Skip to main content
Erschienen in: Japanese Journal of Ophthalmology 1/2014

01.01.2014 | Clinical Investigation

Intraobserver and interobserver agreement of computer software-assisted optic nerve head photoplanimetry

verfasst von: Masaki Tanito, Takeshi Sagara, Michiya Takamatsu, Yoshiaki Kiuchi, Toshiaki Nakagawa, Yasuyuki Fujita, Akihiro Ohira

Erschienen in: Japanese Journal of Ophthalmology | Ausgabe 1/2014

Einloggen, um Zugang zu erhalten

Abstract

Purpose

To report the reproducibility profile of optic nerve head parameters obtained by computer software-assisted fundus photoplanimetry.

Methods

Fundus photographs obtained during a population-based health survey (Sakurae Study) were planimetrically analyzed using newly developed computer software, CDSketch. The parameters assessed included vertical and horizontal cup-to-disc (C/D) ratios, superior and inferior rim-to-disc (R/D) ratios, disc and cup vertical-to-horizontal (V/H) ratios, and disc-macular distance-to-disc diameter (DM/DD) ratio. For intraobserver and interobserver agreement assessments, we calculated the coefficients of variation (CVs) and intraclass correlation coefficients (ICCs) of the mean of three measurements obtained by one observer and a one-time measurement by three observers, respectively.

Results

The intraobserver CVs were between 2.4 % (DM/DD ratio) and 11.0 % (inferior R/D ratio), and the ICCs were between 0.868 (cup V/H ratio) and 0.976 (DM/DD ratio); all intraobserver ICCs had almost perfect agreement (>0.81). The interobserver CVs were between 2.6 % (disc V/H ratio) and 18.0 % (inferior R/D ratio), and the ICCs were between 0.762 (cup V/H ratio) and 0.930 (DM/DD ratio); the interobserver ICCs were categorized as substantial (0.61–0.80) for the inferior R/D and cup V/H ratios and as almost perfect for the other five parameters.

