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Abstract #5268 Published in IGR 1-2

Interobserver agreement of Heidelberg Retina Tomograph parameters

Hatch WV; Flanagan JG; Williams-Lyn DE; Buys YM; Farra T; Trope GE
Journal of Glaucoma 1999; 8: 232-237


PURPOSE: To measure the interobserver agreement of Heidelberg Retina Tomography (HRT; Heidelberg Engineering, Heidelberg, Germany) parameters as a result of different observers' contour line placements. METHODS: The optic nerve heads of 50 patients with glaucoma were imaged with the HRT. Five observers traced each disc margin with a contour line. Each observer was masked to the contour line tracings of the other observers, and there was no formal discussion as to where to place the contour line. The following stereometric parameters were calculated for each image for each observer: disc area, mean height of contour, cup shape, rim volume using the standard reference plane from software version 1.11, rim volume using a reference plane of 320 ?m below the retinal plane, and volume above curved surface. Agreement between the five observers was tested for each parameter using intraclass correlation coefficients (ICCs). RESULTS: Interobserver agreement between the five observers was substantial for both rim volumes (ICC = 0.73) and for disc area (ICC = 0.67). Agreement was almost perfect for mean height of contour (ICC = 0.94), cup shape (ICC = 0.92), and volume above curved surface (ICC = 0.83). CONCLUSION: The interobserver agreement for the HRT parameters was substantial to almost perfect, indicating that the HRT results as defined by the five observers were interchangeable.

W.V. Hatch, Department of Ophthalmology, The Toronto Hospital (Western Division), East Wing 6-506, 399 Bathurst Street, Toronto, Ontario M5T 2S8; Canada


Classification:

6.9.1 Laser scanning (Part of: 6 Clinical examination methods > 6.9 Computerized image analysis)



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