研究目的
To evaluate macula and optic disc measurement reproducibility with the new spectral-domain OCT (SD-OCT) from Canon (Canon OCT-HS100) and to compare reproducibility and obtained measurements with the Zeiss Cirrus HD-OCT.
研究成果
The Canon OCT-HS100 is a reproducible instrument with no statistical difference in interoperator reproducibility compared to the Zeiss Cirrus HD-OCT. However, it consistently estimates thicknesses to be thicker, and the instruments are not interchangeable due to differences in measurement algorithms and parameters. Future studies should assess sensitivity to detect pathological changes.
研究不足
The study did not evaluate the sensitivity of the Canon OCT-HS100 to detect small subtle changes in optic disc parameters and macular nerve fiber layer thickness. Differences in thickness estimation between instruments mean they are not interchangeable. Some subjects were excluded for cup volume and vertical C/D ratio measurements due to instrument inability to localize the cup.
1:Experimental Design and Method Selection:
The study used a comparative design to assess interoperator reproducibility of OCT measurements. Two SD-OCT instruments (Canon OCT-HS100 and Zeiss Cirrus HD-OCT) were compared. Reproducibility was evaluated using the coefficient of repeatability (CR) based on Bland and Altman methods.
2:Sample Selection and Data Sources:
Thirty-one consecutive subjects without ocular pathologies from the Open Clinic at the Unit of Optometry, St. Erik’s Eye Hospital, Stockholm, Sweden, were included. Only the right eye of each subject was used. Exclusion criteria included poor image quality (signal strength ≤7), media opacities, epiretinal membrane, vitreomacular traction, or history of ocular trauma.
3:List of Experimental Equipment and Materials:
Canon OCT-HS100 SD-OCT instrument, Zeiss Cirrus HD-OCT instrument, 1% tropicamide for pupil dilation.
4:Experimental Procedures and Operational Workflow:
Each subject underwent four OCT scanning sessions within one hour on the same day: two with Canon OCT-HS100 and two with Zeiss Cirrus HD-OCT, performed by two experienced operators. Scans included disc 3D and macula 3D for Canon, and optic disc and macular cubes for Zeiss. Images were analyzed to rule out segmentation errors by two investigators. Parameters measured included disc area, rim area, cup volume, vertical cup/disc ratio, RNFL average thickness, RNFL quadrant thicknesses, and macular thickness in ETDRS subfields.
5:Data Analysis Methods:
Mean and standard deviation described continuous variables. CR and CR% were calculated. R2 correlation coefficient and statistical tests (paired t-test, one-way ANOVA with post hoc test, one-sample t-test, Wilcoxon rank-sum test) were used for comparisons.
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