研究目的
To compare SFCT measurements between Topcon 3D 2000 spectral-domain optical coherence tomography (SD-OCT) and Topcon swept-source OCT (SS-OCT), with different laser wavelengths, in normal and diseased populations.
研究成果
Both SD-OCT and SS-OCT devices reliably measure sub-foveal choroidal thickness, with no statistically significant difference between them. SS-OCT provides less variability in measurements, especially in diseased eyes with abnormal retinal architecture. The study highlights the need for further research with larger sample sizes to validate these results and assess the reliability of automatic measurements in diseased populations.
研究不足
The study had a relatively small sample size (54 participants), which may limit generalizability. Greater variability was noted in diseased eyes, potentially due to disease severity affecting measurement accuracy. Automatic choroidal thickness measurements on SS-OCT showed discrepancies in some cases, indicating potential unreliability in diseased populations. Diurnal influences, although controlled, could still affect results. Larger studies are needed to confirm findings.
1:Experimental Design and Method Selection:
A prospective, cross-sectional, noninterventional study design was used. OCT scans were performed sequentially and under standardized conditions using both SD-OCT and SS-OCT devices. Paired t-tests and intraclass correlation coefficients (ICCs) were employed for statistical analysis.
2:Sample Selection and Data Sources:
54 participants were included, comprising 27 normal volunteers and 27 patients with retinal diseases (e.g., diabetic macular edema, ARMD). Inclusion criteria for normal participants: age 20–60 years, normal visual acuity, normal fundus on OCT. Exclusion criteria: history of ocular/systemic diseases, prior intraocular surgery or injections.
3:List of Experimental Equipment and Materials:
SD-OCT machine (Topcon 3D 2000; Topcon Inc., Tokyo, Japan) with wavelength 850 nm and image acquisition rate 50,000 A-scans/sec; SS-OCT machine (Triton; Topcon Inc.) with wavelength 1,050 nm and scanning speed 100,000 A-scans/sec. Built-in caliper tool and software for measurements.
4:Experimental Procedures and Operational Workflow:
Scans performed by a single trained operator under standardized conditions at fixed time (14:00–18:00) to reduce diurnal variation. Sequential scanning by both machines in random order, right eye first. Line scans used: SD-OCT with 6 mm line averaging 50 B-scans, SS-OCT with 12 mm line and 96 B-scans; additional 7x7 scanning protocol on SS-OCT for automatic measurements. Images required minimum score of 45; poor quality images repeated. SFCT measured manually by two graders using caliper tool, and automatically on SS-OCT.
5:Data Analysis Methods:
SPSS 20 used for statistical analysis. Paired t-tests for differences in choroidal thickness (P<0.05 significant). ICCs with 95% CI for intra-reader, inter-reader, and inter-device reliability.
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