCT devices. Investig Ophthalmol Vis Sci. 2012;53:1102–7.CrossRef
28.
go back to reference Matsuo Y, Sakamoto T, Yamashita T, Tomita M, Shirasawa M, Terasaki H. Comparisons of choroidal thickness of normal eyes obtained by two different spectral-domain OCT instruments and one swept-source OCT instrument. Investig Ophthalmol Vis Sci. 2013;54:7630–6.CrossRef Matsuo Y, Sakamoto T, Yamashita T, Tomita M, Shirasawa M, Terasaki H. Comparisons of choroidal thickness of normal eyes obtained by two different spectral-domain OCT instruments and one swept-source OCT instrument. Investig Ophthalmol Vis Sci. 2013;54:7630–6.CrossRef
Metadata
Title
Semi-automated software to measure luminal and stromal areas of choroid in optical coherence tomographic images
Authors
Shozo Sonoda
Taiji Sakamoto
Naoko Kakiuchi
Hideki Shiihara
Tomonori Sakoguchi
Masatoshi Tomita
Takehiro Yamashita
Eisuke Uchino
Publication date
01-03-2018
Publisher
Springer Japan
Published in
Japanese Journal of Ophthalmology / Issue 2/2018
Print ISSN: 0021-5155
Electronic ISSN: 1613-2246
DOI
https://doi.org/10.1007/s10384-017-0558-1

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