| 발표일자: |
2015년 11월 6일(금) ~ 11월 8일(일) |
| 발표번호: |
P(e-poster)-019 |
| 발표장소: |
킨텍스 제2전시장 7B홀 |
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| 녹내장성 구조적 변화 진단 시 스펙트럼영역 빛간섭단층촬영의 보조적 역할 |
| (1) 서울대학교 의과대학 안과학교실, (2) 서울대학교 보라매병원 통계학과, (3) 인제대학교 해운대백병원 안과학교실, (4) 부산대학교 양산병원 안과학교실, (5) 동국대학교 일산병원 안과학교실, (6) 서울대학교 보라매병원 안과 |
| (1) 김고은, (2) 오소희, (1) 정진욱, (3) 서민희, (4) 서제현, (5) 김마르다, (1) 박기호, (1) 김동명, (6) 김석환 |
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목적 : To investigate the additive role of spectral-domain optical coherence tomography (SD-OCT) for structural diagnosis in glaucoma.
방법 : One hundred and nine eyes of 109 healthy individuals and 151 eyes of 151 glaucoma patients were included. Four structural diagnostic examination sets were prepared using stereo optic disc photography (SDP), red-free retinal nerve fiber layer photography (RNFLP), and SD-OCT: (1) SDP (S), (2) SDP and SD-OCT (SO), (3) SDP and RNFLP (SR), and (4) SDP, RNFLP, and SD-OCT (SRO). Five glaucoma specialists were instructed to classify subject as normal or glaucoma using each set with 1-month interval. The interobserver agreement of specialists and the additive diagnostic effect of SD-OCT were evaluated.
결과 : Five glaucoma specialists showed an excellent level of interobserver agreement on the diagnostic assessment based on 4 sets. In each glaucoma specialist, the diagnostic performance increased with additional SD-OCT to SDP, although showing difference in significance. Addition of SD-OCT to SDP showed about 2-folds increase in the overall diagnostic performance of all specialists. The diagnostic performance increased with the increasing number of structural examinations, SRO showing the best performance about 7-folds higher than S-only.
결론 : SD-OCT significantly enhanced the glaucoma-diagnostic accuracy of glaucoma specialists’ assessments. Even for glaucoma specialists, SD-OCT has an additive value for improvement in the glaucomatous structural assessment.
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