Assessing Errors Inherent in OCT-Derived Macular Thickness Maps

SD-OCT has become an essential tool for evaluating macular pathology; however several aspects of data collection and analysis affect the accuracy of retinal thickness measurements. Here we evaluated sampling density, scan centering, and axial length compensation as factors affecting the accuracy of...

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Main Authors: Daniel Odell, Adam M. Dubis, Jackson F. Lever, Kimberly E. Stepien, Joseph Carroll
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2011/692574
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author Daniel Odell
Adam M. Dubis
Jackson F. Lever
Kimberly E. Stepien
Joseph Carroll
author_facet Daniel Odell
Adam M. Dubis
Jackson F. Lever
Kimberly E. Stepien
Joseph Carroll
author_sort Daniel Odell
collection DOAJ
description SD-OCT has become an essential tool for evaluating macular pathology; however several aspects of data collection and analysis affect the accuracy of retinal thickness measurements. Here we evaluated sampling density, scan centering, and axial length compensation as factors affecting the accuracy of macular thickness maps. Forty-three patients with various retinal pathologies and 113 normal subjects were imaged using Cirrus HD-OCT. Reduced B-scan density was associated with increased interpolation error in ETDRS macular thickness plots. Correcting for individual differences in axial length revealed modest errors in retinal thickness maps, while more pronounced errors were observed when the ETDRS plot was not positioned at the center of the fovea (which can occur as a result of errant fixation). Cumulative error can exceed hundreds of microns, even under “ideal observer” conditions. This preventable error is particularly relevant when attempting to compare macular thickness maps to normative databases or measuring the area or volume of retinal features.
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issn 2090-004X
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spelling doaj-art-1f0edcd2618642e49262d4b1e703b9a22025-02-03T01:02:19ZengWileyJournal of Ophthalmology2090-004X2090-00582011-01-01201110.1155/2011/692574692574Assessing Errors Inherent in OCT-Derived Macular Thickness MapsDaniel Odell0Adam M. Dubis1Jackson F. Lever2Kimberly E. Stepien3Joseph Carroll4Department of Ophthalmology, Medical College of Wisconsin, Milwaukee, WI 53226, USADepartment of Cell Biology, Neurobiology, & Anatomy, Medical College of Wisconsin, Milwaukee, WI 53226, USADepartment of Ophthalmology, William Beaumont Hospital, Royal Oak, MI 48073, USADepartment of Ophthalmology, Medical College of Wisconsin, Milwaukee, WI 53226, USADepartment of Ophthalmology, Medical College of Wisconsin, Milwaukee, WI 53226, USASD-OCT has become an essential tool for evaluating macular pathology; however several aspects of data collection and analysis affect the accuracy of retinal thickness measurements. Here we evaluated sampling density, scan centering, and axial length compensation as factors affecting the accuracy of macular thickness maps. Forty-three patients with various retinal pathologies and 113 normal subjects were imaged using Cirrus HD-OCT. Reduced B-scan density was associated with increased interpolation error in ETDRS macular thickness plots. Correcting for individual differences in axial length revealed modest errors in retinal thickness maps, while more pronounced errors were observed when the ETDRS plot was not positioned at the center of the fovea (which can occur as a result of errant fixation). Cumulative error can exceed hundreds of microns, even under “ideal observer” conditions. This preventable error is particularly relevant when attempting to compare macular thickness maps to normative databases or measuring the area or volume of retinal features.http://dx.doi.org/10.1155/2011/692574
spellingShingle Daniel Odell
Adam M. Dubis
Jackson F. Lever
Kimberly E. Stepien
Joseph Carroll
Assessing Errors Inherent in OCT-Derived Macular Thickness Maps
Journal of Ophthalmology
title Assessing Errors Inherent in OCT-Derived Macular Thickness Maps
title_full Assessing Errors Inherent in OCT-Derived Macular Thickness Maps
title_fullStr Assessing Errors Inherent in OCT-Derived Macular Thickness Maps
title_full_unstemmed Assessing Errors Inherent in OCT-Derived Macular Thickness Maps
title_short Assessing Errors Inherent in OCT-Derived Macular Thickness Maps
title_sort assessing errors inherent in oct derived macular thickness maps
url http://dx.doi.org/10.1155/2011/692574
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