Standardization of Optical Coherence Tomography Angiography Nomenclature in Retinal Vascular Diseases: Consensus-based Recommendations
To develop a consensus nomenclature for Optical Coherence Tomography Angiography (OCTA) findings in retinal vascular diseases (RVD). Expert consensus using standardized online surveys with modified Likert scale. RVD imaging experts, OCT biomedical engineers and the members of the International Retin...
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| creator | Munk, Marion R. Turgut, Ferhat Faes, Livia Jaggi, Damian Freund, K. Bailey Sadda, Srinivas R. Peto, Tunde Wang, Ruikang K. Pircher, Michael Curcio, Christine A. Sun, Jennifer Kashani, Amir H. Carroll, Joseph Say, Emil Anthony De Carlo Forest, Talisa Ramtohul, Prithvi Fung, Adrian Borrelli, Enrico Bhende, Muna Querques, Giuseppe Theelen, Thomas Rao, Chetan Agarwal, Aniruddha Cicinelli, Maria Vittoria Jung, Jesse Gutiérrez Hernández, Juan Carlos Chen, Fred Iovino, Claudio Arevalo, J. Fernando Gaudric, Alain Hartnett, M. Elizabeth Schmitz-Valckenberg, Steffen Rosenfeld, Philip Boyer, David Cheung, Chui Ming Gemmy Domalpally, Amitha Mano, Fukutaro Moussa, Magdy Bacci, Tommaso Rodriguez, Francisco J. Huemer, Josef Souied, Eric Tsui, Edmund Holz, Frank Byon, Iksoo Ach, Thomas Dysli, Chantal Falavarjani, Khalil Krivosic, Valérie Tan, Colin S. Sivaprasad, Sobha Claudia, Fabiani Crincoli, Emanuele Chiosi, Flavia |
| description | To develop a consensus nomenclature for Optical Coherence Tomography Angiography (OCTA) findings in retinal vascular diseases (RVD).
Expert consensus using standardized online surveys with modified Likert scale.
RVD imaging experts, OCT biomedical engineers and the members of the International Retinal Imaging Society (IntRIS)
A PubMed literature review identified quantitative and qualitative terms forming the basis for a consensus-building process using a modified Delphi method. Agreement levels were categorized as "Accepted" (median ≥ 6), "Considerable Consensus" (median 6–7, IQR ≤ 3), "Strong Consensus" (median ≥ 8, IQR ≤ 2), and "Refined Strong Consensus" (median ≥ 8, IQR ≤ 2, with ≥ 70% responses in the 8–10 range).
A multidisciplinary expert panel refined the terminology through three survey rounds, leading to a final survey conducted by IntRIS members.
Consensus on OCTA nomenclature in RVD
The literature review identified 58 relevant papers, yielding 51 quantitative and 108 qualitative terms. A series of three surveys was used to refine the nomenclature framework for describing OCTA findings. The selected framework includes a generic term ("OCTA signal"), adjective terms ("presence/absence", "decreased/increased", "normal/abnormal"), and descriptive/etiologic terms ("of unknown cause", "due to blockage", "due to non-perfusion").
In the final survey among 44 IntRIS members, the framework achieved strong consensus for overall acceptance (median: 8.0, IQR: 7.0–9.0). The term "OCTA signal" met refined strong consensus criteria (median: 8.0, IQR: 8.0–9.0, with ≥ 70% of responses in the 8–10 range). Adjective terms, including "absence/presence" and "increased/decreased," were also rated with strong consensus (median: 8.0, IQR: 7.0–9.0). Similarly, descriptive/etiologic terms achieved strong consensus (median: 8.0, IQR: 7.0–9.0).
Adoption of the framework for clinical practice and scientific reporting was rated with strong consensus (clinical: median 8.0, IQR: 7.0–9.0; scientific: median 9.0, IQR: 8.5–10.0).
This study establishes a strong consensus framework for reporting OCTA findings in RVD for clinical and scientific contexts. |
| doi_str_mv | 10.1016/j.oret.2025.01.015 |
| format | Article |
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Expert consensus using standardized online surveys with modified Likert scale.
RVD imaging experts, OCT biomedical engineers and the members of the International Retinal Imaging Society (IntRIS)
A PubMed literature review identified quantitative and qualitative terms forming the basis for a consensus-building process using a modified Delphi method. Agreement levels were categorized as "Accepted" (median ≥ 6), "Considerable Consensus" (median 6–7, IQR ≤ 3), "Strong Consensus" (median ≥ 8, IQR ≤ 2), and "Refined Strong Consensus" (median ≥ 8, IQR ≤ 2, with ≥ 70% responses in the 8–10 range).
