Novel biomarker of sphericity and cylindricity indices in volume-rendering optical coherence tomography angiography in normal and diabetic eyes: a preliminary study

Purpose Preliminary to evaluate geometric indices (vessel sphericity and cylindricity) for volume-rendered optical coherence tomography angiography (OCTA) in healthy and diabetic eyes. Methods Twenty-six eyes of 13 healthy subjects and 12 eyes of patients with central ischemic, non-proliferative dia...

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Veröffentlicht in:Graefe's archive for clinical and experimental ophthalmology 2020-04, Vol.258 (4), p.711-723
Hauptverfasser: Maloca, Peter M., Spaide, Richard F., de Carvalho, Emanuel Ramos, Studer, Harald P., W Hasler, Pascal, Scholl, Hendrik P. N., Heeren, Tjebo F. C., Schottenhamml, Julia, Balaskas, Konstantinos, Tufail, Adnan, Egan, Catherine
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container_issue 4
container_start_page 711
container_title Graefe's archive for clinical and experimental ophthalmology
container_volume 258
creator Maloca, Peter M.
Spaide, Richard F.
de Carvalho, Emanuel Ramos
Studer, Harald P.
W Hasler, Pascal
Scholl, Hendrik P. N.
Heeren, Tjebo F. C.
Schottenhamml, Julia
Balaskas, Konstantinos
Tufail, Adnan
Egan, Catherine
description Purpose Preliminary to evaluate geometric indices (vessel sphericity and cylindricity) for volume-rendered optical coherence tomography angiography (OCTA) in healthy and diabetic eyes. Methods Twenty-six eyes of 13 healthy subjects and 12 eyes of patients with central ischemic, non-proliferative diabetic retinopathy were included. OCTA volume and surface area of the foveal vessels were measured and compared to determine OCTA sphericity and cylindricity indices and surface efficiency (SE). Results The overall average OCTA volume in healthy was 0.49 ± 0.09 mm 3 (standard deviation [SD]), compared to 0.44 ± 0.07 mm 3 (SD) in the diabetic eyes (difference in means 0.06 mm 3 , p  = 0.054). The overall average OCTA surface area in the healthy eyes was 87.731 ± 9.51 mm 2 (SD), compared to 76.65 ± 13.67 mm 2 (SD) in the diabetic eyes (difference in means 11.08 mm 2 , p  = 0.021). In relation to total foveolar tissue volume, the proportion of blood vessels was 22% in healthy individuals and only 20% in diabetics. The difference between the groups was more pronounced with respect to the total OCTA surface area, with a decrease of 13% in diabetics. A diabetic eye was most likely using geometric vessel indices analysis if the sphericity value was ≥ 0.190, with a cylindricity factor of ≥ 0.001. Reproducibility of the method was good. Conclusions A method for OCTA surface area and volume measurements was developed. The application of the novel OCTA sphericity and cylindricity indices could be suitable as temporal biomarker to characterize stable disease or disease progression and may contribute to a better understanding in the evolution of diabetic retinopathy.
