机构:[1]Doheny Image Reading Center, Doheny Eye Institute, Los Angeles, California[2]Department of Ophthalmology, David Geffen School of Medicine at UCLA, Los Angeles, California[3]Beijing Tongren Eye Center, Beijing Tongren Hospital, Beijing Ophthalmology and Visual Sciences Key Laboratory, Capital Medical University, Beijing, China首都医科大学附属北京同仁医院首都医科大学附属同仁医院[4]Department of Ophthalmology, Medical Center Ophthalmology Associates, San Antonio, Texas[5]Optos PLC, Dunfermline, United Kingdom
PURPOSE: To characterize and quantify the total retinal vascular bed area (RVBA) and vascular density (VD) in normal eyes using stereographically corrected ultra-wide field (UWF) fluorescein angiography (FA). DESIGN: Cross-sectional study. METHODS: Fifty-nine eyes of 31 normal subjects with no evidence of ocular disease underwent FA using the Optos 200Tx (Optos plc, Dunfermline, United Kingdom). Central and peripheral-steered FA images were montaged and stereographically projected. The early-phase FA was used to extract the retinal vasculature as a binary mask. Two independent, masked reading center-certified graders delineated the peripheral edge of the total retinal area (TRA) on a middle-phase frame. The RVBA and TRA were computed automatically in mm(2) using software provided by the manufacturer. The VD was calculated by dividing RVBA by TRA. RESULTS: The mean RVBA was 42.3 +/- 14.8 mm(2) for the entire retina, with no difference between male and female subjects (P =.439) or between right and left eyes (P =.407). The mean VD was 4.3% +/- 1.4% for the entire retina, with no difference based on sex (P =.629) or laterality (P =.426). A negative correlation was observed between age and both RVBA and VD (RVBA: R = -0.6, P <.001; VD: R = -0.52, P <.001). Pairwise comparisons showed that subjects aged >65 years had smaller RVBA and VD than those younger than 50 years for the entire retina and in all quadrants. CONCLUSIONS: RVBA and VD can be extracted from UWF FA images using automated processing techniques and may provide a reliable alternative to measures such as nonperfusion area. (C) 2018 Elsevier Inc. All rights reserved.
基金:
GenentechRoche HoldingGenentech; AllerganAbbVieAllergan; Optos; Carl Zeiss Meditec; NovartisNovartis; Thrombogenics; Iconic
第一作者机构:[1]Doheny Image Reading Center, Doheny Eye Institute, Los Angeles, California[2]Department of Ophthalmology, David Geffen School of Medicine at UCLA, Los Angeles, California[3]Beijing Tongren Eye Center, Beijing Tongren Hospital, Beijing Ophthalmology and Visual Sciences Key Laboratory, Capital Medical University, Beijing, China
共同第一作者:
通讯作者:
通讯机构:[1]Doheny Image Reading Center, Doheny Eye Institute, Los Angeles, California[2]Department of Ophthalmology, David Geffen School of Medicine at UCLA, Los Angeles, California[*1]Doheny Eye Institute, PO Box 86228, Los Angeles, CA 90086
推荐引用方式(GB/T 7714):
Fan Wenying,Uji Akihito,Borrelli Enrico,et al.Precise Measurement of Retinal Vascular Bed Area and Density on Ultra-wide Fluorescein Angiography in Normal Subjects[J].AMERICAN JOURNAL OF OPHTHALMOLOGY.2018,188:155-163.doi:10.1016/j.ajo.2018.01.036.
APA:
Fan, Wenying,Uji, Akihito,Borrelli, Enrico,Singer, Michael,Sagong, Min...&Sadda, Srinivas R..(2018).Precise Measurement of Retinal Vascular Bed Area and Density on Ultra-wide Fluorescein Angiography in Normal Subjects.AMERICAN JOURNAL OF OPHTHALMOLOGY,188,
MLA:
Fan, Wenying,et al."Precise Measurement of Retinal Vascular Bed Area and Density on Ultra-wide Fluorescein Angiography in Normal Subjects".AMERICAN JOURNAL OF OPHTHALMOLOGY 188.(2018):155-163