A multidisciplinary expert panel refined the terminology through three survey rounds, leading to a final survey conducted by IntRIS members.
Consensus on OCTA nomenclature in RVD
The literature review identified 58 relevant papers, yielding 51 quantitative and 108 qualitative terms. A series of three surveys was used to refine the nomenclature framework for describing OCTA findings. The selected framework includes a generic term ("OCTA signal"), adjective terms ("presence/absence", "decreased/increased", "normal/abnormal"), and descriptive/etiologic terms ("of unknown cause", "due to blockage", "due to non-perfusion").
In the final survey among 44 IntRIS members, the framework achieved strong consensus for overall acceptance (median: 8.0, IQR: 7.0–9.0). The term "OCTA signal" met refined strong consensus criteria (median: 8.0, IQR: 8.0–9.0, with ≥ 70% of responses in the 8–10 range). Adjective terms, including "absence/presence" and "increased/decreased," were also rated with strong consensus (median: 8.0, IQR: 7.0–9.0). Similarly, descriptive/etiologic terms achieved strong consensus (median: 8.0, IQR: 7.0–9.0).
Adoption of the framework for clinical practice and scientific reporting was rated with strong consensus (clinical: median 8.0, IQR: 7.0–9.0; scientific: median 9.0, IQR: 8.5–10.0).
This study establishes a strong consensus framework for reporting OCTA findings in RVD for clinical and scientific contexts.</description><identifier>ISSN: 2468-6530</identifier><identifier>EISSN: 2468-6530</identifier><identifier>DOI: 10.1016/j.oret.2025.01.015</identifier><identifier>PMID: 39894444</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>International Retina Imaging Society ; nomenclature ; optical coherence tomography angiography ; retinal vascular diseases ; standardization</subject><ispartof>Ophthalmology retina, 2025-01</ispartof><rights>2025</rights><rights>Copyright © 2025. Published by Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c1524-76219999c6b511fe919fa722f86fad2fad70d45a193a8ccaecdb0a171e2d598e3</cites><orcidid>0000-0001-6265-0381 ; 0000-0002-7888-9773 ; 0000-0003-3778-8834 ; 0000-0002-8118-1610 ; 0000-0001-9285-7527 ; 0000-0001-9769-1538 ; 0000-0001-5169-8822 ; 0000-0003-0915-6303 ; 0000-0001-9767-7920 ; 0000-0002-3670-6983</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39894444$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Munk, Marion R.</creatorcontrib><creatorcontrib>Turgut, Ferhat</creatorcontrib><creatorcontrib>Faes, Livia</creatorcontrib><creatorcontrib>Jaggi, Damian</creatorcontrib><creatorcontrib>Freund, K. Bailey</creatorcontrib><creatorcontrib>Sadda, Srinivas R.</creatorcontrib><creatorcontrib>Peto, Tunde</creatorcontrib><creatorcontrib>Wang, Ruikang K.</creatorcontrib><creatorcontrib>Pircher, Michael</creatorcontrib><creatorcontrib>Curcio, Christine A.</creatorcontrib><creatorcontrib>Sun, Jennifer</creatorcontrib><creatorcontrib>Kashani, Amir H.</creatorcontrib><creatorcontrib>Carroll, Joseph</creatorcontrib><creatorcontrib>Say, Emil Anthony</creatorcontrib><creatorcontrib>De Carlo Forest, Talisa</creatorcontrib><creatorcontrib>Ramtohul, Prithvi</creatorcontrib><creatorcontrib>Fung, Adrian</creatorcontrib><creatorcontrib>Borrelli, Enrico</creatorcontrib><creatorcontrib>Bhende, Muna</creatorcontrib><creatorcontrib>Querques, Giuseppe</creatorcontrib><creatorcontrib>Theelen, Thomas</creatorcontrib><creatorcontrib>Rao, Chetan</creatorcontrib><creatorcontrib>Agarwal, Aniruddha</creatorcontrib><creatorcontrib>Cicinelli, Maria Vittoria</creatorcontrib><creatorcontrib>Jung, Jesse</creatorcontrib><creatorcontrib>Gutiérrez Hernández, Juan