doi_str_mv 10.1007/s00417-019-04582-x
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N. ; Heeren, Tjebo F. C. ; Schottenhamml, Julia ; Balaskas, Konstantinos ; Tufail, Adnan ; Egan, Catherine</creator><creatorcontrib>Maloca, Peter M. ; Spaide, Richard F. ; de Carvalho, Emanuel Ramos ; Studer, Harald P. ; W Hasler, Pascal ; Scholl, Hendrik P. N. ; Heeren, Tjebo F. C. ; Schottenhamml, Julia ; Balaskas, Konstantinos ; Tufail, Adnan ; Egan, Catherine ; IOB study group</creatorcontrib><description>Purpose Preliminary to evaluate geometric indices (vessel sphericity and cylindricity) for volume-rendered optical coherence tomography angiography (OCTA) in healthy and diabetic eyes. Methods Twenty-six eyes of 13 healthy subjects and 12 eyes of patients with central ischemic, non-proliferative diabetic retinopathy were included. OCTA volume and surface area of the foveal vessels were measured and compared to determine OCTA sphericity and cylindricity indices and surface efficiency (SE). Results The overall average OCTA volume in healthy was 0.49 ± 0.09 mm 3 (standard deviation [SD]), compared to 0.44 ± 0.07 mm 3 (SD) in the diabetic eyes (difference in means 0.06 mm 3 , p  = 0.054). The overall average OCTA surface area in the healthy eyes was 87.731 ± 9.51 mm 2 (SD), compared to 76.65 ± 13.67 mm 2 (SD) in the diabetic eyes (difference in means 11.08 mm 2 , p  = 0.021). In relation to total foveolar tissue volume, the proportion of blood vessels was 22% in healthy individuals and only 20% in diabetics. The difference between the groups was more pronounced with respect to the total OCTA surface area, with a decrease of 13% in diabetics. A diabetic eye was most likely using geometric vessel indices analysis if the sphericity value was ≥ 0.190, with a cylindricity factor of ≥ 0.001. Reproducibility of the method was good. Conclusions A method for OCTA surface area and volume measurements was developed. The application of the novel OCTA sphericity and cylindricity indices could be suitable as temporal biomarker to characterize stable disease or disease progression and may contribute to a better understanding in the evolution of diabetic retinopathy.</description><identifier>ISSN: 0721-832X</identifier><identifier>EISSN: 1435-702X</identifier><identifier>DOI: 10.1007/s00417-019-04582-x</identifier><identifier>PMID: 31907642</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adult ; Angiography ; Biomarkers ; Blood vessels ; Cross-Sectional Studies ; Diabetes ; Diabetes mellitus ; Diabetic retinopathy ; Diabetic Retinopathy - diagnosis ; Diabetic Retinopathy - physiopathology ; Female ; Fluorescein Angiography - methods ; Follow-Up Studies ; Fovea Centralis - diagnostic imaging ; Fovea Centralis - physiopathology ; Fundus Oculi ; Humans ; Ischemia ; Male ; Medical imaging ; Medicine ; Medicine &amp; Public Health ; Ophthalmology ; Regional Blood Flow - physiology ; Retinal Disorders ; Retinal Vessels - diagnostic imaging ; Retinal Vessels - physiopathology ; Retinopathy ; Retrospective Studies ; Surface area ; Tomography ; Tomography, Optical Coherence - methods ; Young Adult</subject><ispartof>Graefe's archive for clinical and experimental ophthalmology, 2020-04, Vol.258 (4), p.711-723</ispartof><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2020</rights><rights>Graefe's Archive for Clinical and Experimental Ophthalmology is a copyright of Springer, (2020). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-1388bf73df861faabf5de65050d7f128bdad797a3b188cd54a2381cc1a8a66333</citedby><cites>FETCH-LOGICAL-c375t-1388bf73df861faabf5de65050d7f128bdad797a3b188cd54a2381cc1a8a66333</cites><orcidid>0000-0002-4794-5859</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00417-019-04582-x$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00417-019-04582-x$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31907642$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Maloca, Peter M.</creatorcontrib><creatorcontrib>Spaide, Richard F.</creatorcontrib><creatorcontrib>de Carvalho, Emanuel Ramos</creatorcontrib><creatorcontrib>Studer, Harald P.</creatorcontrib><creatorcontrib>W Hasler, Pascal</creatorcontrib><creatorcontrib>Scholl, Hendrik P. N.</creatorcontrib><creatorcontrib>Heeren, Tjebo F. C.