Precise Measurement of Retinal Vascular Bed Area and Density on Ultra-wide Fluorescein Angiography in Normal Subjects

Precise Measurement of Retinal Vascular Bed Area and Density on Ultra-wide Fluorescein Angiography in Normal Subjects
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DOI:
10.1016/j.ajo.2018.01.036
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发表时间:
2018-04-01
影响因子:
4.2
通讯作者:
Sadda, Srinivas R.
Sadda, Srinivas R.
中科院分区:
医学1区
文献类型:
--
作者:
Fan, Wenying;Uji, Akihito;Sadda, Srinivas R.

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目的:利用立体校正超宽场(UWF)荧光素血管造影(FA)表征和量化正常眼睛视网膜血管床总面积(RVBA)和血管密度(VD)。设计:横断面研究。方法:使用Optos 200Tx (Optos plc, Dunfermline, uk)对31名无眼部疾病的正常受试者59只眼睛进行FA检查。中央和外围引导的FA图像被蒙太奇和立体投影。早期FA用于提取视网膜血管作为二元掩膜。两个独立的,蒙面阅读中心认证的评分者在中间相位框架上描绘了视网膜总面积(TRA)的外围边缘。RVBA和TRA使用制造商提供的软件以mm(2)为单位自动计算。VD由RVBA除以TRA计算。结果:整个视网膜的平均RVBA为42.3 +/- 14.8 mm(2),男女受试者之间无差异(P =.439),左右眼之间无差异(P =.407)。整个视网膜的平均VD为4.3% +/- 1.4%,无性别差异(P = 0.629)或侧边差异(P = 0.426)。年龄与RVBA、VD均呈负相关(RVBA: R = -0.6, P
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