Ex vivo orbital volumetry using stereology and CT imaging: A comparison with manual planimetry.

Objectives: To evaluate the applicability of stereology and planimetry in orbital volume measurements using computed tomography (CT) and to compare the results between the two measurements.Methods: Experimental study using sheep craniums for CT imaging. Water filling measurements were performed, as...

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Publicado en:European Radiology Vol. 29; no. 3; pp. 1365 - 1375
Autores principales: Bontzos, Georgios, Mazonakis, Michael, Papadaki, Efrosini, Maris, Thomas G., Blazaki, Styliani, Drakonaki, Eleni E., Detorakis, Efstathios T.
Formato: research Journal Article
Publicado: Springer Nature Mar2019
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Ex vivo orbital volumetry using stereology and CT imaging: A comparison with manual planimetry.
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          Bontzos, Georgios
          Mazonakis, Michael
          Papadaki, Efrosini
          Maris, Thomas G.
          Blazaki, Styliani
          Drakonaki, Eleni E.
          Detorakis, Efstathios T.
        affil: Department of Ophthalmology, University Hospital of Heraklion, 71110, Stavrakia, Heraklion, Crete, Greece
      sug:
        subj:
          Tomography, X-Ray Computed Methods
          Orbit
          Sheep
          ROC Curve
          Animal Studies
          Models, Biological
          Reproducibility of Results
          Validation Studies
          Comparative Studies
          Evaluation Research
          Multicenter Studies
      ab: Objectives: To evaluate the applicability of stereology and planimetry in orbital volume measurements using computed tomography (CT) and to compare the results between the two measurements.Methods: Experimental study using sheep craniums for CT imaging. Water filling measurements were performed, as the validation technique. Quantification techniques were also evaluated in five human subjects. To examine the proportion of agreement among measurements, we tested intra- and inter-observer agreement.Results: For stereology customization, a 1/8 systematic sampling scheme was considered as optimal; this resulted in a low coefficient of error (2.59 %) and low measurement time (1.9 mins). In sheep craniums, mean volume measured by water displacement, planimetry and stereology was 17.81 ± 0.59 cm3, 17.87 ± 0.68 cm3 and 17.54 ± 0.49 cm3, respectively. Total volumes, obtained by stereology, were highly correlated with the water-filling method (r=0.893; p = 0.001) and a paired t-test showed significant difference between methods (t=3.047; p = 0.014). Planimetry results displayed a high correlation with the water-filling method (r=0.957; p ≈ 0.001) but no statistically significant difference was found (p = 0.154). Mean difference using planimetry and stereology was 0.332 ± 0.322 cm3. In human subjects, using stereology, the estimated volume ranged between 18.57 cm3 and 19.27 cm3, and the mean orbital volume was 19.05 ± 0.50 cm3 with CE=3.75 ± 0.16 %. Mean measure time was 2.1 ± 0.1 mins.Conclusions: Stereological measurements were superior to manual planimetry in terms of user effort and time spent. Stereology sampling of 1/8 was successfully applied in human subjects and yielded a strong correlation with manual planimetry.Key Points: • Stereology can be applied to measure the orbital volume using computed tomography. • Stereological measurements display high correlation with gold standard planimetry and combine low coefficient of error (2.59%) with low measurement time (1.9 min). • Stereology is superior in terms of user effort and time spent.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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