</creatorcontrib><creatorcontrib>Schottenhamml, Julia</creatorcontrib><creatorcontrib>Balaskas, Konstantinos</creatorcontrib><creatorcontrib>Tufail, Adnan</creatorcontrib><creatorcontrib>Egan, Catherine</creatorcontrib><creatorcontrib>IOB study group</creatorcontrib><title>Novel biomarker of sphericity and cylindricity indices in volume-rendering optical coherence tomography angiography in normal and diabetic eyes: a preliminary study</title><title>Graefe's archive for clinical and experimental ophthalmology</title><addtitle>Graefes Arch Clin Exp Ophthalmol</addtitle><addtitle>Graefes Arch Clin Exp Ophthalmol</addtitle><description>Purpose Preliminary to evaluate geometric indices (vessel sphericity and cylindricity) for volume-rendered optical coherence tomography angiography (OCTA) in healthy and diabetic eyes. Methods Twenty-six eyes of 13 healthy subjects and 12 eyes of patients with central ischemic, non-proliferative diabetic retinopathy were included. OCTA volume and surface area of the foveal vessels were measured and compared to determine OCTA sphericity and cylindricity indices and surface efficiency (SE). Results The overall average OCTA volume in healthy was 0.49 ± 0.09 mm 3 (standard deviation [SD]), compared to 0.44 ± 0.07 mm 3 (SD) in the diabetic eyes (difference in means 0.06 mm 3 , p  = 0.054). The overall average OCTA surface area in the healthy eyes was 87.731 ± 9.51 mm 2 (SD), compared to 76.65 ± 13.67 mm 2 (SD) in the diabetic eyes (difference in means 11.08 mm 2 , p  = 0.021). In relation to total foveolar tissue volume, the proportion of blood vessels was 22% in healthy individuals and only 20% in diabetics. The difference between the groups was more pronounced with respect to the total OCTA surface area, with a decrease of 13% in diabetics. A diabetic eye was most likely using geometric vessel indices analysis if the sphericity value was ≥ 0.190, with a cylindricity factor of ≥ 0.001. Reproducibility of the method was good. Conclusions A method for OCTA surface area and volume measurements was developed. The application of the novel OCTA sphericity and cylindricity indices could be suitable as temporal biomarker to characterize stable disease or disease progression and may contribute to a better understanding in the evolution of diabetic retinopathy.</description><subject>Adult</subject><subject>Angiography</subject><subject>Biomarkers</subject><subject>Blood vessels</subject><subject>Cross-Sectional Studies</subject><subject>Diabetes</subject><subject>Diabetes mellitus</subject><subject>Diabetic retinopathy</subject><subject>Diabetic Retinopathy - diagnosis</subject><subject>Diabetic Retinopathy - physiopathology</subject><subject>Female</subject><subject>Fluorescein Angiography - methods</subject><subject>Follow-Up Studies</subject><subject>Fovea Centralis - diagnostic imaging</subject><subject>Fovea Centralis - physiopathology</subject><subject>Fundus Oculi</subject><subject>Humans</subject><subject>Ischemia</subject><subject>Male</subject><subject>Medical imaging</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Ophthalmology</subject><subject>Regional Blood Flow - physiology</subject><subject>Retinal Disorders</subject><subject>Retinal Vessels - diagnostic imaging</subject><subject>Retinal Vessels - physiopathology</subject><subject>Retinopathy</subject><subject>Retrospective Studies</subject><subject>Surface area</subject><subject>Tomography</subject><subject>Tomography, Optical Coherence - methods</subject><subject>Young Adult</subject><issn>0721-832X</issn><issn>1435-702X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kc9u1DAQxi0EotvCC_SALHHh4uI_SezlhqrSVqrgQqXeLMeebN0mdrCTqnkfHrTe7hYkDpxmNPp934zmQ-iY0RNGqfycKa2YJJStCa1qxcnjK7RilaiJpPzmNVpRyRlRgt8coMOc72jhRc3eogPB1lQ2FV-h39_jA_S49XEw6R4Sjh3O4y0kb_20YBMctkvvg9sPSuct5FLxQ-znAUiC4AoeNjiOk7emxzYWPQQLeIpD3CQz3m6dNv6lL-IQ01DQrb_zpoWixLBA_oINHhP0fvDBpAXnaXbLO_SmM32G9_t6hK6_nf08vSBXP84vT79eEStkPREmlGo7KVynGtYZ03a1g6amNXWyY1y1zji5lka0TCnr6spwoZi1zCjTNEKII_Rp5zum-GuGPOnBZwt9bwLEOWsuRMXFWnFe0I__oHdxTqFcVygpKeMNl4XiO8qmmHOCTo_Jl0cvmlG9zVDvMtQlQ_2coX4sog9767kdwP2RvIRWALED8rj9O6S_u_9j-wQnmqwx</recordid><startdate>20200401</startdate><enddate>20200401</enddate><creator>Maloca, Peter M.</creator><creator>Spaide, Richard F.</creator><creator>de Carvalho, Emanuel Ramos</creator><creator>Studer, Harald P.