Conclusions

The consistent profiles of the planimetric parameters suggest the suitability of software-assisted photoplanimetry for assessing optic disc characteristics in glaucoma clinical study and practice.
Literatur
1.
Zurück zum Zitat Araie M. Test–retest variability in structural parameters measured with glaucoma imaging devices. Jpn J Ophthalmol. 2013;57:1–24.PubMedCrossRef Araie M. Test–retest variability in structural parameters measured with glaucoma imaging devices. Jpn J Ophthalmol. 2013;57:1–24.PubMedCrossRef
2.
Zurück zum Zitat Kahn HA, Leibowitz H, Ganley JP, Kini M, Colton T, Nickerson R, et al. Randomized controlled clinical trial. National Eye Institute workshop for ophthalmologists. Standardizing diagnostic procedures. Am J Ophthalmol. 1975;79:768–75.PubMed Kahn HA, Leibowitz H, Ganley JP, Kini M, Colton T, Nickerson R, et al. Randomized controlled clinical trial. National Eye Institute workshop for ophthalmologists. Standardizing diagnostic procedures. Am J Ophthalmol. 1975;79:768–75.PubMed
3.
Zurück zum Zitat Lichter PR. Variability of expert observers in evaluating the optic disc. Trans Am Ophthalmol Soc. 1976;74:532–72.PubMedPubMedCentral Lichter PR. Variability of expert observers in evaluating the optic disc. Trans Am Ophthalmol Soc. 1976;74:532–72.PubMedPubMedCentral
4.
Zurück zum Zitat Iwase A, Suzuki Y, Araie M, Yamamoto T, Abe H, Shirato S, et al. The prevalence of primary open-angle glaucoma in Japanese: the Tajimi Study. Ophthalmology. 2004;111:1641–8.PubMed Iwase A, Suzuki Y, Araie M, Yamamoto T, Abe H, Shirato S, et al. The prevalence of primary open-angle glaucoma in Japanese: the Tajimi Study. Ophthalmology. 2004;111:1641–8.PubMed
5.
Zurück zum Zitat Sawaguchi S, Sakai H, Iwase A, Yamamoto T, Abe H, Tomita G, et al. Prevalence of primary angle closure and primary angle-closure glaucoma in a southwestern rural population of Japan: the Kumejima Study. Ophthalmology. 2012;119:1134–42.PubMedCrossRef Sawaguchi S, Sakai H, Iwase A, Yamamoto T, Abe H, Tomita G, et al. Prevalence of primary angle closure and primary angle-closure glaucoma in a southwestern rural population of Japan: the Kumejima Study. Ophthalmology. 2012;119:1134–42.PubMedCrossRef
6.
Zurück zum Zitat Kim M, Kim TW, Park KH, Kim JM. Risk factors for primary open-angle glaucoma in South Korea: the Namil study. Jpn J Ophthalmol. 2012;56:324–9.PubMedCrossRef Kim M, Kim TW, Park KH, Kim JM. Risk factors for primary open-angle glaucoma in South Korea: the Namil study. Jpn J Ophthalmol. 2012;56:324–9.PubMedCrossRef
7.
Zurück zum Zitat Morgan JE, Sheen NJ, North RV, Choong Y, Ansari E. Digital imaging of the optic nerve head: monoscopic and stereoscopic analysis. Br J Ophthalmol. 2005;89:879–84.PubMedCrossRef Morgan JE, Sheen NJ, North RV, Choong Y, Ansari E. Digital imaging of the optic nerve head: monoscopic and stereoscopic analysis. Br J Ophthalmol. 2005;89:879–84.PubMedCrossRef
8.
Zurück zum Zitat Samarawickrama C, Pai A, Huynh SC, Burlutsky G, Jonas JB, Mitchell P. Measurement of optic nerve head parameters: comparison of optical coherence tomography with digital planimetry. J Glaucoma. 2009;18:571–5.PubMedCrossRef Samarawickrama C, Pai A, Huynh SC, Burlutsky G, Jonas JB, Mitchell P. Measurement of optic nerve head parameters: comparison of optical coherence tomography with digital planimetry. J Glaucoma. 2009;18:571–5.PubMedCrossRef
9.
Zurück zum Zitat Saito H, Tsutsumi T, Iwase A, Tomidokoro A, Araie M. Correlation of disc morphology quantified on stereophotographs to results by Heidelberg Retina Tomograph II, GD× variable corneal compensation, and visual field tests. Ophthalmology. 2010;117:282–9.PubMedCrossRef Saito H, Tsutsumi T, Iwase A, Tomidokoro A, Araie M. Correlation of disc morphology quantified on stereophotographs to results by Heidelberg Retina Tomograph II, GD× variable corneal compensation, and visual field tests. Ophthalmology. 2010;117:282–9.PubMedCrossRef
10.
Zurück zum Zitat Tsutsumi T, Tomidokoro A, Araie M, Iwase A, Sakai H, Sawaguchi S. Planimetrically determined vertical cup/disc and rim width/disc diameter ratios and related factors. Invest Ophthalmol Vis Sci. 2012;53:1332–40.PubMedCrossRef Tsutsumi T, Tomidokoro A, Araie M, Iwase A, Sakai H, Sawaguchi S. Planimetrically determined vertical cup/disc and rim width/disc diameter ratios and related factors. Invest Ophthalmol Vis Sci. 2012;53:1332–40.PubMedCrossRef
11.
Zurück zum Zitat Tanito M, Sagara T, Takamatsu M, Kiuchi Y, Nakagawa T, Fujita Y, et al. Fundus photoplanimetry of the optic nerve head in the Sakurae Study. Nippon Ganka Gakkai Zasshi. 2012;116:730–9 (in Japanese).PubMed Tanito M, Sagara T, Takamatsu M, Kiuchi Y, Nakagawa T, Fujita Y, et al. Fundus photoplanimetry of the optic nerve head in the Sakurae Study. Nippon Ganka Gakkai Zasshi. 2012;116:730–9 (in Japanese).PubMed
