AIM:To characterize spectral-domain optical coherence tomography(SD-OCT)features of chorioretinal folds in orbital mass imaged using enhanced depth imaging(EDI).METHODS:Prospective observational case-control study was...AIM:To characterize spectral-domain optical coherence tomography(SD-OCT)features of chorioretinal folds in orbital mass imaged using enhanced depth imaging(EDI).METHODS:Prospective observational case-control study was conducted in 20 eyes of 20 patients,the uninvolved eye served as a control.All the patients underwent clinical fundus photography,computed tomography,EDI SDOCT imaging before and after surgery.Two patients with cavernous hemangiomas underwent intratumoral injection of bleomycin A5;the remaining patients underwent tumor excision.Patients were followed 1 to 14mo following surgery(average follow up,5.8mo).RESULTS:Visual acuity prior to surgery ranged from 20/20 to 20/200.Following surgery,5 patients’visual acuity remained unchanged while the remaining 15 patients had a mean letter improvement of 10(range 4 to 26 letters).Photoreceptor inner/outer segment defects were found in 10 of 15 patients prior to surgery.Following surgical excision,photoreceptor inner/outer segment defects fully resolved in 8 of these 10 patients.CONCLUSION:Persistence of photoreceptor inner/outer segment defects caused by compression of the globe by an orbital mass can be associated with reduced visual prognosis.Our findings suggest that photoreceptor inner/outer segment defects on EDI SD-OCT could be an indicator for immediate surgical excision of an orbital mass causing choroidal compression.展开更多
AIM:To assess peripapillary retinal nerve fiber layer(RNFL)and choroidal thickness obtained with enhanced depth imaging(EDI)mode compared with those obtained without EDI mode using Heidelberg Spectralis optical c...AIM:To assess peripapillary retinal nerve fiber layer(RNFL)and choroidal thickness obtained with enhanced depth imaging(EDI)mode compared with those obtained without EDI mode using Heidelberg Spectralis optical coherence tomography(OCT).METHODS:Fifty eyes of 25 normal healthy subjects and32 eyes of 20 patients with different eye diseases were included in the study.All subjects underwent 3.4 mm diameter peripapillary circular OCT scan centered on the optic disc using both the conventional and the EDI OCT protocols.The visualization of RNFL and choroidoscleral junction was assessed using an ordinal scoring scale.The paired t-test,intraclass correlation coefficient(ICC),95%limits of agreement(LoA),and Bland and Altman plots were used to test the agreement of measurements.RESULTS:The visibility score of RNFL obtained with and without EDI was of no significant difference(P=0.532),the visualization of choroidoscleral junction was better using EDI protocol than conventional protocol(P〈0.001).Peripapillary RNFL thickness obtained with EDI was slightly thicker than that obtained without EDI(103.25±9.42μm vs 101.87±8.78μm,P=0.010).The ICC of the two protocols was excellent with the value of 0.867 to 0.924,the 95%LoA of global RNFL thickness was between-10.0 to 7.4μm.Peripapillary choroidal thickness obtained with EDI was slightly thinner than that obtained without EDI(147.23±51.04μm vs 150.90±51.84μm,P〈0.001).The ICC was also excellent with the value of 0.960 to 0.987,the 95%LoA of global choroidal thickness was between-12.5 to 19.8μm.CONCLUSION:Peripapillary circular OCT scan with or without EDI mode shows comparable results in the measurement of peripapillary RNFL and choroidal thickness.展开更多
AIM: To describe and evaluate a standardized protocol for measuring the choroidal thickness(Ch T) using enhanced depth imaging optical coherence tomography(EDI OCT).METHODS: Single 9 mm EDI OCT line scans across the f...AIM: To describe and evaluate a standardized protocol for measuring the choroidal thickness(Ch T) using enhanced depth imaging optical coherence tomography(EDI OCT).METHODS: Single 9 mm EDI OCT line scans across the fovea were used for this study. The protocol used in this study classified the EDI OCT images into four groups based on the appearance of the choroidal-scleral interface and suprachoroidal space. Two evaluation iterations of experiments were performed: first, the protocol was validated in a pilot study of 12 healthy eyes. Afterwards, the applicability of the protocol was tested in 82 eyes of patients with diabetes. Inter-observer and intra-observer agreements on image classifications were performed using Cohen’s kappa coefficient(κ). Intraclass correlation coefficient(ICC) and Bland-Altman’s methodology were used for the measurement of the Ch T.RESULTS: There was a moderate(κ=0.42) and perfect(κ =1) inter- and intra-observer agreements on image classifications from healthy eyes images and substantial(κ =0.66) and almost perfect(κ =0.86) agreements from diabetic eyes images. The proposed protocol showed excellent inter- and intra-observer agreements for the Ch T measurements on both, healthy eyes and diabetic eyes(ICC 】0.90 in all image categories). The Bland-Altman plot showed a relatively large Ch T measurement agreement in the scans that contained less visible choroidal outer boundary. CONCLUSION: A protocol to standardize Ch T measurements in EDI OCT images has been developed;the results obtained using this protocol show that the technique is accurate and reliable for routine clinical practice and research.展开更多
