Evaluation of choroid vascular layer thickness in wet age-related macular degeneration using artificial intelligence

被引:2
作者
Song, Dan [1 ]
Ni, Yuan [2 ]
Zhou, Ying [1 ]
Niu, Yaqian [1 ]
Wang, Guanzheng [2 ]
Lv, Bin [2 ]
Xie, Guotong [2 ,3 ]
Liu, Guangfeng [1 ]
机构
[1] Peking Univ, Int Hosp, Dept Ophthalmol, 1 Shengmingyuan Rd,Zhongguancun Life Sci Pk, Beijing, Peoples R China
[2] PingAn IFC, Ping An Technol, 12F Bldg B,1-3 Xinyuan South Rd, Beijing 100027, Peoples R China
[3] Ping An Hlth Cloud Co Ltd, PingAn IFC, 12F Bldg B,1-3 Xinyuan South Rd, Beijing 100027, Peoples R China
关键词
Wet age -related macular degeneration; Artificial intelligence; Choroidal thickness; Haller layer thickness; Sattler layer-choriocapillaris complex thickness; OCT; PROGRESSION;
D O I
10.1016/j.pdpdt.2024.104218
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Purpose: To facilitate the assessment of choroid vascular layer thickness in patients with wet age-related macular degeneration (AMD) using artificial intelligence (AI). Methods: We included 194 patients with wet AMD and 225 healthy participants. Choroid images were obtained using swept-source optical coherence tomography. The average Sattler layer-choriocapillaris complex thickness (SLCCT), Haller layer thickness (HLT), and choroidal thickness (CT) were auto-measured at 7 regions centered around the foveola using AI and subsequently compared between the 2 groups. Results: The SLCCT was lower in the AMD group than in the control group (P < 0.05). The HLT was significantly higher in the AMD group than in the control group at the Tparafovea and T-perifovea in the total population (P < 0.05) and in the <= 70-year subgroup (P < 0.05). The CT was higher in the AMD group than in the control group, particularly at the Nperifovea, T-perifovea, and T-parafovea in the <= 70-year subgroup; Interestingly, it was lower in the AMD group than in the control group at the Nparafovea, N-fovea, foveola, and T-fovea in the >70-year subgroup (P < 0.05). Conclusion: This novel AI-based auto-measurement was more accurate, efficient, and detailed than manual measurements. SLCCT thinning was observed in wet AMD; however, CT changes depended on the interaction between HLT compensatory thickening and SLCCT thinning.
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页数:7
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