Fully automatic software for retinal thickness in eyes with diabetic macular edema from images acquired by cirrus and spectralis systems.

Journal Article

PURPOSE: To determine whether a novel automatic segmentation program, the Duke Optical Coherence Tomography Retinal Analysis Program (DOCTRAP), can be applied to spectral-domain optical coherence tomography (SD-OCT) images obtained from different commercially available SD-OCT in eyes with diabetic macular edema (DME). METHODS: A novel segmentation framework was used to segment the retina, inner retinal pigment epithelium, and Bruch's membrane on images from eyes with DME acquired by one of two SD-OCT systems, Spectralis or Cirrus high definition (HD)-OCT. Thickness data obtained by the DOCTRAP software were compared with those produced by Spectralis and Cirrus. Measurement agreement and its dependence were assessed using intraclass correlation (ICC). RESULTS: A total of 40 SD-OCT scans from 20 subjects for each machine were included in the analysis. Spectralis: the mean thickness in the 1-mm central area determined by DOCTRAP and Spectralis was 463.8 ± 107.5 μm and 467.0 ± 108.1 μm, respectively (ICC, 0.999). There was also a high level agreement in surrounding areas (out to 3 mm). Cirrus: the mean thickness in the 1-mm central area was 440.8 ± 183.4 μm and 442.7 ± 182.4 μm by DOCTRAP and Cirrus, respectively (ICC, 0.999). The thickness agreement in surrounding areas (out to 3 mm) was more variable due to Cirrus segmentation errors in one subject (ICC, 0.734-0.999). After manual correction of the errors, there was a high level of thickness agreement in surrounding areas (ICC, 0.997-1.000). CONCLUSIONS: The DOCTRAP may be useful to compare retinal thicknesses in eyes with DME across OCT platforms.

Full Text

Duke Authors

Cited Authors

  • Lee, JY; Chiu, SJ; Srinivasan, PP; Izatt, JA; Toth, CA; Farsiu, S; Jaffe, GJ

Published Date

  • November 15, 2013

Published In

Volume / Issue

  • 54 / 12

Start / End Page

  • 7595 - 7602

PubMed ID

  • 24084089

Pubmed Central ID

  • 24084089

Electronic International Standard Serial Number (EISSN)

  • 1552-5783

Digital Object Identifier (DOI)

  • 10.1167/iovs.13-11762


  • eng

Conference Location

  • United States