超高分辨率OCT角膜上皮厚度自动测量的重复性研究

Study of repeatability of corneal epithelium thickness profiles automatically measured by ultra-high resolution OCT system

目的:研究基于自动分层算法的超高分辨率谱域OCT(UHR-OCT)用于角膜上皮厚度测量的重复性。方法:使用自行搭建的UHR-OCT系统采集18例健康受试者(年龄23.2±0.9岁)左眼的图像,应用一种基于轴向梯度信息和最短路径的分层算法对得到的SD-OCT图像进行边界探测获取角膜上皮厚度。结果:自动与手动的上皮分层的位置有很好的相关性(P>0.05,配对t检验)。自动算法获取的6mm范围平均上皮厚度为52.1±2.1μm,范围从50.3±1.8μm到53.2±2.4μm,与手动分层之间的角膜上皮厚度差异为0.4±0.3μm。UHR-OCT自动算法重复测量上皮厚度的组内相关系数ICC和可重复性系数CoR分别为0.90±0.05,1.44±0.01μm。结论:对于超高分辨率OCT,自动分层方法在角膜上皮厚度测量中有着很好的准确性和可重复性。

AIM：To assess the repeatability of thickness profiles of corneal epithelium produced by aautomatic hierarchic algorithm that was applied to images obtained by a custom-built ultra-high resolution OCT （ UHR-OCT ） system. METHODS：Eighteen left eyes of 18 subjects （23.2±0.9） years;mean age±standard deviation） were imaged twice on non-consecutive days by a custom-built ultra-high resolution OCT （ UHR -OCT ） system. A hierarchic algorithm based on the axial gradient information and a shortest path search was developed to measure the corneal epithelial thickness profiles from the SD-OCT images. RESULTS： There was good correlation between theautomatic and manual hierarchy positions of the epithelium （ p 〉0.05, paired t -test ）. The average epithelial thickness of the 6mm central corneal region determined by the automatic hierarchic algorithm was 52.1±2.1μm, ranging from 50.3 ±1.8μm to 53.2 ±2.4μm along the horizontal meridian. The epithelial thickness differences between automatic and manual hierarchy by the UHR-OCT systems were 0.4 ±0.3μm.The intraclass correlation coefficients （ ICC ） and coefficients of repeatability （ CoR ） with repeated UHR - OCT measurements for epithelial thickness were 0.90±0.05 and 1.44±0.01μm respectively. CONCLUSION： Regarding UHR -OCT system, the custom -developed automatic hierarchy has good repeatability and accuracy for measuring the thickness of corneal epithelium.