Optical Coherence Tomography Enhanced Depth Imaging of Choroidal Tumors

Purpose To describe the spectral-domain optical coherence tomography (SD-OCT) features of choroidal tumors imaged using enhanced depth imaging (EDI) technique. Design Prospective observational case series. Methods One tumor each from 23 eyes of 23 patients was included. All the patients underwent cl...

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Veröffentlicht in:American journal of ophthalmology 2011-04, Vol.151 (4), p.586-593.e2
Hauptverfasser: Torres, Virginia L.L, Brugnoni, Nicole, Kaiser, Peter K, Singh, Arun D
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creator Torres, Virginia L.L
Brugnoni, Nicole
Kaiser, Peter K
Singh, Arun D
description Purpose To describe the spectral-domain optical coherence tomography (SD-OCT) features of choroidal tumors imaged using enhanced depth imaging (EDI) technique. Design Prospective observational case series. Methods One tumor each from 23 eyes of 23 patients was included. All the patients underwent clinical fundus photography, ultrasonography, and EDI SD-OCT. Qualitative characteristics (tumor outline, reflectivity and/or shadowing of choroidal layers, and detection of inner sclera) and quantitative characteristics (measurement of maximum tumor thickness and the largest tumor diameter) were assessed. Results Patients (male = 12) were categorized as: amelanotic choroidal nevus (4), melanotic choroidal nevus (9), choroidal melanoma (3), circumscribed choroidal hemangioma (3), and choroidal metastasis (4). In all cases, EDI SD-OCT was able to identify the tumor distinctly from the surrounding normal choroid. Qualitative analysis revealed: amelanotic nevi, homogenous and medium reflective band with visible choroidal vessels; melanotic nevi and choroidal melanomas, high reflective band in the anterior choroid with shadowing, and nonvisualization of choroidal vessels and inner sclera; choroidal hemangiomas, medium/low reflective band without shadowing; and choroidal metastasis, low reflective band in the deep choroid with enlargement of the suprachoroidal space. Maximum tumor diameter and thickness was measurable by EDI SD-OCT only in 10 cases that were
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Design Prospective observational case series. Methods One tumor each from 23 eyes of 23 patients was included. All the patients underwent clinical fundus photography, ultrasonography, and EDI SD-OCT. Qualitative characteristics (tumor outline, reflectivity and/or shadowing of choroidal layers, and detection of inner sclera) and quantitative characteristics (measurement of maximum tumor thickness and the largest tumor diameter) were assessed. Results Patients (male = 12) were categorized as: amelanotic choroidal nevus (4), melanotic choroidal nevus (9), choroidal melanoma (3), circumscribed choroidal hemangioma (3), and choroidal metastasis (4). In all cases, EDI SD-OCT was able to identify the tumor distinctly from the surrounding normal choroid. Qualitative analysis revealed: amelanotic nevi, homogenous and medium reflective band with visible choroidal vessels; melanotic nevi and choroidal melanomas, high reflective band in the anterior choroid with shadowing, and nonvisualization of choroidal vessels and inner sclera; choroidal hemangiomas, medium/low reflective band without shadowing; and choroidal metastasis, low reflective band in the deep choroid with enlargement of the suprachoroidal space. Maximum tumor diameter and thickness was measurable by EDI SD-OCT only in 10 cases that were &lt;9.0 mm in diameter and &lt;1.0 mm in thickness (undetectable by ultrasonography). Conclusions It is possible to obtain cross-sectional views of a variety of choroidal tumors using EDI SD-OCT. Small choroidal tumors nondetectable by ultrasonography can be objectively measured by this technique.