Abstract
A method of semi-automated image analysis for the measurement of retinal vessel diameters is described. This was compared with an observer-driven method for reproducibility and accuracy. The coefficient of variation for the data from the semi-automated method was 1.5–7.5% (depending on the vessel diameter) compared to 6–34% with the observer-driven method. The mean vessel diameters using the observer-driven method tended to be higher; however, this did not reach significance. The speed and low inter- and intra-observer variability for the semi-automated method make it a useful technique for measuring retinal blood vessel diameters. A larger variability was found between photographs taken at different times. This may be due to changes in retinal vessel diameter with changes in retinal perfusion pressure during the cardiac cycle.
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References
Bland JM, Altaman DG (1986) Statistical methods for assessing agreement between two methods of clinical assessment. Lancet 1:307–310
Brinchmann-Hansen O, Engvold O (1986) Microphotometry of the blood column and the light streak on retinal vessels in fundus photographs. Acta Ophthalmol [Suppl] 179:9–19
Brinchmann-Hansen O, Myhre K (1989) Blood pressure, intraocular pressure, and retinal vessels after high altitude mountain exposure. Aviat Space Environ Med 60:970–976
Brinchmann-Hansen O, Dahl-Jorgensen K, Hanssen KF, Sandvik L (1988) Effects of intensified insulin treatment on retinal vessels in diabetic patients. Br J Ophthalmol 72:666–673
Delori FC, Fitch KA, Feke GT, Deupree DM, Weiter JJ (1988) Evaluation of micrometic and microdensitometric methods for measuring the width of retinal vessel images on fundus photographs. Graefes Arch Clin Exp Ophthalmol 266:393–399
Delori FC, Gragoudas ES, Fransciso R, Pruett RC (1977) Monochromatic ophthalmoscopy and fundus photography. Arch Ophthalmol 95:861–868
Fallon TJ, Sleightholm MA, Merrick C, Chahal P, Kohner EM (1987) The effect of acute hyperglycaemia on flow velocity in the smaller macular capillaries. Invest Ophthalmol Vis Sci 28:1027–1030
Fallon TJ, Maxwell DL, Kohner EM (1987) Autoregulation of retinal blood flow in diabetic retinopathy measured by the blue-light entoptic technique. Ophthalmology 28:1410–1415
Grunwald JE (1986) Effect of topical timolol on the human retinal circulation. Invest Ophthalmol Vis Sci 27:1713–1719
Hague S, Hill DW (1988) Postural changes in perfusion pressure and retinal vessel arteriolar calibre. Br J Ophthalmol 72:253–257
Hill DW, Crabtree A (1984) Vascular calibers. Trans Ophthalmol Soc UK 104:107
Hodge JV, Parr JC, Spears GFS (1969) Comparison of methods of measuring vessel widths on retinal photographs and the effect of fluorescein injection on apparent retinal vessel calibers. Am J Ophthalmol 68:1060–1068
Jung F, Kolepke W, Kiesewetter H, Spitzer S, Weiner S, Vogel W, Bach R, Wolf S, Schieffer H, Bette L (1983) Coincidence of hypertensive fundus changes and regulatory disorders of peripheral microcirculation. II. Skeletal muscles. Klin Monatsbl Augenheilkd 197:40–45
Lanigan LP, Clark CV, Allawi J, Hill DW, Keen H (1990) Impaired autoregulation of the retinal vasculature and micro-albuminuria in diabetes mellitus. Eye 4:174–180
Meehan RT, Taylor GR, Rock P, Mader TH, Hunter N, Cymerman A (1990) An automated method of quantifying retinal vascular response during exposure to novel environmental conditions. Ophthalmology 97:875–881
Robinson F, Riva CE, Grunwald JE, Petrig BL, Sinclair SH (1986) Retinal blood flow autoregulation in response to an acute increase in blood pressure. Invest Ophthalmol Vis Sci 27:722–726
Royston JP (1983) A simple method for evaluating the Shapiro-Francia W'-Test for non-normality. J Inst Stat 32:297–300
Sleightholm MA, Arnold J, Kohner EM (1988) 1. The measurement of Intercapillary area in normal retinal angiograms. J Diab Complic 2:113–116
Wolf S, Hoberg A, Bertram B, Jung F, Kiesewetter H, Reim M (1989) Video fluorescein angiography follow-up of patients with retinal artery occlusion. Klin Monatsbl Augenheilkd 195:154–164
Wolf S, Jung F, Kiesewetter H, Korber N, Reim M (1989) Video fluorescein angiography: method and clinical application. Graefes Arch Clin Exp Ophthalmol 227:145–151
Wolf S, Toonen H, Arend O, Jung F, Kaupp A, Kiesewetter H, Meyer Ebrecht D, Reim M (1990) Quantifying retinal capillary circulation using the scanning laser ophthalmoscope. Biomed Tech Berl 35:131–135
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This work was sponsored by a group grant from the British Diabetic Association
Offprint requests to: E.M. Kohner
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Newsom, R.S.B., Sullivan, P.M., Rassam, S.M.B. et al. Retinal vessel measurement: comparison between observer and computer driven methods. Graefe's Arch Clin Exp Ophthalmol 230, 221–225 (1992). https://doi.org/10.1007/BF00176292
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DOI: https://doi.org/10.1007/BF00176292