Repeatability of Optical Coherence Tomography Angiography Measurements in Patients with Retinal Vein Occlusion.

Published on Apr 5, 2021in Korean Journal of Ophthalmology
· DOI :10.3341/KJO.2020.0143
Yong Min Lee , Min-Woo Lee8
Estimated H-index: 8
+ 2 AuthorsYoung Hoon Lee3
Estimated H-index: 3
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Abstract
Purpose To analyze the repeatability of vessel density (VD) measurements and manual foveal avascular zone (FAZ) measurements using optical coherence tomography angiography (OCTA) in patients with retinal vein occlusion (RVO) without macular edema. Methods The study population consisted of patients with RVO and central macular thickness l300 μm. For each subject, measurements were performed twice with a 5-minute interval. The intraclass correlation coefficient (ICC) and coefficient of variation (CV) were calculated to analyze the repeatability of results obtained with the OCTA device. To identify factors related to repeatability, we performed Pearson correlation analyses based on the CV of potential factors. Results A total of 48 eyes were included in the study. The ICCs of the VDs in superficial capillary plexus (SCP) and the deep capillary plexus (DCP) were 0.748 and 0.665, respectively, and the CVs of the VDs in SCP and DCP were 9.1% and 12.6%, respectively. The ICCs associated with the FAZ of the superficial layer (SFAZ) and that of the deep layer (DFAZ) were 0.965 and 0.956, respectively, and the CV of the SFAZ and DFAZ were 8.8% and 9.7%, respectively. From Pearson correlation analyses, OCTA quality was significantly correlated with the CV of the VDs of SCP and DCP. However, there were no variables that were significantly correlated with the CV of SFAZ and DFAZ, including OCTA quality. Conclusions VD measurements in the SCP layer using OCTA exhibited good repeatability, and VD measurements in the DCP layer exhibited relatively low repeatability compared to that of SCP layer measurements in patients with RVO without macular edema after treatment with bevacizumab. Manual measurement of the FAZ area in both SCP and DCP layers resulted in good repeatability. In addition, the repeatability of VD measurements in SCP and DCP layers was correlated with OCTA image quality.
References22
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#1Kyeung-Min Kim (CNU: Chungnam National University)H-Index: 3
#2Min-Woo Lee (CNU: Chungnam National University)H-Index: 8
Last. Jung Yeul Kim (CNU: Chungnam National University)H-Index: 16
view all 6 authors...
PURPOSE To determine the repeatability of superficial vessel density measurements using Spectral domain Ocular coherence tomography angiography(SD-OCTA) in patients diagnosed with retinal vein occlusion(RVO). DESIGN Prospective observational study. SUBJECTS Patients who visited our retinal clinic from August 2017 to August 2018, diagnosed with RVO were recruited for the study. METHODS Two consecutive 3×3 mm pattern scans were performed using the Cirrus HD-OCT 5000 along with AngioPlex software (...
3 CitationsSource
#1Jong Ha Lee (Konyang University)H-Index: 1
#2Min-Woo Lee (Konyang University)H-Index: 8
Last. Young Hoon Lee (Konyang University)H-Index: 3
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PURPOSE: To analyze the repeatability of manual measurement of foveal avascular zone (FAZ) area in an optical coherence tomography angiography (OCTA) image in high myopia. METHODS: This study comprised patients with high myopia and controls. Two consecutive FAZ areas of the superficial and deep capillary plexus were obtained using OCTA. The intraclass correlation coefficient (ICC) and coefficient of variation (CV) were assessed, and univariate and multivariate generalized linear mixed models wer...
1 CitationsSource
#1Min-Woo Lee (Konyang University)H-Index: 8
#2Kiyup Nam (Gyeongsang National University)H-Index: 2
Last. Jung Yeul Kim (CNU: Chungnam National University)H-Index: 16
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PURPOSE: To determine the long-term repeatability of optical coherence tomography angiography (OCTA) parameters in normal eyes. METHODS: We prospectively enrolled 104 normal eyes. Participants were divided into three groups based on differences in the signal strength (SS) of OCTA scans obtained at two visits at least 6 months apart: group 1, SS difference = 2; group 2, 1; group 3, 0. We measured a foveal centred scan area of 3 × 3 mm pattern. All measurements were performed twice at 5-min interv...