AIM:To evaluate the peripapillary choroidal thickness(PPCT) in Chinese children,and to analyze the influencing factors.METHODS: PPCT was measured with enhanced depth imaging optical coherence tomography(EDI-OCT)...AIM:To evaluate the peripapillary choroidal thickness(PPCT) in Chinese children,and to analyze the influencing factors.METHODS: PPCT was measured with enhanced depth imaging optical coherence tomography(EDI-OCT) in 70children(53 myopes and 17 non-myopes) aged 7 to 18 y,with spherical equivalent refractive errors between 0.50and-5.87 diopters(D).Peripapillary choroidal imaging was performed using circular scans of a diameter of 3.4 mm around the optic disc.PPCT was measured by EDI-OCT in six sectors: nasal(N),superonasal(SN),superotemporal(ST),temporal(T),inferotemporal(IT)and inferonasal(IN),as well as global RNFL thickness(G).RESULTS: The mean global PPCT was 165.49±33.76 μm.The temporal,inferonasal,inferotemporal PPCT were significantly thinner than the nasal,superonasal,superotemporal segments PPCT were significantly thinner in the myopic group at temporal,superotemporal and inferotemporal segments.The axial length was significantly associated with the average global(β=-0.419,P =0.014),superonasal(β=-2.009,P=0.049) and inferonasal(β=-2.000,P=0.049) PPCT.The other factors(gender,age,SE) were not significantly associated with PPCT.CONCLUSION: PPCT was thinner in the myopic group at temporal,superotemporal and inferotemporal segments.The axial length was found to be negatively correlated to PPCT.We need more further studies about the relationship between PPCT and myopia.展开更多
In this paper, a novel surface-enhanced Raman scattering (SERS) sensor combined with fused biconical taper fiber (FBTF) and film coated with silver sols is proposed. This structure is designed to significantly inc...In this paper, a novel surface-enhanced Raman scattering (SERS) sensor combined with fused biconical taper fiber (FBTF) and film coated with silver sols is proposed. This structure is designed to significantly increase the SERS active surface when the length of the taper is increased and the radius is reduced, since the penetration depth is inversely proportional to the taper radius and proportional to the taper length according to the fiber-optic evanescent-wave theory. Based on the SERS sensing principle, the feasibility of FBTF sensor is analyzed in this paper. As a result, the Raman spectrum of R6G is obtained from the fused biconical taper zone surface coating with the silver sols in our experiments. The detected concentration is up to 10-7mol/L.展开更多
为了提高多视图深度估计结果精度,提出一种基于自适应空间特征增强的多视图深度估计算法。设计了由改进后的特征金字塔网络(feature pyramid network,FPN)和自适应空间特征增强(adaptive space feature enhancement,ASFE)组成的多尺度...为了提高多视图深度估计结果精度,提出一种基于自适应空间特征增强的多视图深度估计算法。设计了由改进后的特征金字塔网络(feature pyramid network,FPN)和自适应空间特征增强(adaptive space feature enhancement,ASFE)组成的多尺度特征提取模块,获取到具有全局上下文信息和位置信息的多尺度特征图像。通过残差学习网络对深度图进行优化,防止多次卷积操作出现重建边缘模糊的问题。通过分类的思想构建focal loss函数增强网络模型的判断能力。由实验结果可知,该算法在DTU(technical university of denmark)数据集上和CasMVSNet(Cascade MVSNet)算法相比,在整体精度误差、运行时间、显存资源占用上分别降低了14.08%、72.15%、4.62%。在Tanks and Temples数据集整体评价指标Mean上该模型优于其他算法,证明提出的基于自适应空间特征增强的多视图深度估计算法的有效性。展开更多
Background:Enhanced depth-of-focus intraocular lenses(EDOF IOL)have filled the gap between monofocal and multifocal intraocular implants with optical qualities of monofocal lenses and usually minor dysphotopsias typic...Background:Enhanced depth-of-focus intraocular lenses(EDOF IOL)have filled the gap between monofocal and multifocal intraocular implants with optical qualities of monofocal lenses and usually minor dysphotopsias typical for multifocal lenses.The purpose of this study was to evaluate visual outcomes after bilateral implantation of a new EDOF IOL in patients with requirements for perfect near and intermediate vision.Methods:The study included 15 patients(29 eyes as one was amblyopic)with bilateral implantation of LUXSMART EDOF IOL(Bausch&Lomb)with a targeted myopia(between-0.25 and-0.50D)in both eyes.Monocular corrected and uncorrected visual acuity for far,intermediate and near as well as refractive outcomes were evaluated at 1,3,6 and 12 months after the