Carlos</creatorcontrib><creatorcontrib>Chen, Fred</creatorcontrib><creatorcontrib>Iovino, Claudio</creatorcontrib><creatorcontrib>Arevalo, J. Fernando</creatorcontrib><creatorcontrib>Gaudric, Alain</creatorcontrib><creatorcontrib>Hartnett, M. Elizabeth</creatorcontrib><creatorcontrib>Schmitz-Valckenberg, Steffen</creatorcontrib><creatorcontrib>Rosenfeld, Philip</creatorcontrib><creatorcontrib>Boyer, David</creatorcontrib><creatorcontrib>Cheung, Chui Ming Gemmy</creatorcontrib><creatorcontrib>Domalpally, Amitha</creatorcontrib><creatorcontrib>Mano, Fukutaro</creatorcontrib><creatorcontrib>Moussa, Magdy</creatorcontrib><creatorcontrib>Bacci, Tommaso</creatorcontrib><creatorcontrib>Rodriguez, Francisco J.</creatorcontrib><creatorcontrib>Huemer, Josef</creatorcontrib><creatorcontrib>Souied, Eric</creatorcontrib><creatorcontrib>Tsui, Edmund</creatorcontrib><creatorcontrib>Holz, Frank</creatorcontrib><creatorcontrib>Byon, Iksoo</creatorcontrib><creatorcontrib>Ach, Thomas</creatorcontrib><creatorcontrib>Dysli, Chantal</creatorcontrib><creatorcontrib>Falavarjani, Khalil</creatorcontrib><creatorcontrib>Krivosic, Valérie</creatorcontrib><creatorcontrib>Tan, Colin S.</creatorcontrib><creatorcontrib>Sivaprasad, Sobha</creatorcontrib><creatorcontrib>Claudia, Fabiani</creatorcontrib><creatorcontrib>Crincoli, Emanuele</creatorcontrib><creatorcontrib>Chiosi, Flavia</creatorcontrib><creatorcontrib>on behalf of the International Retinal Imaging society research group</creatorcontrib><creatorcontrib>International Retinal Imaging society research group</creatorcontrib><title>Standardization of Optical Coherence Tomography Angiography Nomenclature in Retinal Vascular Diseases: Consensus-based Recommendations</title><title>Ophthalmology retina</title><addtitle>Ophthalmol Retina</addtitle><description>To develop a consensus nomenclature for Optical Coherence Tomography Angiography (OCTA) findings in retinal vascular diseases (RVD).
Expert consensus using standardized online surveys with modified Likert scale.
RVD imaging experts, OCT biomedical engineers and the members of the International Retinal Imaging Society (IntRIS)
A PubMed literature review identified quantitative and qualitative terms forming the basis for a consensus-building process using a modified Delphi method. Agreement levels were categorized as "Accepted" (median ≥ 6), "Considerable Consensus" (median 6–7, IQR ≤ 3), "Strong Consensus" (median ≥ 8, IQR ≤ 2), and "Refined Strong Consensus" (median ≥ 8, IQR ≤ 2, with ≥ 70% responses in the 8–10 range).
A multidisciplinary expert panel refined the terminology through three survey rounds, leading to a final survey conducted by IntRIS members.
Consensus on OCTA nomenclature in RVD
The literature review identified 58 relevant papers, yielding 51 quantitative and 108 qualitative terms. A series of three surveys was used to refine the nomenclature framework for describing OCTA findings. The selected framework includes a generic term ("OCTA signal"), adjective terms ("presence/absence", "decreased/increased", "normal/abnormal"), and descriptive/etiologic terms ("of unknown cause", "due to blockage", "due to non-perfusion").
In the final survey among 44 IntRIS members, the framework achieved strong consensus for overall acceptance (median: 8.0, IQR: 7.0–9.0). The term "OCTA signal" met refined strong consensus criteria (median: 8.0, IQR: 8.0–9.0, with ≥ 70% of responses in the 8–10 range). Adjective terms, including "absence/presence" and "increased/decreased," were also rated with strong consensus (median: 8.0, IQR: 7.0–9.0). Similarly, descriptive/etiologic terms achieved strong consensus (median: 8.0, IQR: 7.0–9.0).
Adoption of the framework for clinical practice and scientific reporting was rated with strong consensus (clinical: median 8.0, IQR: 7.0–9.0; scientific: median 9.0, IQR: 8.5–10.0).
