Comparative study between swept-source and spectral-domain OCTA for imaging of choroidal neovascularization in age-related macular degeneration

AIM: To compare the differences of choroidal neovascularization (CNV) measurements between swept-source and spectral-domain optical coherence tomography angiography (SS-OCTA and SD-OCTA) in neovascular age-related macular degeneration (nAMD) and the imaging reliability of the two devices. METHODS: P...

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Main Authors: Ji-Xian Ma, Zhuo-Yi Zhang, Rong Di, Jia-Jie Yang, Si-Wen Tian, Ya-Zhou Qin, Wan-Hu Zhang, Jian-Qin Lei, Qiu-Ping Liu, Jing-Ming Li
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Language:English
Published: Press of International Journal of Ophthalmology (IJO PRESS) 2024-11-01
Series:International Journal of Ophthalmology
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Online Access:http://ies.ijo.cn/en_publish/2024/11/20241113.pdf
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author Ji-Xian Ma
Zhuo-Yi Zhang
Rong Di
Jia-Jie Yang
Si-Wen Tian
Ya-Zhou Qin
Wan-Hu Zhang
Jian-Qin Lei
Qiu-Ping Liu
Jing-Ming Li
author_facet Ji-Xian Ma
Zhuo-Yi Zhang
Rong Di
Jia-Jie Yang
Si-Wen Tian
Ya-Zhou Qin
Wan-Hu Zhang
Jian-Qin Lei
Qiu-Ping Liu
Jing-Ming Li
author_sort Ji-Xian Ma
collection DOAJ
description AIM: To compare the differences of choroidal neovascularization (CNV) measurements between swept-source and spectral-domain optical coherence tomography angiography (SS-OCTA and SD-OCTA) in neovascular age-related macular degeneration (nAMD) and the imaging reliability of the two devices. METHODS: Prospective comparative study. SS-OCTA and SD-OCTA were used to scan the same eye with the modes of 3×3 and 6×6 mm2 centered on the neovascularization. Only qualified images were chosen and the border of CNV was manually delineated by two graders independently. The area of CNV (ACNV), vascular perfusion density (PD), and vessel length density (VLD) within the delineation were calculated using Image J. The differences of CNV measurements between the two OCTA devices were compared using Bland-Altman analysis. The agreement between the two graders on the measurements of each device was compared using the intraclass correlation coefficient (ICC). RESULTS: A total of 18 patients (22 eyes) with nAMD were included. The measurements of ACNV, PD, and VLD were 7.247±4.586 and 4.901±3.741 mm2, 43.202±9.636 and 34.904±10.489, 6.339±1.228 and 5.908±1.741 mm-1 for SS-OCTA and SD-OCTA, respectively. The differences between the two devices were 2.346±3.030 mm2 (Z= -3.782, P<0.0001), 8.298±14.160 (Z=-2.419, P=0.016), and 0.431±2.114 mm-1 (Z=-0.828, P=0.408) for ACNV, PD and VLD, respectively. The ICC between two graders were 0.893 (P<0.001), 0.902 (P<0.001), 0.885 (P<0.001) for ACNV, PD, VLD in SS-OCTA, and 0.971 (P<0.001), 0.976 (P<0.001), 0.973 (P<0.001) in SD-OCTA, respectively. CONCLUSION: Both OCTA devices have high imaging reliability. Compared with SD-OCTA, SS-OCTA has a larger ACNV measurements, but doesn't show better resolution of internal vessels of CNV and well signal strength.