surgery.Additionally,binocular visual acuity,contrast sensitivity and defocus curve were measured at the final follow-up visit.At 12 months’visit patients completed a questionnaire evaluating patient satisfaction,spectacle independence and presence of dysphotopsias.Results:Binocular uncorrected visual acuities at 12 month’s visit were 0.13±0.16,0.06±0.08,0.07±0.09 and 0.15±0.09 logMAR for far distance,80 cm,66 cm and 40 cm respectively.Corrected binocular visual acuities at 12 months were 0.00±0.00,0.05±0.07,0.05±0.06,0.13±0.16 respectively for distance,80 cm,66 cm and 40 cm.Automated refraction spherical equivalent at 12 months’visit stood at-0.70±0.48D,which was 0.46D less than calculated biometric target,however spherical equivalent of subjective refraction at 12 months equaled–0.49±0.46D,which was closer to preoperative biometric target.Defocus curve had gentle shape without peaks typical for monofocal IOLs.Binocular contrast sensitivity results were superior to average results for that age group and equaled 1.78±0.16 logMAR without correction and 1.81±0.13 logMAR with correction.Spectacle independence for near and intermediate distances was achieved in all patients and for far distance in 73.3%of patients.Burdensome dysphotopsias were not reported in any case.Conclusions:EDOF IOLs targeted bilaterally at low myopia can provide excellent near and intermediate visual acuity and independence of any optical correction in majority of cases.This approach can be used in selected patients who are focused on stationary activities.展开更多
基金Supported by National Natural Science Foundation of China(No.81300805)。
文摘AIM:To characterize spectral-domain optical coherence tomography(SD-OCT)features of chorioretinal folds in orbital mass imaged using enhanced depth imaging(EDI).METHODS:Prospective observational case-control study was conducted in 20 eyes of 20 patients,the uninvolved eye served as a control.All the patients underwent clinical fundus photography,computed tomography,EDI SDOCT imaging before and after surgery.Two patients with cavernous hemangiomas underwent intratumoral injection of bleomycin A5;the remaining patients underwent tumor excision.Patients were followed 1 to 14mo following surgery(average follow up,5.8mo).RESULTS:Visual acuity prior to surgery ranged from 20/20 to 20/200.Following surgery,5 patients’visual acuity remained unchanged while the remaining 15 patients had a mean letter improvement of 10(range 4 to 26 letters).Photoreceptor inner/outer segment defects were found in 10 of 15 patients prior to surgery.Following surgical excision,photoreceptor inner/outer segment defects fully resolved in 8 of these 10 patients.CONCLUSION:Persistence of photoreceptor inner/outer segment defects caused by compression of the globe by an orbital mass can be associated with reduced visual prognosis.Our findings suggest that photoreceptor inner/outer segment defects on EDI SD-OCT could be an indicator for immediate surgical excision of an orbital mass causing choroidal compression.
基金Supported by Wenzhou Municipal Science and Technology Bureau(No.Y20150257)
文摘AIM:To assess peripapillary retinal nerve fiber layer(RNFL)and choroidal thickness obtained with enhanced depth imaging(EDI)mode compared with those obtained without EDI mode using Heidelberg Spectralis optical coherence tomography(OCT).METHODS:Fifty eyes of 25 normal healthy subjects and32 eyes of 20 patients with different eye diseases were included in the study.All subjects underwent 3.4 mm diameter peripapillary circular OCT scan centered on the optic disc using both the conventional and the EDI OCT protocols.The visualization of RNFL and choroidoscleral junction was assessed using an ordinal scoring scale.The paired t-test,intraclass correlation coefficient(ICC),95%limits of agreement(LoA),and Bland and Altman plots were used to test the agreement of measurements.RESULTS:The visibility score of RNFL obtained with and without EDI was of no significant difference(P=0.532),the visualization of choroidoscleral junction was better using EDI protocol than conventional protocol(P〈0.001).Peripapillary RNFL thickness obtained with EDI was slightly thicker than that obtained without EDI(103.25±9.42μm vs 101.87±8.78μm,P=0.010).The ICC of the two protocols was excellent with the value of 0.867 to 0.924,the 95%LoA of global RNFL thickness was between-10.0 to 7.4μm.Peripapillary choroidal thickness obtained with EDI was slightly thinner than that obtained without EDI(147.23±51.04μm vs 150.90±51.84μm,P〈0.001).The ICC was also excellent with the value of 0.960 to 0.987,the 95%LoA of global choroidal thickness was between-12.5 to 19.8μm.CONCLUSION:Peripapillary circular OCT scan with or without EDI mode shows comparable results in the measurement of peripapillary RNFL and choroidal thickness.
