Performance of anterior segment OCT-based algorithms in the opportunistic screening for primary angle-closure disease

© 2024 The Authors. Published by Elsevier Ltd..

Purpose: This study aimed to investigate the performance of deep learning algorithms in the opportunistic screening for primary angle-closure disease (PACD) using combined anterior segment parameters.

Methods: This was an observational, cross-sectional hospital-based study. Patients with PACD and healthy controls who underwent comprehensive eye examinations, including gonioscopy and anterior segment optical coherence tomography (ASOCT) examinations under both light and dark conditions, were consecutively enrolled from the Department of Ophthalmology at the Beijing Tongren Hospital between November 2020 and June 2022. The anterior chamber, anterior chamber angle, iris, and lens parameters were assessed using ASOCT. To build the prediction models, backward logistic regression was utilized to select the variables to discriminate patients with PACD from normal participants, and the area under the receiver operating characteristic curve was used to evaluate the efficacy of the opportunistic screening.

Results: The data from 199 patients (199 eyes) were included in the final analysis and divided into two groups: PACD (109 eyes) and controls (90 eyes). Angle opening distance at 500 μm, anterior chamber area, and iris curvature measured in the light condition were included in the final prediction models. The area under the receiver operating characteristic curve was 0.968, with a sensitivity of 91.74 % and a specificity of 91.11 %.

Conclusion: ASOCT-based algorithms showed excellent diagnostic performance in the opportunistic screening for PACD. These results provide a promising basis for future research on the development of an angle-closure probability scoring system for PACD screening.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:10

Enthalten in:

Heliyon - 10(2024), 7 vom: 15. Apr., Seite e28885

Sprache:

Englisch

Beteiligte Personen:

Mou, Dapeng [VerfasserIn]
Wang, Jin [VerfasserIn]
Wang, Yue [VerfasserIn]
Tang, Xin [VerfasserIn]
Dong, Zhe [VerfasserIn]
Wang, Ningli [VerfasserIn]
Zhang, Ye [VerfasserIn]

Links:

Volltext

Themen:

Algorithms
Angle closure
Anterior segment OCT
Journal Article
Opportunistic screening

Anmerkungen:

Date Revised 11.04.2024

published: Electronic-eCollection

Citation Status PubMed-not-MEDLINE

doi:

10.1016/j.heliyon.2024.e28885

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM370853555