scholarly journals Retinal vessel architecture in retinopathy of prematurity and healthy controls using swept‐source optical coherence tomography angiography

2020 ◽  
Author(s):  
Sandra Rezar‐Dreindl ◽  
Katharina Eibenberger ◽  
Reinhard Told ◽  
Thomas Neumayer ◽  
Irene Steiner ◽  
...  
Keyword(s):  
Optical Coherence Tomography ◽  
Retinopathy Of Prematurity ◽  
Optical Coherence Tomography Angiography ◽  
Retinal Vessel ◽  
Healthy Controls ◽  
Optical Coherence ◽  
Swept Source

scholarly journals An Automated 3D Analysis Framework for Optical Coherence Tomography Angiography

2019 ◽  
Author(s):  
Mona Sharifi Sarabi ◽  
Jin Kyu Gahm ◽  
Maziyar M. Khansari ◽  
Jiong Zhang ◽  
Amir H. Kashani ◽  
...  
Keyword(s):  
Optical Coherence Tomography ◽  
Optical Coherence Tomography Angiography ◽  
Imaging Modality ◽  
Human Subjects ◽  
Retinal Vessel ◽  
Capillary Density ◽  
3D Analysis ◽  
Healthy Controls ◽  
Optical Coherence ◽  
Analysis Framework

AbstractOptical Coherence Tomography Angiography (OCTA) is a novel, non-invasive imaging modality of retinal capillaries at micron resolution. While OCTA generates 3D image volumes, current analytic methods rely on 2Den faceprojection images for quantitative analysis. This obscures the 3D vascular geometry and prevents accurate characterization of retinal vessel networks. In this paper, we have developed an automated analysis framework that preserves the 3D geometry of OCTA data. This framework uses curvelet-based denoising, optimally oriented flux (OOF) vessel enhancement and projection artifact removal, as well as the generation of 3D vessel length from the Hamilton-Jacobi skeleton. We implement this method on a dataset of 338 OCTA scans from human subjects with diabetic retinopathy (DR) which is known to cause decrease in capillary density and compare them to healthy controls. Our results indicate that 3D vessel-skeleton-length (3D-VSL) captures differences in both superficial and deep capillary density that are not apparent in 2D vessel skeleton analyses. In statistical analysis, we show that the 3D small-vessel-skeleton-length (3D-SVSL), which is computed after the removal of the large vessels and associated projection artifacts, provides a novel metric to detect group differences between healthy controls and progressive stages of DR.This work was supported in part by NIH grants UH3NS100614, R21EY027879, U01EY025864, K08EY027006, P41EB015922, P30EY029220, Research to Prevent Blindness, and UL1TR001855 and UL1TR000130 from the National Center for Advancing Translational Science (NCATS) of the U.S. National Institutes of Health.

scholarly journals Comparison of swept-source versus spectral-domain optical coherence tomography angiography for detection of macular neovascularization

2021 ◽  
Author(s):  
Anna Lentzsch ◽  
Laura Schöllhorn ◽  
Christel Schnorr ◽  
Robert Siggel ◽  
Sandra Liakopoulos
Keyword(s):  
Optical Coherence Tomography ◽  
Optical Coherence Tomography Angiography ◽  
Spectral Domain ◽  
Optical Coherence ◽  
Cross Sectional ◽  
Swept Source ◽  
En Face ◽  
Increased Sensitivity ◽  
Sensitivity Specificity ◽  
Subretinal Hyperreflective Material

Abstract Purpose To compare swept-source (SS) versus spectral-domain (SD) optical coherence tomography angiography (OCTA) for the detection of macular neovascularization (MNV). Methods In this prospective cohort study, 72 eyes of 54 patients with subretinal hyperreflective material (SHRM) and/or pigment epithelial detachment (PED) on OCT possibly corresponding to MNV in at least one eye were included. OCTA scans were acquired using two devices, the PLEX Elite 9000 SS-OCTA and the Spectralis SD-OCTA. Fluorescein angiography (FA) was used as reference. Two graders independently evaluated en face OCTA images using a preset slab as well as a manually modified slab, followed by a combination of en face and cross-sectional OCTA. Results Sensitivity (specificity) for the automated slabs was 51.7% (93.0%) for SS-OCTA versus 58.6% (95.3%) for SD-OCTA. Manual modification of segmentation increased sensitivity to 79.3% for SS-OCTA but not for SD-OCTA (58.6%). The combination of en face OCTA with cross-sectional OCTA reached highest sensitivity values (SS-OCTA: 82.8%, SD-OCTA: 86.2%), and lowest number of cases with discrepancies between SS-OCTA and SD-OCTA (4.2%). Fleiss kappa as measure of concordance between FA, SS-OCTA, and SD-OCTA was 0.56 for the automated slabs, 0.60 for the manual slabs, and 0.73 (good agreement) for the combination of en face OCTA with cross-sectional OCTA. Concordance to FA was moderate for the automated slabs and good for manual slabs and combination with cross-sectional OCTA of both devices. Conclusion Both devices reached comparable results regarding the detection of MNV on OCTA. Sensitivity for MNV detection and agreement between devices was best when evaluating a combination of en face and cross-sectional OCTA.

scholarly journals The Spectrum of Central Choriocapillaris Abnormalities on Swept-Source Optical Coherence Tomography Angiography in the Fellow Eye of Unilateral Exudative Age-Related Macular Degeneration Patients: From Flow Deficits to Subclinical Non-Exudative Neovascularization

2021 ◽  
Vol 10 (12) ◽  
pp. 2658
Author(s):  
Alexis Khorrami Kashi ◽  
Eric Souied ◽  
Selim Fares ◽  
Enrico Borrelli ◽  
Vittorio Capuano ◽  
...  
Keyword(s):  
Optical Coherence Tomography ◽  
Macular Degeneration ◽  
Optical Coherence Tomography Angiography ◽  
Clinical Findings ◽  
Age Related Macular Degeneration ◽  
Optical Coherence ◽  
Swept Source ◽  
Exudative Amd ◽  
Age Related ◽  
Fellow Eyes

We evaluated the spectrum of choriocapillaris (CC) abnormalities in the fellow eyes of unilateral exudative age-related macular degeneration (AMD) patients using swept-source optical coherence tomography angiography (SS-OCTA). Fellow eyes of unilateral exudative AMD patients were prospectively included between May 2018 and October 2018. Patients underwent a multimodal imaging including a SS-OCTA. Demographics and clinical findings were analyzed. The estimated prevalence of macular neovascularization (MNV) was computed. Number and size of flow deficits (FDs) and percentage of flow deficits (FD%) were computed on the compensated CC flow images with the Fiji software. We included 97 eyes of 97 patients (mean age was 80 ± 7.66 years, 39 males, 58 females). The prevalence of MNV in the studied eyes was 8.25% (8/97 eyes). In the 89 non-neovascular eyes, FD% averaged 45.84% ± 11.63%, with a corresponding total area of FDs of 4.19 ± 1.12 mm2. There was a higher prevalence of drusenoid pigment epithelial detachment in eyes with subclinical neovascularization (p = 0.021). Fellow eyes with unilateral exudative AMD encompassed a series of CC abnormalities, from FDs of the aging CC to subclinical non-exudative MNV.

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