关键词: Corneal and external diseases Diabetic neuropathy General diabetes

Mesh : Humans Diabetic Neuropathies / diagnostic imaging Cornea / diagnostic imaging innervation Research Design Nerve Fibers Microscopy, Confocal / methods Diabetes Mellitus Systematic Reviews as Topic Review Literature as Topic

来  源:   DOI:10.1136/bmjopen-2022-070017   PDF(Pubmed)

Abstract:
Globally, 422 million people have diabetes. Late complications of diabetes are blindness, kidney failure, heart attack, stroke and lower limb amputation. The prevalence of diabetic peripheral neuropathy and diabetic retinopathy is 50% and 35%, respectively. In vivo confocal microscopy (IVCM) is a rapid, non-invasive method to evaluate subbasal corneal nerve fibres, which are small fibres of the peripheral nervous system. Corneal nerve fibre changes can be a marker of diabetic peripheral neuropathy. There is currently no gold-standard procedure for IVCM imaging, image processing or quantitative analysis of the corneal nerve fibres in the subbasal plexus. This protocol describes a scoping review to map, summarise and critically evaluate current methods used with IVCM evaluation in people with diabetes mellitus.
The scoping review will follow Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines for scoping review. A comprehensive search of the literature will be conducted in MEDLINE, Embase, Cochrane, Scopus and Web of Science. The search strategy will include terms related to IVCM, diabetes and corneal nerve fibres. We will set inclusion and exclusion criteria prior to the search, and two reviewers will screen titles and abstracts independently. One reviewer will full text read eligible articles and chart data from the studies. A descriptive summary of the methods used in imaging, image processing and quantitative analysis of peripheral corneal nerve fibres by IVCM will be written.
Ethical approval is not required since this is a scoping review based on previously published articles. The findings will be published in a scientific peer-reviewed journal.
摘要:
背景:在全球范围内,4.22亿人患有糖尿病。糖尿病的晚期并发症是失明,肾衰竭,心脏病发作,中风和下肢截肢。糖尿病周围神经病变和糖尿病视网膜病变的患病率分别为50%和35%,分别。体内共聚焦显微镜(IVCM)是一种快速、非侵入性方法评估角膜基底下神经纤维,是周围神经系统的小纤维。角膜神经纤维变化可能是糖尿病性周围神经病变的标志。目前没有IVCM成像的黄金标准程序,对基底丛下的角膜神经纤维进行图像处理或定量分析。该协议描述了对地图的范围审查,总结并批判性地评估目前在糖尿病患者中使用的IVCM评估方法。
方法:范围审查将遵循系统审查的首选报告项目和范围审查的荟萃分析指南。将在MEDLINE中对文献进行全面搜索,Embase,科克伦,Scopus和WebofScience搜索策略将包括与IVCM相关的术语,糖尿病和角膜神经纤维。我们将在搜索之前设定纳入和排除标准,两名审稿人将独立筛选标题和摘要。一位审阅者将全文阅读研究中符合条件的文章和图表数据。成像中使用的方法的描述性总结,将通过IVCM对周围角膜神经纤维进行图像处理和定量分析。
背景:不需要道德批准,因为这是基于先前发表的文章的范围审查。研究结果将发表在科学同行评审的期刊上。
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