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spelling doaj-art-be38beab846c41dbb6f4e71fb070ce5a2025-08-20T02:09:48ZengPress of International Journal of Ophthalmology (IJO PRESS)International Journal of Ophthalmology2222-39592227-48982024-11-0117112067207310.18240/ijo.2024.11.1320241113Comparative study between swept-source and spectral-domain OCTA for imaging of choroidal neovascularization in age-related macular degenerationJi-Xian Ma0Zhuo-Yi Zhang1Rong Di2Jia-Jie Yang3Si-Wen Tian4Ya-Zhou Qin5Wan-Hu Zhang6Jian-Qin Lei7Qiu-Ping Liu8Jing-Ming Li9Jing-Ming Li. Department of Ophthalmology, the First Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710061, Shaanxi Province, China. jingming_li@126.comDepartment of Ophthalmology, the First Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710061, Shaanxi Province, ChinaDepartment of Ophthalmology, the First Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710061, Shaanxi Province, ChinaAffiliated Eye Hospital of Nanchang University, Nanchang 330006, Jiangxi Province, ChinaAffiliated Eye Hospital of Nanchang University, Nanchang 330006, Jiangxi Province, ChinaDepartment of Ophthalmology, the First Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710061, Shaanxi Province, ChinaDepartment of Ophthalmology, the First Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710061, Shaanxi Province, ChinaDepartment of Ophthalmology, the First Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710061, Shaanxi Province, ChinaDepartment of Ophthalmology, First Affiliated Hospital of Nanhua University, Hengyang 421005, Hunan Province, ChinaDepartment of Ophthalmology, the First Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710061, Shaanxi Province, ChinaAIM: To compare the differences of choroidal neovascularization (CNV) measurements between swept-source and spectral-domain optical coherence tomography angiography (SS-OCTA and SD-OCTA) in neovascular age-related macular degeneration (nAMD) and the imaging reliability of the two devices. METHODS: Prospective comparative study. SS-OCTA and SD-OCTA were used to scan the same eye with the modes of 3×3 and 6×6 mm2 centered on the neovascularization. Only qualified images were chosen and the border of CNV was manually delineated by two graders independently. The area of CNV (ACNV), vascular perfusion density (PD), and vessel length density (VLD) within the delineation were calculated using Image J. The differences of CNV measurements between the two OCTA devices were compared using Bland-Altman analysis. The agreement between the two graders on the measurements of each device was compared using the intraclass correlation coefficient (ICC). RESULTS: A total of 18 patients (22 eyes) with nAMD were included. The measurements of ACNV, PD, and VLD were 7.247±4.586 and 4.901±3.741 mm2, 43.202±9.636 and 34.904±10.489, 6.339±1.228 and 5.908±1.741 mm-1 for SS-OCTA and SD-OCTA, respectively. The differences between the two devices were 2.346±3.030 mm2 (Z= -3.782, P<0.0001), 8.298±14.160 (Z=-2.419, P=0.016), and 0.431±2.114 mm-1 (Z=-0.828, P=0.408) for ACNV, PD and VLD, respectively. The ICC between two graders were 0.893 (P<0.001), 0.902 (P<0.001), 0.885 (P<0.001) for ACNV, PD, VLD in SS-OCTA, and 0.971 (P<0.001), 0.976 (P<0.001), 0.973 (P<0.001) in SD-OCTA, respectively. CONCLUSION: Both OCTA devices have high imaging reliability. Compared with SD-OCTA, SS-OCTA has a larger ACNV measurements, but doesn't show better resolution of internal vessels of CNV and well signal strength.http://ies.ijo.cn/en_publish/2024/11/20241113.pdfneovascular age-related macular degenerationswept-sourcespectral-domainoptical coherence tomography angiography
spellingShingle Ji-Xian Ma
Zhuo-Yi Zhang
Rong Di
Jia-Jie Yang
Si-Wen Tian
Ya-Zhou Qin
Wan-Hu Zhang
Jian-Qin Lei
Qiu-Ping Liu
Jing-Ming Li
Comparative study between swept-source and spectral-domain OCTA for imaging of choroidal neovascularization in age-related macular degeneration
International Journal of Ophthalmology
neovascular age-related macular degeneration
swept-source
spectral-domain
optical coherence tomography angiography
title Comparative study between swept-source and spectral-domain OCTA for imaging of choroidal neovascularization in age-related macular degeneration
title_full Comparative study between swept-source and spectral-domain OCTA for imaging of choroidal neovascularization in age-related macular degeneration
title_fullStr Comparative study between swept-source and spectral-domain OCTA for imaging of choroidal neovascularization in age-related macular degeneration
title_full_unstemmed Comparative study between swept-source and spectral-domain OCTA for imaging of choroidal neovascularization in age-related macular degeneration
title_short Comparative study between swept-source and spectral-domain OCTA for imaging of choroidal neovascularization in age-related macular degeneration
title_sort comparative study between swept source and spectral domain octa for imaging of choroidal neovascularization in age related macular degeneration
topic neovascular age-related macular degeneration
swept-source
spectral-domain
optical coherence tomography angiography
url http://ies.ijo.cn/en_publish/2024/11/20241113.pdf
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