12.
Zurück zum Zitat Miglior S, Albe E, Guareschi M, Rossetti L, Orzalesi N. Intraobserver and interobserver reproducibility in the evaluation of optic disc stereometric parameters by Heidelberg retina tomograph. Ophthalmology. 2002;109:1072–7.PubMedCrossRef Miglior S, Albe E, Guareschi M, Rossetti L, Orzalesi N. Intraobserver and interobserver reproducibility in the evaluation of optic disc stereometric parameters by Heidelberg retina tomograph. Ophthalmology. 2002;109:1072–7.PubMedCrossRef
13.
Zurück zum Zitat Itai N, Tanito M, Chihara E. Comparison of optic disc topography measured by retinal thickness analyzer with measurement by Heidelberg Retina Tomograph II. Jpn J Ophthalmol. 2003;47:214–20.PubMedCrossRef Itai N, Tanito M, Chihara E. Comparison of optic disc topography measured by retinal thickness analyzer with measurement by Heidelberg Retina Tomograph II. Jpn J Ophthalmol. 2003;47:214–20.PubMedCrossRef
14.
Zurück zum Zitat Correnti AJ, Wollstein G, Price LL, Schuman JS. Comparison of optic nerve head assessment with a digital stereoscopic camera (discam), scanning laser ophthalmoscopy, and stereophotography. Ophthalmology. 2003;110:1499–505.PubMedPubMedCentralCrossRef Correnti AJ, Wollstein G, Price LL, Schuman JS. Comparison of optic nerve head assessment with a digital stereoscopic camera (discam), scanning laser ophthalmoscopy, and stereophotography. Ophthalmology. 2003;110:1499–505.PubMedPubMedCentralCrossRef
15.
Zurück zum Zitat Arthur SN, Aldridge AJ, De Leon-Ortega J, McGwin G, Xie A, Girkin CA. Agreement in assessing cup-to-disc ratio measurement among stereoscopic optic nerve head photographs, HRT II, and stratus OCT. J Glaucoma. 2006;15:183–9.PubMedCrossRef Arthur SN, Aldridge AJ, De Leon-Ortega J, McGwin G, Xie A, Girkin CA. Agreement in assessing cup-to-disc ratio measurement among stereoscopic optic nerve head photographs, HRT II, and stratus OCT. J Glaucoma. 2006;15:183–9.PubMedCrossRef
16.
Zurück zum Zitat DeLeon Ortega JE, Sakata LM, Kakati B, McGwin G Jr, Monheit BE, Arthur SN, et al. Effect of glaucomatous damage on repeatability of confocal scanning laser ophthalmoscope, scanning laser polarimetry, and optical coherence tomography. Invest Ophthalmol Vis Sci. 2007;48:1156–63.PubMedCrossRef DeLeon Ortega JE, Sakata LM, Kakati B, McGwin G Jr, Monheit BE, Arthur SN, et al. Effect of glaucomatous damage on repeatability of confocal scanning laser ophthalmoscope, scanning laser polarimetry, and optical coherence tomography. Invest Ophthalmol Vis Sci. 2007;48:1156–63.PubMedCrossRef
17.
Zurück zum Zitat Abe H, Shirakashi M, Tsutsumi T, Araie M, Tomidokoro A, Iwase A, et al. Laser scanning tomography of optic discs of the normal Japanese population in a population-based setting. Ophthalmology. 2009;116:223–30.PubMedCrossRef Abe H, Shirakashi M, Tsutsumi T, Araie M, Tomidokoro A, Iwase A, et al. Laser scanning tomography of optic discs of the normal Japanese population in a population-based setting. Ophthalmology. 2009;116:223–30.PubMedCrossRef
18.
Zurück zum Zitat Seymenoglu G, Baser E, Ozturk B. Comparison of spectral-domain optical coherence tomography and Heidelberg Retina Tomograph III optic nerve head parameters in glaucoma. Ophthalmologica. 2012;. doi:10.1159/000341574.PubMed Seymenoglu G, Baser E, Ozturk B. Comparison of spectral-domain optical coherence tomography and Heidelberg Retina Tomograph III optic nerve head parameters in glaucoma. Ophthalmologica. 2012;. doi:10.​1159/​000341574.PubMed
19.
Zurück zum Zitat Yang B, Ye C, Yu M, Liu S, Lam DS, Leung CK. Optic disc imaging with spectral-domain optical coherence tomography: variability and agreement study with Heidelberg retinal tomograph. Ophthalmology. 2012;119:1852–7.PubMedCrossRef Yang B, Ye C, Yu M, Liu S, Lam DS, Leung CK. Optic disc imaging with spectral-domain optical coherence tomography: variability and agreement study with Heidelberg retinal tomograph. Ophthalmology. 2012;119:1852–7.PubMedCrossRef
20.
Zurück zum Zitat Shin HY, Park HY, Jung KI, Park CK. Glaucoma diagnosis optic disc analysis comparing Cirrus spectral domain optical coherence tomography and Heidelberg Retina Tomograph II. Jpn J Ophthalmol. 2013;57:41–6.PubMedCrossRef Shin HY, Park HY, Jung KI, Park CK. Glaucoma diagnosis optic disc analysis comparing Cirrus spectral domain optical coherence tomography and Heidelberg Retina Tomograph II. Jpn J Ophthalmol. 2013;57:41–6.PubMedCrossRef
21.
Zurück zum Zitat Goto T, Tanito M, Itai N, Chihara E. Scanning laser polarimetry measurement with variable corneal compensation compared with fixed corneal compensation. Jpn J Ophthalmol. 2004;48:507–9.PubMedCrossRef Goto T, Tanito M, Itai N, Chihara E. Scanning laser polarimetry measurement with variable corneal compensation compared with fixed corneal compensation. Jpn J Ophthalmol. 2004;48:507–9.PubMedCrossRef