This study establishes a strong consensus framework for reporting OCTA findings in RVD for clinical and scientific contexts.</description><subject>International Retina Imaging Society</subject><subject>nomenclature</subject><subject>optical coherence tomography angiography</subject><subject>retinal vascular diseases</subject><subject>standardization</subject><issn>2468-6530</issn><issn>2468-6530</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2025</creationdate><recordtype>article</recordtype><recordid>eNp9UU1v1DAQtRCIVqV_gAPKkUsW24mdGHGptnxJFZWgcLVm7UnrVWIvngSp_ID-7nrZFnFiNJZH4_eeNfMYeyn4SnCh32xXKeO8klyqFRcl1RN2LFvd11o1_Ok_9RE7JdpyzkUvte74c3bUmN60JY7Z3bcZoofsw2-YQ4pVGqrL3RwcjNU63WDG6LC6SlO6zrC7ua3O4nV4rL-kqTyPMC8ZqxCrrziHWIg_gNwyQq7OAyEQ0tuiFQkjLVRvSsMXqEtTYfs_v9IL9myAkfD04T5h3z-8v1p_qi8uP35en13UTijZ1p2WwpRweqOEGNAIM0An5dDrAbwsp-O-VSBMA71zgM5vOIhOoPTK9NicsNcH3V1OPxek2U6BHI4jREwL2UZo2bfKGF2g8gB1ORFlHOwuhwnyrRXc7i2wW7u3wO4tsFyUVIX06kF_2Uzo_1IeF14A7w4ALFP-CpgtubDfsQ8Z3Wx9Cv_TvwdppZr_</recordid><startdate>20250131</startdate><enddate>20250131</enddate><creator>Munk, Marion R.</creator><creator>Turgut, Ferhat</creator><creator>Faes, Livia</creator><creator>Jaggi, Damian</creator><creator>Freund, K. 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Fernando</creatorcontrib><creatorcontrib>Gaudric, Alain</creatorcontrib><creatorcontrib>Hartnett, M. Elizabeth</creatorcontrib><creatorcontrib>Schmitz-Valckenberg, Steffen</creatorcontrib><creatorcontrib>Rosenfeld, Philip</creatorcontrib><creatorcontrib>Boyer, David</creatorcontrib><creatorcontrib>Cheung, Chui Ming Gemmy</creatorcontrib><creatorcontrib>Domalpally, Amitha</creatorcontrib><creatorcontrib>Mano, Fukutaro</creatorcontrib><creatorcontrib>Moussa, Magdy</creatorcontrib><creatorcontrib>Bacci, Tommaso</creatorcontrib><creatorcontrib>Rodriguez, Francisco J.</creatorcontrib><creatorcontrib>Huemer, Josef</creatorcontrib><creatorcontrib>Souied, Eric</creatorcontrib><creatorcontrib>Tsui, Edmund</creatorcontrib><creatorcontrib>Holz, Frank</creatorcontrib><creatorcontrib>Byon, Iksoo</creatorcontrib><creatorcontrib>Ach, Thomas</creatorcontrib><creatorcontrib>Dysli, Chantal</creatorcontrib><creatorcontrib>Falavarjani, Khalil</creatorcontrib><creatorcontrib>Krivosic, Valérie</creatorcontrib><creatorcontrib>Tan, Colin S.</creatorcontrib><creatorcontrib>Sivaprasad, Sobha</creatorcontrib><creatorcontrib>Claudia, Fabiani</creatorcontrib><creatorcontrib>Crincoli, Emanuele</creatorcontrib><creatorcontrib>Chiosi, Flavia</creatorcontrib><creatorcontrib>on behalf of the International Retinal Imaging society research group</creatorcontrib><creatorcontrib>International Retinal Imaging society research group</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Ophthalmology retina</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Munk, Marion R.</au><au>Turgut, Ferhat</au><au>Faes, Livia</au><au>Jaggi, Damian</au><au>Freund, K. Bailey</au><au>Sadda, Srinivas R.</au><au>Peto, Tunde</au><au>Wang, Ruikang K.</au><au>Pircher, Michael</au><au>Curcio, Christine A.</au><au>Sun, Jennifer</au><au>Kashani, Amir H.</au><au>Carroll, Joseph</au><au>Say, Emil Anthony</au><au>De Carlo Forest, Talisa</au><au>Ramtohul, Prithvi</au><au>Fung, Adrian</au><au>Borrelli, Enrico</au><au>Bhende, Muna</au><au>Querques, Giuseppe</au><au>Theelen, Thomas</au><au>Rao, Chetan</au><au>Agarwal, Aniruddha</au><au>Cicinelli, Maria Vittoria</au><au>Jung, Jesse</au><au>Gutiérrez Hernández, Juan Carlos</au><au>Chen, Fred</au><au>Iovino, Claudio</au><au>Arevalo, J. Fernando</au><au>Gaudric, Alain</au><au>Hartnett, M. Elizabeth</au><au>Schmitz-Valckenberg, Steffen</au><au>Rosenfeld, Philip</au><au>Boyer, David</au><au>Cheung, Chui Ming Gemmy</au><au>Domalpally, Amitha</au><au>Mano, Fukutaro</au><au>Moussa, Magdy</au><au>Bacci, Tommaso</au><au>Rodriguez, Francisco J.</au><au>Huemer, Josef</au><au>Souied, Eric</au><au>Tsui, Edmund</au><au>Holz, Frank</au><au>Byon, Iksoo</au><au>Ach, Thomas</au><au>Dysli, Chantal</au><au>Falavarjani, Khalil</au><au>Krivosic, Valérie</au><au>Tan, Colin S.</au><au>Sivaprasad, Sobha</au><au>Claudia, Fabiani</au><au>Crincoli, Emanuele</au><au>Chiosi, Flavia</au><aucorp>on behalf of the International Retinal Imaging society research group</aucorp><aucorp>International Retinal Imaging society research group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Standardization of Optical Coherence Tomography Angiography Nomenclature in Retinal Vascular Diseases: Consensus-based Recommendations</atitle><jtitle>Ophthalmology retina</jtitle><addtitle>Ophthalmol Retina</addtitle><date>2025-01-31</date><risdate>2025</risdate><issn>2468-6530</issn><eissn>2468-6530</eissn><abstract>To develop a consensus nomenclature for Optical Coherence Tomography Angiography (OCTA) findings in retinal vascular diseases (RVD).
