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Validation of Macular Choroidal Thickness Measurements from Automated SD-OCT Image Segmentation.

Publication ,  Journal Article
Twa, MD; Schulle, KL; Chiu, SJ; Farsiu, S; Berntsen, DA
Published in: Optometry and vision science : official publication of the American Academy of Optometry
November 2016

Spectral domain optical coherence tomography (SD-OCT) imaging permits in vivo visualization of the choroid with micron-level resolution over wide areas and is of interest for studies of ocular growth and myopia control. We evaluated the speed, repeatability, and accuracy of a new image segmentation method to quantify choroid thickness compared to manual segmentation.Two macular volumetric scans (25 × 30°) were taken from 30 eyes of 30 young adult subjects in two sessions, 1 hour apart. A single rater manually delineated choroid thickness as the distance between Bruch's membrane and sclera across three B-scans (foveal, inferior, and superior-most scan locations). Manual segmentation was compared to an automated method based on graph theory, dynamic programming, and wavelet-based texture analysis. Segmentation performance comparisons included processing speed, choroid thickness measurements across the foveal horizontal midline, and measurement repeatability (95% limits of agreement (LoA)).Subjects were healthy young adults (n = 30; 24 ± 2 years; mean ± SD; 63% female) with spherical equivalent refractive error of -3.46 ± 2.69D (range: +2.62 to -8.50D). Manual segmentation took 200 times longer than automated segmentation (780 vs. 4 seconds). Mean choroid thickness at the foveal center was 263 ± 24 μm (manual) and 259 ± 23 μm (automated), and this difference was not significant (p = 0.10). Regional segmentation errors across the foveal horizontal midline (±15°) were ≤9 μm (median) except for nasal-most regions closest to the nasal peripapillary margin-15 degrees (19 μm) and 12 degrees (16 μm) from the foveal center. Repeatability of choroidal thickness measurements had similar repeatability between segmentation methods (manual LoA: ±15 μm; automated LoA: ±14 μm).Automated segmentation of SD-OCT data by graph theory and dynamic programming is a fast, accurate, and reliable method to delineate the choroid. This approach will facilitate longitudinal studies evaluating changes in choroid thickness in response to novel optical corrections and in ocular disease.

Duke Scholars

Published In

Optometry and vision science : official publication of the American Academy of Optometry

DOI

EISSN

1538-9235

ISSN

1040-5488

Publication Date

November 2016

Volume

93

Issue

11

Start / End Page

1387 / 1398

Related Subject Headings

  • Young Adult
  • Tomography, Optical Coherence
  • Reproducibility of Results
  • Organ Size
  • Ophthalmology & Optometry
  • Male
  • Macula Lutea
  • Humans
  • Healthy Volunteers
  • Female
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Twa, M. D., Schulle, K. L., Chiu, S. J., Farsiu, S., & Berntsen, D. A. (2016). Validation of Macular Choroidal Thickness Measurements from Automated SD-OCT Image Segmentation. Optometry and Vision Science : Official Publication of the American Academy of Optometry, 93(11), 1387–1398. https://doi.org/10.1097/opx.0000000000000985
Twa, Michael D., Krystal L. Schulle, Stephanie J. Chiu, Sina Farsiu, and David A. Berntsen. “Validation of Macular Choroidal Thickness Measurements from Automated SD-OCT Image Segmentation.Optometry and Vision Science : Official Publication of the American Academy of Optometry 93, no. 11 (November 2016): 1387–98. https://doi.org/10.1097/opx.0000000000000985.
Twa MD, Schulle KL, Chiu SJ, Farsiu S, Berntsen DA. Validation of Macular Choroidal Thickness Measurements from Automated SD-OCT Image Segmentation. Optometry and vision science : official publication of the American Academy of Optometry. 2016 Nov;93(11):1387–98.
Twa, Michael D., et al. “Validation of Macular Choroidal Thickness Measurements from Automated SD-OCT Image Segmentation.Optometry and Vision Science : Official Publication of the American Academy of Optometry, vol. 93, no. 11, Nov. 2016, pp. 1387–98. Epmc, doi:10.1097/opx.0000000000000985.
Twa MD, Schulle KL, Chiu SJ, Farsiu S, Berntsen DA. Validation of Macular Choroidal Thickness Measurements from Automated SD-OCT Image Segmentation. Optometry and vision science : official publication of the American Academy of Optometry. 2016 Nov;93(11):1387–1398.

Published In

Optometry and vision science : official publication of the American Academy of Optometry

DOI

EISSN

1538-9235

ISSN

1040-5488

Publication Date

November 2016

Volume

93

Issue

11

Start / End Page

1387 / 1398

Related Subject Headings

  • Young Adult
  • Tomography, Optical Coherence
  • Reproducibility of Results
  • Organ Size
  • Ophthalmology & Optometry
  • Male
  • Macula Lutea
  • Humans
  • Healthy Volunteers
  • Female