22.
Zurück zum Zitat Mwanza JC, Chang RT, Budenz DL, Durbin MK, Gendy MG, Shi W, et al. Reproducibility of peripapillary retinal nerve fiber layer thickness and optic nerve head parameters measured with Cirrus HD-OCT in glaucomatous eyes. Invest Ophthalmol Vis Sci. 2010;51:5724–30.PubMedCrossRef Mwanza JC, Chang RT, Budenz DL, Durbin MK, Gendy MG, Shi W, et al. Reproducibility of peripapillary retinal nerve fiber layer thickness and optic nerve head parameters measured with Cirrus HD-OCT in glaucomatous eyes. Invest Ophthalmol Vis Sci. 2010;51:5724–30.PubMedCrossRef
23.
Zurück zum Zitat Kim JH, Kim NR, Kim H, Lee ES, Seong GJ, Kim CY. Effect of signal strength on reproducibility of circumpapillary retinal nerve fiber layer thickness measurement and its classification by spectral-domain optical coherence tomography. Jpn J Ophthalmol. 2011;55:220–7.PubMedCrossRef Kim JH, Kim NR, Kim H, Lee ES, Seong GJ, Kim CY. Effect of signal strength on reproducibility of circumpapillary retinal nerve fiber layer thickness measurement and its classification by spectral-domain optical coherence tomography. Jpn J Ophthalmol. 2011;55:220–7.PubMedCrossRef
24.
Zurück zum Zitat Arnalich-Montiel F, Munoz-Negrete FJ, Rebolleda G, Sales-Sanz M, Cabarga C. Cup-to-disc ratio: agreement between slit-lamp indirect ophthalmoscopic estimation and stratus optical coherence tomography measurement. Eye. 2007;21:1041–9.PubMedCrossRef Arnalich-Montiel F, Munoz-Negrete FJ, Rebolleda G, Sales-Sanz M, Cabarga C. Cup-to-disc ratio: agreement between slit-lamp indirect ophthalmoscopic estimation and stratus optical coherence tomography measurement. Eye. 2007;21:1041–9.PubMedCrossRef
25.
Zurück zum Zitat Manassakorn A, Aupapong S. Retinal nerve fiber layer defect patterns in primary angle-closure and open-angle glaucoma: a comparison using optical coherence tomography. Jpn J Ophthalmol. 2011;55:28–34.PubMedCrossRef Manassakorn A, Aupapong S. Retinal nerve fiber layer defect patterns in primary angle-closure and open-angle glaucoma: a comparison using optical coherence tomography. Jpn J Ophthalmol. 2011;55:28–34.PubMedCrossRef
26.
Zurück zum Zitat Yoo YC, Park KH. Influence of angular width and peripapillary position of localized retinal nerve fiber layer defects on their detection by time-domain optical coherence tomography. Jpn J Ophthalmol. 2011;55:115–22.PubMedCrossRef Yoo YC, Park KH. Influence of angular width and peripapillary position of localized retinal nerve fiber layer defects on their detection by time-domain optical coherence tomography. Jpn J Ophthalmol. 2011;55:115–22.PubMedCrossRef
27.
Zurück zum Zitat The Japan Glaucoma Society Guidelines for Glaucoma (3rd edn). Nippon Ganka Gakkai Zasshi. 2012;116:3–46 (in Japanese). The Japan Glaucoma Society Guidelines for Glaucoma (3rd edn). Nippon Ganka Gakkai Zasshi. 2012;116:3–46 (in Japanese).
28.
Zurück zum Zitat Gloster J, Parry DG. Use of photographs for measuring cupping in the optic disc. Br J Ophthalmol. 1974;58:850–62.PubMedCrossRef Gloster J, Parry DG. Use of photographs for measuring cupping in the optic disc. Br J Ophthalmol. 1974;58:850–62.PubMedCrossRef
29.
Zurück zum Zitat Foster PJ, Buhrmann R, Quigley HA, Johnson GJ. The definition and classification of glaucoma in prevalence surveys. Br J Ophthalmol. 2002;86:238–42.PubMedCrossRef Foster PJ, Buhrmann R, Quigley HA, Johnson GJ. The definition and classification of glaucoma in prevalence surveys. Br J Ophthalmol. 2002;86:238–42.PubMedCrossRef
30.
Zurück zum Zitat Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics. 1977;33:159–74.PubMedCrossRef Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics. 1977;33:159–74.PubMedCrossRef
31.
Zurück zum Zitat Tielsch JM, Katz J, Quigley HA, Miller NR, Sommer A. Intraobserver and interobserver agreement in measurement of optic disc characteristics. Ophthalmology. 1988;95:350–6.PubMedCrossRef Tielsch JM, Katz J, Quigley HA, Miller NR, Sommer A. Intraobserver and interobserver agreement in measurement of optic disc characteristics. Ophthalmology. 1988;95:350–6.PubMedCrossRef
Metadaten
Titel
Intraobserver and interobserver agreement of computer software-assisted optic nerve head photoplanimetry
verfasst von
Masaki Tanito
Takeshi Sagara
Michiya Takamatsu
Yoshiaki Kiuchi
Toshiaki Nakagawa
Yasuyuki Fujita
Akihiro Ohira
Publikationsdatum
01.01.2014
Verlag
Springer Japan
Erschienen in
Japanese Journal of Ophthalmology / Ausgabe 1/2014
Print ISSN: 0021-5155
Elektronische ISSN: 1613-2246
DOI
https://doi.org/10.1007/s10384-013-0280-6