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#1Taek Hoon Lee (CNU: Chungnam National University)H-Index: 1
#2Hyung Bin Lim (CNU: Chungnam National University)H-Index: 8
Last. Jung Yeul Kim (CNU: Chungnam National University)H-Index: 16
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Various factors can affect repeatability of optical coherence tomography angiography (OCTA) measurements, and they have not been studied sufficiently. We aimed to investigate the factors associated with the repeatability of automated superficial retinal vessel density (VD) and foveal avascular zone (FAZ) metrics acquired from OCTA. A total of 141 normal eyes from 141 healthy subjects were included, and two consecutive macular 6 × 6-mm angiography scans were performed. VD, perfusion density (PD),...
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#1Hyung Bin Lim (CNU: Chungnam National University)H-Index: 8
#2Yong Woo Kim (SNU: Seoul National University)H-Index: 4
Last. Jung Yeul Kim (CNU: Chungnam National University)H-Index: 16
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The quality of the scan image is important in peripapillary circulation analysis using optical coherence tomography angiography (OCTA). We aimed to investigate the effects of signal strength (SS) on the peripapillary microvascular density acquired from OCTA. A total of 259 eyes from 259 young healthy subjects were included. Peripapillary OCTA images using 3 × 3 mm angiography scan were acquired from all participants. Subjects were divided into four groups according to the SS: SS 7, SS 8, SS 9, a...
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#1Cecília Czakó (Semmelweis University)H-Index: 6
#2Lilla István (Semmelweis University)H-Index: 4
Last. Illés Kovács (Semmelweis University)H-Index: 23
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This study aimed to determine the relationship between image quality and measurement repeatability of optical coherence tomography angiography (OCTA) parameters in patients with non-proliferative diabetic retinopathy. A total of 100 eyes of 50 patients were included in the study. Three OCTA images were obtained consecutively during one session of imaging in all patients using the RTVue AngioVue OCTA device. We applied the signal strength index (SSI) provided by the RTVue system to define scan qu...
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#1Michael Eastline (University of Bern)H-Index: 1
#2Marion R. Munk (University of Bern)H-Index: 12
Last. Martin S. Zinkernagel (University of Bern)H-Index: 25
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Purpose: We evaluated the repeatability of wide-field en face swept-source optical coherence tomography angiography (SS-OCTA) in healthy subjects. Methods: Healthy subjects underwent two imaging sessions, on average 8 days apart, with a 100 kHz SS-OCTA instrument. The imaging protocol included a central 3 × 3 and 12 × 12 mm scans of the four quadrants resulting in more than a 70° wide-field OCTA of the posterior pole. Quantitative analysis was performed using the inbuilt Macular Density Algorith...
14 CitationsSource
#1Min-Woo Lee (CNU: Chungnam National University)H-Index: 8
#2Kyeung-Min Kim (CNU: Chungnam National University)H-Index: 3
Last. Jung Yeul Kim (CNU: Chungnam National University)H-Index: 16
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Aim To analyse the repeatability of vessel density (VD) measurements using optical coherence tomography angiography (OCTA) in patients with retinal diseases. Methods Two consecutive VD measurements using OCTA were analysed prospectively in patients with retinal diseases (diabetic macular oedema (DME), retinal vein occlusion (RVO) with macular oedema, epiretinal membrane (ERM), wet age-related macular degeneration (AMD)). The intraclass correlation coefficient (ICC), coefficient of variation (CV)...
25 CitationsSource
#1Danqi Fang (CUHK: The Chinese University of Hong Kong)H-Index: 2
#2Fang Yao Tang (CUHK: The Chinese University of Hong Kong)H-Index: 10
Last. Haoyu Chen (CUHK: The Chinese University of Hong Kong)H-Index: 29
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Purpose To investigate the repeatability, interocular correlation and agreement of quantitative swept-source optical coherence tomography angiography (SS-OCTA) metrics in healthy subjects. Methods Thirty-three healthy normal subjects were enrolled. The macula was scanned four times by an SS-OCTA system using the 3 mm×3 mm mode. The superficial capillary map images were analysed using a MATLAB program. A series of parameters were measured: foveal avascular zone (FAZ) area, FAZ perimeter, FAZ circ...
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#1Cecília Czakó (Semmelweis University)H-Index: 6
#2Gábor László Sándor (Semmelweis University)H-Index: 12
Last. Illés Kovács (Semmelweis University)H-Index: 23
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In clinical practice the measurement error of an instrument has special importance in analyzing and interpreting data, and acknowledging limitations. The purpose of this study was to evaluate intrasession and between-visit reproducibility of OCT angiography measurements in diabetic patients. A total of 54 eyes of 27 diabetic patients underwent OCT angiography imaging. Foveal avascular zone (FAZ) area and superficial retinal vessel density (VD) at 3 mm were calculated using the AngioAnalytics sof...
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