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An objective method to define outlier optical coherence tomograms and repeatability of retinal nerve fibre layer measurements
Journal article   Open access

An objective method to define outlier optical coherence tomograms and repeatability of retinal nerve fibre layer measurements

Oliver Bergamin, Susan C Anderson and Randy H Kardon
Acta ophthalmologica Scandinavica, Vol.82(5), pp.535-543
10/2004
DOI: 10.1111/j.1600-0420.2004.00316.x
PMID: 15453849
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https://doi.org/10.1111/j.1600-0420.2004.00316.xView
Published (Version of record) Open Access

Abstract

To compare the variation in thickness and reflectivity of the retinal nerve fibre layer (RNFL), circumferentially and on repeated testing. In 24 normal eyes and 38 eyes with different optic neuropathies or retinopathies, third-party optical coherence tomography (OCT) software defined the RNFL border based on the reflectivity pattern across the retina and also provided measurements of the mean reflectivity and total retinal thickness in addition to RNFL thickness. A new Gaussian filtering method was implemented so that the weight of the applied filter was varied for each of five individually repeated scans until an optimum weight filter was determined. The scans requiring the highest weight filter could be identified as 'outlier' scans that contained measurement or alignment artifacts. There was no difference in the weights of filtering needed for normal and abnormal eyes. The RNFL thickness and reflectivity, and retinal thickness were highly correlated with one another in normal and abnormal eyes. A new Gaussian filtering routine was devised that not only defined the most reproducible substructure of the RNFL for a given patient's eye, but also provided a new method of quantifying measurement variability and identification of scans with measurement or alignment artifacts.
Nerve Fibers - pathology Reproducibility of Results Tomography, Optical Coherence Humans Middle Aged Case-Control Studies Optic Nerve Diseases - pathology Image Processing, Computer-Assisted Retinal Diseases - pathology Adult Aged Software Retina - pathology

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