Abstract

PurposeTo describe an approach to the use of optical coherence tomography (OCT) imaging in large, population-based studies, including methods for OCT image acquisition, storage, and the remote, rapid, automated analysis of retinal thickness.MethodsIn UK Biobank, OCT images were acquired between 2009 and 2010 using a commercially available “spectral domain” OCT device (3D OCT-1000, Topcon). Images were obtained using a raster scan protocol, 6 mm x 6 mm in area, and consisting of 128 B-scans. OCT image sets were stored on UK Biobank servers in a central repository, adjacent to high performance computers. Rapid, automated analysis of retinal thickness was performed using custom image segmentation software developed by the Topcon Advanced Biomedical Imaging Laboratory (TABIL). This software employs dual-scale gradient information to allow for automated segmentation of nine intraretinal boundaries in a rapid fashion.Results67,321 participants (134,642 eyes) in UK Biobank underwent OCT imaging of both eyes as part of the ocular module. 134,611 images were successfully processed with 31 images failing segmentation analysis due to corrupted OCT files or withdrawal of subject consent for UKBB study participation. Average time taken to call up an image from the database and complete segmentation analysis was approximately 120 seconds per data set per login, and analysis of the entire dataset was completed in approximately 28 days.ConclusionsWe report an approach to the rapid, automated measurement of retinal thickness from nearly 140,000 OCT image sets from the UK Biobank. In the near future, these measurements will be publically available for utilization by researchers around the world, and thus for correlation with the wealth of other data collected in UK Biobank. The automated analysis approaches we describe may be of utility for future large population-based epidemiological studies, clinical trials, and screening programs that employ OCT imaging.

Highlights

  • UK Biobank is a community-based prospective cohort study, currently underway in the United Kingdom (UK), which is unprecedented in terms of both its data collection “breadth” and “depth”.[1,2,3] In this study, 500,000 participants, aged 40–69 years at enrollment, have been recruited, and will be followed over a period of at least 25 years

  • We report an approach to the rapid, automated measurement of retinal thickness from nearly 140,000 optical coherence tomography (OCT) image sets from the UK Biobank

  • These measurements will be publically available for utilization by researchers around the world, and for correlation with the wealth of other data collected in UK Biobank

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Summary

Introduction

UK Biobank is a community-based prospective cohort study, currently underway in the United Kingdom (UK), which is unprecedented in terms of both its data collection “breadth” and “depth”.[1,2,3] In this study, 500,000 participants, aged 40–69 years at enrollment, have been recruited, and will be followed over a period of at least 25 years. Exhaustive baseline data collection has already been performed based on questionnaires, physical measurements, and biological samples. Questionnaires will assess a range of diverse factors, including general health and disability, socio-demographic profile, smoking/alcohol usage, and dietary habits. Biological samples collected included blood, urine, and saliva. Using DNA extracted from the blood samples, high throughput genotyping is underway on all 500,000 participants. UK Biobank has the potential to profoundly transform our understanding of the risk factors for disease.[3]

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