</creator><creator>W Hasler, Pascal</creator><creator>Scholl, Hendrik P. 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C.</creatorcontrib><creatorcontrib>Schottenhamml, Julia</creatorcontrib><creatorcontrib>Balaskas, Konstantinos</creatorcontrib><creatorcontrib>Tufail, Adnan</creatorcontrib><creatorcontrib>Egan, Catherine</creatorcontrib><creatorcontrib>IOB study group</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Neurosciences Abstracts</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Graefe's archive for clinical and experimental ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Maloca, Peter M.</au><au>Spaide, Richard F.</au><au>de Carvalho, Emanuel Ramos</au><au>Studer, Harald P.</au><au>W Hasler, Pascal</au><au>Scholl, Hendrik P. N.</au><au>Heeren, Tjebo F. C.</au><au>Schottenhamml, Julia</au><au>Balaskas, Konstantinos</au><au>Tufail, Adnan</au><au>Egan, Catherine</au><aucorp>IOB study group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Novel biomarker of sphericity and cylindricity indices in volume-rendering optical coherence tomography angiography in normal and diabetic eyes: a preliminary study</atitle><jtitle>Graefe's archive for clinical and experimental ophthalmology</jtitle><stitle>Graefes Arch Clin Exp Ophthalmol</stitle><addtitle>Graefes Arch Clin Exp Ophthalmol</addtitle><date>2020-04-01</date><risdate>2020</risdate><volume>258</volume><issue>4</issue><spage>711</spage><epage>723</epage><pages>711-723</pages><issn>0721-832X</issn><eissn>1435-702X</eissn><abstract>Purpose Preliminary to evaluate geometric indices (vessel sphericity and cylindricity) for volume-rendered optical coherence tomography angiography (OCTA) in healthy and diabetic eyes. Methods Twenty-six eyes of 13 healthy subjects and 12 eyes of patients with central ischemic, non-proliferative diabetic retinopathy were included. OCTA volume and surface area of the foveal vessels were measured and compared to determine OCTA sphericity and cylindricity indices and surface efficiency (SE). Results The overall average OCTA volume in healthy was 0.49 ± 0.09 mm 3 (standard deviation [SD]), compared to 0.44 ± 0.07 mm 3 (SD) in the diabetic eyes (difference in means 0.06 mm 3 , p  = 0.054). The overall average OCTA surface area in the healthy eyes was 87.731 ± 9.51 mm 2 (SD), compared to 76.65 ± 13.67 mm 2 (SD) in the diabetic eyes (difference in means 11.08 mm 2 , p  = 0.021). In relation to total foveolar tissue volume, the proportion of blood vessels was 22% in healthy individuals and only 20% in diabetics. The difference between the groups was more pronounced with respect to the total OCTA surface area, with a decrease of 13% in diabetics. A diabetic eye was most likely using geometric vessel indices analysis if the sphericity value was ≥ 0.190, with a cylindricity factor of ≥ 0.001. Reproducibility of the method was good. Conclusions A method for OCTA surface area and volume measurements was developed. The application of the novel OCTA sphericity and cylindricity indices could be suitable as temporal biomarker to characterize stable disease or disease progression and may contribute to a better understanding in the evolution of diabetic retinopathy.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>31907642</pmid><doi>10.1007/s00417-019-04582-x</doi><tpages>13</tpages><orcidid>https://orcid.org/0000-0002-4794-5859</orcidid></addata></record>
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subjects Adult
Angiography
Biomarkers
Blood vessels
Cross-Sectional Studies
Diabetes
Diabetes mellitus
Diabetic retinopathy
Diabetic Retinopathy - diagnosis
Diabetic Retinopathy - physiopathology
Female
Fluorescein Angiography - methods
Follow-Up Studies
Fovea Centralis - diagnostic imaging
Fovea Centralis - physiopathology
Fundus Oculi
Humans
Ischemia
Male
Medical imaging
Medicine
Medicine & Public Health
Ophthalmology
Regional Blood Flow - physiology
Retinal Disorders
Retinal Vessels - diagnostic imaging
Retinal Vessels - physiopathology
Retinopathy
Retrospective Studies
Surface area
Tomography
Tomography, Optical Coherence - methods
Young Adult
title Novel biomarker of sphericity and cylindricity indices in volume-rendering optical coherence tomography angiography in normal and diabetic eyes: a preliminary study
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