Automated and ImageJ thresholding algorithm-based analysis of macular vessel density in diabetic patients.

Purpose: To assess the macular vessel density (VD) on optical coherence tomography angiography (OCT-A) using proprietary software (automated) and image processing software (manual) in diabetic patients.Methods: In a retrospective study, OCT-A images (Triton, TOPCON Inc.) of type 2 diabetics presenti...

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Publicado en:Indian Journal of Ophthalmology Vol. 70; no. 6; pp. 2050 - 2057
Autores principales: Kumawat, Devesh, Chawla, Rohan, Shah, Pooja, Sharma, Anu, Sachan, Anusha, Pandey, Veena
Formato: diagnostic images research tables/charts Journal Article
Publicado: Wolters Kluwer India Pvt Ltd Jun2022
Acceso en línea:Ver este registro en EBSCOhost
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        03014738
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      dt: Jun2022
      vid: 70
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      pub: Wolters Kluwer India Pvt Ltd
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        157332462
        157332462
        NLM35647980
        157332462
        10.4103/ijo.IJO_74_22
        NLM35647980
        157332462
      ppf: 2050
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      tig:
        atl: Automated and ImageJ thresholding algorithm-based analysis of macular vessel density in diabetic patients.
      aug:
        au:
          Kumawat, Devesh
          Chawla, Rohan
          Shah, Pooja
          Sharma, Anu
          Sachan, Anusha
          Pandey, Veena
        affil: Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi
      sug:
        subj:
          Diabetes Mellitus
          Diabetic Retinopathy Diagnosis
          Angiography Methods
          Algorithms
          Retina
          Retrospective Design
          Human
      ab: Purpose: To assess the macular vessel density (VD) on optical coherence tomography angiography (OCT-A) using proprietary software (automated) and image processing software (manual) in diabetic patients.Methods: In a retrospective study, OCT-A images (Triton, TOPCON Inc.) of type 2 diabetics presenting to a tertiary eye care center in North India between January 2018 and December 2019 with or without nonproliferative diabetic retinopathy (NPDR) and with no macular edema were analyzed. Macular images of size 3 × 3 mm were binarized with global thresholding algorithms (ImageJ software). Outcome measures were superficial capillary plexus VD (SCP-VD, automated and manual), deep capillary plexus VD (DCP-VD, manual), and correlation between automated and manual SCP-VD.Results: OCT-A images of 89 eyes (55 patients) were analyzed: no diabetic retinopathy (NoDR): 29 eyes, mild NPDR: 29 eyes, and moderate NPDR: 31 eyes. Automated SCP-VD did not differ between NoDR and mild NPDR (P = 0.69), but differed between NoDR and moderate NPDR (P = 0.014) and between mild and moderate NPDR (P = 0.033). Manual SCP-VD (Huang and Otsu methods) did not differ between the groups. Manual DCP-VD differed between NoDR and mild NPDR and between NoDR and moderate NPDR, but not between mild and moderate NPDR with both Huang (P = 0.024, 0.003, and 0.51, respectively) and Otsu (P = 0.021, 0.006, and 0.43, respectively) methods. Automated SCP-VD correlated moderately with manual SCP-VD using Huang method (r = 0.51, P < 0.001) with a mean difference of -0.01% (agreement limits from -6.60% to +6.57%).Conclusion: DCP-VD differs consistently between NoDR and NPDR with image processing, while SCP-VD shows variable results. Different thresholding algorithms provide different results, and there is a need to establish consensus on the most suited algorithm.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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