基金Supported by Foundation for the Prevention of Blindness
文摘AIM: To describe and evaluate a standardized protocol for measuring the choroidal thickness(Ch T) using enhanced depth imaging optical coherence tomography(EDI OCT).METHODS: Single 9 mm EDI OCT line scans across the fovea were used for this study. The protocol used in this study classified the EDI OCT images into four groups based on the appearance of the choroidal-scleral interface and suprachoroidal space. Two evaluation iterations of experiments were performed: first, the protocol was validated in a pilot study of 12 healthy eyes. Afterwards, the applicability of the protocol was tested in 82 eyes of patients with diabetes. Inter-observer and intra-observer agreements on image classifications were performed using Cohen’s kappa coefficient(κ). Intraclass correlation coefficient(ICC) and Bland-Altman’s methodology were used for the measurement of the Ch T.RESULTS: There was a moderate(κ=0.42) and perfect(κ =1) inter- and intra-observer agreements on image classifications from healthy eyes images and substantial(κ =0.66) and almost perfect(κ =0.86) agreements from diabetic eyes images. The proposed protocol showed excellent inter- and intra-observer agreements for the Ch T measurements on both, healthy eyes and diabetic eyes(ICC 】0.90 in all image categories). The Bland-Altman plot showed a relatively large Ch T measurement agreement in the scans that contained less visible choroidal outer boundary. CONCLUSION: A protocol to standardize Ch T measurements in EDI OCT images has been developed;the results obtained using this protocol show that the technique is accurate and reliable for routine clinical practice and research.
基金Supported by Major Scientific and Technological Projects in Zhejiang Province,China(No.2013c03048-3)the Science and Technology Plan Project of Wenzhou Science and Technology Bureau(No.Y20150284)Medical Scientific Research Foundation of Zhejiang Province(No.2016ZDA016)
文摘AIM:To evaluate the peripapillary choroidal thickness(PPCT) in Chinese children,and to analyze the influencing factors.METHODS: PPCT was measured with enhanced depth imaging optical coherence tomography(EDI-OCT) in 70children(53 myopes and 17 non-myopes) aged 7 to 18 y,with spherical equivalent refractive errors between 0.50and-5.87 diopters(D).Peripapillary choroidal imaging was performed using circular scans of a diameter of 3.4 mm around the optic disc.PPCT was measured by EDI-OCT in six sectors: nasal(N),superonasal(SN),superotemporal(ST),temporal(T),inferotemporal(IT)and inferonasal(IN),as well as global RNFL thickness(G).RESULTS: The mean global PPCT was 165.49±33.76 μm.The temporal,inferonasal,inferotemporal PPCT were significantly thinner than the nasal,superonasal,superotemporal segments PPCT were significantly thinner in the myopic group at temporal,superotemporal and inferotemporal segments.The axial length was significantly associated with the average global(β=-0.419,P =0.014),superonasal(β=-2.009,P=0.049) and inferonasal(β=-2.000,P=0.049) PPCT.The other factors(gender,age,SE) were not significantly associated with PPCT.CONCLUSION: PPCT was thinner in the myopic group at temporal,superotemporal and inferotemporal segments.The axial length was found to be negatively correlated to PPCT.We need more further studies about the relationship between PPCT and myopia.
