Method of Quantifying Size of Retinal Hemorrhages in Eyes with Branch Retinal Vein Occlusion Using 14-Square Grid: Interrater and Intrarater Reliability

Purpose. To describe a method of quantifying the size of the retinal hemorrhages in branch retinal vein occlusion (BRVO) and to determine the interrater and intrarater reliabilities of these measurements. Methods. Thirty-five fundus photographs from 35 consecutive eyes with BRVO were studied. The fu...

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Main Authors: Yuko Takashima, Masahiko Sugimoto, Kumiko Kato, Maki Kozawa, Kengo Ikesugi, Hisashi Matsubara, Mineo Kondo
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2016/1960190
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author Yuko Takashima
Masahiko Sugimoto
Kumiko Kato
Maki Kozawa
Kengo Ikesugi
Hisashi Matsubara
Mineo Kondo
author_facet Yuko Takashima
Masahiko Sugimoto
Kumiko Kato
Maki Kozawa
Kengo Ikesugi
Hisashi Matsubara
Mineo Kondo
author_sort Yuko Takashima
collection DOAJ
description Purpose. To describe a method of quantifying the size of the retinal hemorrhages in branch retinal vein occlusion (BRVO) and to determine the interrater and intrarater reliabilities of these measurements. Methods. Thirty-five fundus photographs from 35 consecutive eyes with BRVO were studied. The fundus images were analyzed with Power-Point® software, and a grid of 14 squares was laid over the fundus image. Raters were asked to judge the percentage of each of the 14 squares that was covered by the hemorrhages, and the average of the 14 squares was taken to be the relative size of the retinal hemorrhage. Results. Interrater reliability between three raters was higher when a grid with 14 squares was used (intraclass correlation coefficient (ICC), 0.96) than that when a box with no grid was used (ICC, 0.78). Intrarater reliability, which was calculated by the retinal hemorrhage area measured on two different days, was also higher (ICC, 0.97) than that with no grid (ICC, 0.86). Interrater reliability for five fundus pictures with poor image quality was also good when a grid with 14 squares was used (ICC, 0.88). Conclusions. Although our method is subjective, excellent interrater and intrarater reliabilities indicate that this method can be adapted for clinical use.
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institution Kabale University
issn 2090-004X
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publishDate 2016-01-01
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spelling doaj-art-1ae28948191f4cb2bd86f25afc0198cd2025-02-03T01:29:56ZengWileyJournal of Ophthalmology2090-004X2090-00582016-01-01201610.1155/2016/19601901960190Method of Quantifying Size of Retinal Hemorrhages in Eyes with Branch Retinal Vein Occlusion Using 14-Square Grid: Interrater and Intrarater ReliabilityYuko Takashima0Masahiko Sugimoto1Kumiko Kato2Maki Kozawa3Kengo Ikesugi4Hisashi Matsubara5Mineo Kondo6Department of Ophthalmology, Mie University Graduate School of Medicine, Tsu, JapanDepartment of Ophthalmology, Mie University Graduate School of Medicine, Tsu, JapanDepartment of Ophthalmology, Mie University Graduate School of Medicine, Tsu, JapanDepartment of Ophthalmology, Mie University Graduate School of Medicine, Tsu, JapanDepartment of Ophthalmology, Mie University Graduate School of Medicine, Tsu, JapanDepartment of Ophthalmology, Mie University Graduate School of Medicine, Tsu, JapanDepartment of Ophthalmology, Mie University Graduate School of Medicine, Tsu, JapanPurpose. To describe a method of quantifying the size of the retinal hemorrhages in branch retinal vein occlusion (BRVO) and to determine the interrater and intrarater reliabilities of these measurements. Methods. Thirty-five fundus photographs from 35 consecutive eyes with BRVO were studied. The fundus images were analyzed with Power-Point® software, and a grid of 14 squares was laid over the fundus image. Raters were asked to judge the percentage of each of the 14 squares that was covered by the hemorrhages, and the average of the 14 squares was taken to be the relative size of the retinal hemorrhage. Results. Interrater reliability between three raters was higher when a grid with 14 squares was used (intraclass correlation coefficient (ICC), 0.96) than that when a box with no grid was used (ICC, 0.78). Intrarater reliability, which was calculated by the retinal hemorrhage area measured on two different days, was also higher (ICC, 0.97) than that with no grid (ICC, 0.86). Interrater reliability for five fundus pictures with poor image quality was also good when a grid with 14 squares was used (ICC, 0.88). Conclusions. Although our method is subjective, excellent interrater and intrarater reliabilities indicate that this method can be adapted for clinical use.http://dx.doi.org/10.1155/2016/1960190
spellingShingle Yuko Takashima
Masahiko Sugimoto
Kumiko Kato
Maki Kozawa
Kengo Ikesugi
Hisashi Matsubara
Mineo Kondo
Method of Quantifying Size of Retinal Hemorrhages in Eyes with Branch Retinal Vein Occlusion Using 14-Square Grid: Interrater and Intrarater Reliability
Journal of Ophthalmology
title Method of Quantifying Size of Retinal Hemorrhages in Eyes with Branch Retinal Vein Occlusion Using 14-Square Grid: Interrater and Intrarater Reliability
title_full Method of Quantifying Size of Retinal Hemorrhages in Eyes with Branch Retinal Vein Occlusion Using 14-Square Grid: Interrater and Intrarater Reliability
title_fullStr Method of Quantifying Size of Retinal Hemorrhages in Eyes with Branch Retinal Vein Occlusion Using 14-Square Grid: Interrater and Intrarater Reliability
title_full_unstemmed Method of Quantifying Size of Retinal Hemorrhages in Eyes with Branch Retinal Vein Occlusion Using 14-Square Grid: Interrater and Intrarater Reliability
title_short Method of Quantifying Size of Retinal Hemorrhages in Eyes with Branch Retinal Vein Occlusion Using 14-Square Grid: Interrater and Intrarater Reliability
title_sort method of quantifying size of retinal hemorrhages in eyes with branch retinal vein occlusion using 14 square grid interrater and intrarater reliability
url http://dx.doi.org/10.1155/2016/1960190
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