1. REPRODUCIBILITY AND RELIABILITY OF OPTICAL COHERENCE TOMOGRAPHY ANGIOGRAPHY FOR FOVEAL AVASCULAR ZONE EVALUATION AND MEASUREMENT IN DIFFERENT SETTINGS
- Author
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Alessandro Marchese, Giuseppe Querques, Adriano Carnevali, Francesco Bandello, Carlo La Spina, Spina, C. L., Carnevali, A., Marchese, A., Querques, G., and Bandello, F.
- Subjects
Adult ,Male ,0301 basic medicine ,Fovea Centralis ,foveal avascular zone ,Square millimetres ,optical coherence tomography angiography ,Young Adult ,03 medical and health sciences ,0302 clinical medicine ,Optics ,Vasoactive ,Humans ,Medicine ,Fluorescein Angiography ,Analysis of Variance ,Reproducibility ,business.industry ,Reproducibility of Results ,Retinal Vessels ,AVANTI AngioVue ,General Medicine ,Foveal avascular zone ,Optical coherence tomography angiography ,Middle Aged ,Flickering light ,Macular capillary network ,Ophthalmology ,030104 developmental biology ,030221 ophthalmology & optometry ,Female ,Tomography ,business ,Nuclear medicine ,Tomography, Optical Coherence - Abstract
Purpose Optical coherence tomography angiography (OCTA) allows delineating the foveal avascular zone (FAZ) easily and noninvasively. The present study aims to test reproducibility and reliability of FAZ evaluation by means of OCTA in different settings. Methods Twenty-four eyes of 24 normal subjects were investigated using AngioVue OCTA Imaging System. A series of OCTA acquisitions were taken both in basal and in different experimental settings after vasoactive stimuli. Images were evaluated separately by two operators and FAZ area was measured both manually and using the built-in automated measurement tool. Results No differences for FAZ area were found in the repetition of basal acquisitions, neither in manual nor in automated measurement (0.215 ± 0.06 vs. 0.216 ± 0.07, and 0.268 ± 0.05 vs. 0.264 ± 0.09, first vs. second basal measurement in square millimetres for manual and automated evaluation, P = 0.25 and P = 0.35, respectively). Interoperators correlation was optimal (r = 0.978 [95% CI 0.981-0.976]). No differences were found among the other settings, which included first basal and then repeated (second) in the morning, after flickering light stimulus, after a Bruce treadmill stress test, after 30 minutes dark adaptation, and basal in the evening, neither in automated nor in manual measurements. Automated measurements for nonflow areas provided significantly larger diameters than manual ones. Conclusion AngioVue OCTA Imaging System produces highly reproducible FAZ images with a high interoperators concordance level. Optical coherence tomography angiography capability to detect FAZ area seems not to be influenced by any of the vasoactive stimuli considered in the current study. Nonflow areas seem to be larger when measured automatically than manually.
- Published
- 2017
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