基金Project supported by the National Natural Science Foundation of China (Grant Nos.61027015, 60677031, 60937003)the Shanghai Leading Academic Discipline Project (Grant No.30108)the Science and Technology Commission of Shanghai Municipality (Grant No.10DZ2210900)
文摘In this paper, a novel surface-enhanced Raman scattering (SERS) sensor combined with fused biconical taper fiber (FBTF) and film coated with silver sols is proposed. This structure is designed to significantly increase the SERS active surface when the length of the taper is increased and the radius is reduced, since the penetration depth is inversely proportional to the taper radius and proportional to the taper length according to the fiber-optic evanescent-wave theory. Based on the SERS sensing principle, the feasibility of FBTF sensor is analyzed in this paper. As a result, the Raman spectrum of R6G is obtained from the fused biconical taper zone surface coating with the silver sols in our experiments. The detected concentration is up to 10-7mol/L.
文摘针对现有的深度获取方式存在数据缺失、分辨率低等问题,提出一种基于软聚类的深度图增强方法,称为软聚类求解器.该方法利用软聚类的强边缘保持特性提高深度图增强的精度.将软聚类仿射矩阵和加权最小二乘模型有机结合,构建了软聚类求解器中的置信加权最小二乘模型,提出了基于迭代的求解方法.为评估所提出的方法,在多项深度图增强任务上进行试验,包括深度图补洞、深度图超分辨率和深度图纠正,评价指标包含了峰值信噪比(PSNR)、结构相似度(SSIM)、均方根差(RMSE)和运行效率.结果表明:文中方法在深度图补洞任务中的平均PSNR达到了42.28,平均SSIM达到了98.83%;在深度图超分辨率、深度图纠正任务中的平均RMSE达到了8.96、 2.36.文中方法处理1张分辨率为2 048×1 024像素的图像仅需5.03 s.
文摘为了提高多视图深度估计结果精度,提出一种基于自适应空间特征增强的多视图深度估计算法。设计了由改进后的特征金字塔网络(feature pyramid network,FPN)和自适应空间特征增强(adaptive space feature enhancement,ASFE)组成的多尺度特征提取模块,获取到具有全局上下文信息和位置信息的多尺度特征图像。通过残差学习网络对深度图进行优化,防止多次卷积操作出现重建边缘模糊的问题。通过分类的思想构建focal loss函数增强网络模型的判断能力。由实验结果可知,该算法在DTU(technical university of denmark)数据集上和CasMVSNet(Cascade MVSNet)算法相比,在整体精度误差、运行时间、显存资源占用上分别降低了14.08%、72.15%、4.62%。在Tanks and Temples数据集整体评价指标Mean上该模型优于其他算法,证明提出的基于自适应空间特征增强的多视图深度估计算法的有效性。
文摘Background:Enhanced depth-of-focus intraocular lenses(EDOF IOL)have filled the gap between monofocal and multifocal intraocular implants with optical qualities of monofocal lenses and usually minor dysphotopsias typical for multifocal lenses.The purpose of this study was to evaluate visual outcomes after bilateral implantation of a new EDOF IOL in patients with requirements for perfect near and intermediate vision.Methods:The study included 15 patients(29 eyes as one was amblyopic)with bilateral implantation of LUXSMART EDOF IOL(Bausch&Lomb)with a targeted myopia(between-0.25 and-0.50D)in both eyes.Monocular corrected and uncorrected visual acuity for far,intermediate and near as well as refractive outcomes were evaluated at 1,3,6 and 12 months after the surgery.Additionally,binocular visual acuity,contrast sensitivity and defocus curve were measured at the final follow-up visit.At 12 months’visit patients completed a questionnaire evaluating patient satisfaction,spectacle independence and presence of dysphotopsias.Results:Binocular uncorrected visual acuities at 12 month’s visit were 0.13±0.16,0.06±0.08,0.07±0.09 and 0.15±0.09 logMAR for far distance,80 cm,66 cm and 40 cm respectively.Corrected binocular visual acuities at 12 months were 0.00±0.00,0.05±0.07,0.05±0.06,0.13±0.16 respectively for distance,80 cm,66 cm and 40 cm.Automated refraction spherical equivalent at 12 months’visit stood at-0.70±0.48D,which was 0.46D less than calculated biometric target,however spherical equivalent of subjective refraction at 12 months equaled–0.49±0.46D,which was closer to preoperative biometric target.Defocus curve had gentle shape without peaks typical for monofocal IOLs.Binocular contrast sensitivity results were superior to average results for that age group and equaled 1.78±0.16 logMAR without correction and 1.81±0.13 logMAR with correction.Spectacle independence for near and intermediate distances was achieved in all patients and for far distance in 73.3%of patients.Burdensome dysphotopsias were not reported in any case.Conclusions:EDOF IOLs targeted bilaterally at low myopia can provide excellent near and intermediate visual acuity and independence of any optical correction in majority of cases.This approach can be used in selected patients who are focused on stationary activities.