Expert consensus using standardized online surveys with modified Likert scale.
RVD imaging experts, OCT biomedical engineers and the members of the International Retinal Imaging Society (IntRIS)
A PubMed literature review identified quantitative and qualitative terms forming the basis for a consensus-building process using a modified Delphi method. Agreement levels were categorized as "Accepted" (median ≥ 6), "Considerable Consensus" (median 6–7, IQR ≤ 3), "Strong Consensus" (median ≥ 8, IQR ≤ 2), and "Refined Strong Consensus" (median ≥ 8, IQR ≤ 2, with ≥ 70% responses in the 8–10 range).
A multidisciplinary expert panel refined the terminology through three survey rounds, leading to a final survey conducted by IntRIS members.
Consensus on OCTA nomenclature in RVD
The literature review identified 58 relevant papers, yielding 51 quantitative and 108 qualitative terms. A series of three surveys was used to refine the nomenclature framework for describing OCTA findings. The selected framework includes a generic term ("OCTA signal"), adjective terms ("presence/absence", "decreased/increased", "normal/abnormal"), and descriptive/etiologic terms ("of unknown cause", "due to blockage", "due to non-perfusion").
In the final survey among 44 IntRIS members, the framework achieved strong consensus for overall acceptance (median: 8.0, IQR: 7.0–9.0). The term "OCTA signal" met refined strong consensus criteria (median: 8.0, IQR: 8.0–9.0, with ≥ 70% of responses in the 8–10 range). Adjective terms, including "absence/presence" and "increased/decreased," were also rated with strong consensus (median: 8.0, IQR: 7.0–9.0). Similarly, descriptive/etiologic terms achieved strong consensus (median: 8.0, IQR: 7.0–9.0).
Adoption of the framework for clinical practice and scientific reporting was rated with strong consensus (clinical: median 8.0, IQR: 7.0–9.0; scientific: median 9.0, IQR: 8.5–10.0).
This study establishes a strong consensus framework for reporting OCTA findings in RVD for clinical and scientific contexts.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>39894444</pmid><doi>10.1016/j.oret.2025.01.015</doi><orcidid>https://orcid.org/0000-0001-6265-0381</orcidid><orcidid>https://orcid.org/0000-0002-7888-9773</orcidid><orcidid>https://orcid.org/0000-0003-3778-8834</orcidid><orcidid>https://orcid.org/0000-0002-8118-1610</orcidid><orcidid>https://orcid.org/0000-0001-9285-7527</orcidid><orcidid>https://orcid.org/0000-0001-9769-1538</orcidid><orcidid>https://orcid.org/0000-0001-5169-8822</orcidid><orcidid>https://orcid.org/0000-0003-0915-6303</orcidid><orcidid>https://orcid.org/0000-0001-9767-7920</orcidid><orcidid>https://orcid.org/0000-0002-3670-6983</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 2468-6530 |
| ispartof | Ophthalmology retina, 2025-01 |
| issn | 2468-6530 2468-6530 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_3162845996 |
| source | Alma/SFX Local Collection |
| subjects | International Retina Imaging Society nomenclature optical coherence tomography angiography retinal vascular diseases standardization |
| title | Standardization of Optical Coherence Tomography Angiography Nomenclature in Retinal Vascular Diseases: Consensus-based Recommendations |
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