Weitere Artikel der Ausgabe 1/2014

Japanese Journal of Ophthalmology 1/2014 Zur Ausgabe

Neu im Fachgebiet Augenheilkunde

Metastase in der periokulären Region

Metastasen Leitthema

Orbitale und periokuläre metastatische Tumoren galten früher als sehr selten. Aber mit der ständigen Aktualisierung von Medikamenten und Nachweismethoden für die Krebsbehandlung werden neue Chemotherapien und Strahlenbehandlungen eingesetzt. Die …

Staging und Systemtherapie bei okulären und periokulären Metastasen

Metastasen Leitthema

Metastasen bösartiger Erkrankungen sind die häufigsten Tumoren, die im Auge diagnostiziert werden. Sie treten bei ungefähr 5–10 % der Patienten mit soliden Tumoren im Verlauf der Erkrankung auf. Besonders häufig sind diese beim Mammakarzinom und …

Wundheilung nach Trabekulektomie

Trabekulektomie CME-Artikel

Die überschießende Wundheilung in der filtrierenden Glaukomchirurgie ist ein zentraler Faktor für ein operatives Versagen. Nach der Einführung der Trabekulektomie in den 1960er-Jahren wurden viele Faktoren erkannt, die mit einer vermehrten …

„standard operating procedures“ (SOP) – Vorschlag zum therapeutischen Management bei periokulären sowie intraokulären Metastasen

Metastasen Leitthema

Peri- sowie intraokuläre Metastasen sind insgesamt gesehen selten und meist Zeichen einer fortgeschrittenen primären Tumorerkrankung. Die Therapie ist daher zumeist palliativ und selten kurativ. Zudem ist die Therapiefindung sehr individuell. Die …

Update Augenheilkunde

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.