</description><identifier>ISSN: 0002-9394</identifier><identifier>EISSN: 1879-1891</identifier><identifier>DOI: 10.1016/j.ajo.2010.09.028</identifier><identifier>PMID: 21257150</identifier><identifier>CODEN: AJOPAA</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Biological and medical sciences ; Cancer ; Choroid Neoplasms - diagnosis ; Choroid Neoplasms - pathology ; Female ; Hemangioma - diagnosis ; Hemangioma - pathology ; Humans ; Image Processing, Computer-Assisted ; Male ; Medical research ; Medical sciences ; Melanoma - diagnosis ; Melanoma - pathology ; Melanoma, Amelanotic - diagnosis ; Melanoma, Amelanotic - pathology ; Miscellaneous ; Nevus - diagnosis ; Nevus - pathology ; Nevus, Pigmented - diagnosis ; Nevus, Pigmented - pathology ; Oncology ; Ophthalmology ; Photography ; Prospective Studies ; Review boards ; Tomography, Optical Coherence ; Tumors ; Ultrasonography</subject><ispartof>American journal of ophthalmology, 2011-04, Vol.151 (4), p.586-593.e2</ispartof><rights>Elsevier Inc.</rights><rights>2011 Elsevier Inc.</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2011 Elsevier Inc. 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Design Prospective observational case series. Methods One tumor each from 23 eyes of 23 patients was included. All the patients underwent clinical fundus photography, ultrasonography, and EDI SD-OCT. Qualitative characteristics (tumor outline, reflectivity and/or shadowing of choroidal layers, and detection of inner sclera) and quantitative characteristics (measurement of maximum tumor thickness and the largest tumor diameter) were assessed. Results Patients (male = 12) were categorized as: amelanotic choroidal nevus (4), melanotic choroidal nevus (9), choroidal melanoma (3), circumscribed choroidal hemangioma (3), and choroidal metastasis (4). In all cases, EDI SD-OCT was able to identify the tumor distinctly from the surrounding normal choroid. Qualitative analysis revealed: amelanotic nevi, homogenous and medium reflective band with visible choroidal vessels; melanotic nevi and choroidal melanomas, high reflective band in the anterior choroid with shadowing, and nonvisualization of choroidal vessels and inner sclera; choroidal hemangiomas, medium/low reflective band without shadowing; and choroidal metastasis, low reflective band in the deep choroid with enlargement of the suprachoroidal space. Maximum tumor diameter and thickness was measurable by EDI SD-OCT only in 10 cases that were &lt;9.0 mm in diameter and &lt;1.0 mm in thickness (undetectable by ultrasonography). Conclusions It is possible to obtain cross-sectional views of a variety of choroidal tumors using EDI SD-OCT. Small choroidal tumors nondetectable by ultrasonography can be objectively measured by this technique.</description><subject>Biological and medical sciences</subject><subject>Cancer</subject><subject>Choroid Neoplasms - diagnosis</subject><subject>Choroid Neoplasms - pathology</subject><subject>Female</subject><subject>Hemangioma - diagnosis</subject><subject>Hemangioma - pathology</subject><subject>Humans</subject><subject>Image Processing, Computer-Assisted</subject><subject>Male</subject><subject>Medical research</subject><subject>Medical sciences</subject><subject>Melanoma - diagnosis</subject><subject>Melanoma - pathology</subject><subject>Melanoma, Amelanotic - diagnosis</subject><subject>Melanoma, Amelanotic - pathology</subject><subject>Miscellaneous</subject><subject>Nevus - diagnosis</subject><subject>Nevus - pathology</subject><subject>Nevus, Pigmented - diagnosis</subject><subject>Nevus, Pigmented - pathology</subject><subject>Oncology</subject><subject>Ophthalmology</subject><subject>Photography</subject><subject>Prospective Studies</subject><subject>Review boards</subject><subject>Tomography, Optical Coherence</subject><subject>Tumors</subject><subject>Ultrasonography</subject><issn>0002-9394</issn><issn>1879-1891</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9klGL1DAQgIMo3t7pD_BFCiL31DWTpk2KIMh6ngcH9-D6HLLpZJu6bWrSCvvvTdnVg3vwKZnwzTD5Zgh5A3QNFKoP3Vp3fs1oimm9pkw-IyuQos5B1vCcrCilLK-Lml-Qyxi7FFaCi5fkggErBZR0RW4fxskZfcg2vsWAg8Fs63u_D3psj9nN0Or01GRfcJza7K7XezfsM2-zTeuDd01K3M69D_EVeWH1IeLr83lFfny92W6-5fcPt3ebz_e5KQuYcmxAMFlhU1mDhmsO1NjSctgJKIAL27Cm4AKrEqEuJN0xSyuobW04FrQqiytyfao7Bv9rxjip3kWDh4Me0M9RyVIySUspEvnuCdn5OQypOQW0qEpJK1okCk6UCT7GgFaNwfU6HBOkFsmqU0myWiQrWqskOeW8PVeedz02_zL-Wk3A-zOgY3JrQ5Lo4iPHKWcAPHEfTxwmY78dBhWNW2bQuIBmUo13_23j05Nsc3DDMsyfeMT4-FsVmaLq-7INyzJAugiR2vwD-FSsLQ</recordid><startdate>20110401</startdate><enddate>20110401</enddate><creator>Torres, Virginia L.L</creator><creator>Brugnoni, Nicole</creator><creator>Kaiser, Peter K</creator><creator>Singh, Arun D</creator><general>Elsevier Inc</general><general>Elsevier</general><general>Elsevier Limited</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20110401</creationdate><title>Optical Coherence Tomography Enhanced Depth Imaging of Choroidal Tumors</title><author>Torres, Virginia L.L ; Brugnoni, Nicole ; Kaiser, Peter K ; Singh, Arun D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c531t-ed17286ed6fcec4a410cf5f41b713147fd2d347e65e19380b2f0619f9c4e30653</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Biological and medical sciences</topic><topic>Cancer</topic><topic>Choroid Neoplasms - diagnosis</topic><topic>Choroid Neoplasms - pathology</topic><topic>Female</topic><topic>Hemangioma - diagnosis</topic><topic>Hemangioma - pathology</topic><topic>Humans</topic><topic>Image Processing, Computer-Assisted</topic><topic>Male</topic><topic>Medical research</topic><topic>Medical sciences</topic><topic>Melanoma - diagnosis</topic><topic>Melanoma - pathology</topic><topic>Melanoma, Amelanotic - diagnosis</topic><topic>Melanoma, Amelanotic - pathology</topic><topic>Miscellaneous</topic><topic>Nevus - diagnosis</topic><topic>Nevus - pathology</topic><topic>Nevus, Pigmented - diagnosis</topic><topic>Nevus, Pigmented - pathology</topic><topic>Oncology</topic><topic>Ophthalmology</topic><topic>Photography</topic><topic>Prospective Studies</topic><topic>Review boards</topic><topic>Tomography, Optical Coherence</topic><topic>Tumors</topic><topic>Ultrasonography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Torres, Virginia L.L</creatorcontrib><creatorcontrib>Brugnoni, Nicole</creatorcontrib><creatorcontrib>Kaiser, Peter K</creatorcontrib><creatorcontrib>Singh, Arun D</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Torres, Virginia L.L</au><au>Brugnoni, Nicole</au><au>Kaiser, Peter K</au><au>Singh, Arun D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Optical Coherence Tomography Enhanced Depth Imaging of Choroidal Tumors</atitle><jtitle>American journal of ophthalmology</jtitle><addtitle>Am J Ophthalmol</addtitle><date>2011-04-01</date><risdate>2011</risdate><volume>151</volume><issue>4</issue><spage>586</spage><epage>593.e2</epage><pages>586-593.e2</pages><issn>0002-9394</issn><eissn>1879-1891</eissn><coden>AJOPAA</coden><abstract>Purpose To describe the spectral-domain optical coherence tomography (SD-OCT) features of choroidal tumors imaged using enhanced depth imaging (EDI) technique. Design Prospective observational case series. Methods One tumor each from 23 eyes of 23 patients was included. All the patients underwent clinical fundus photography, ultrasonography, and EDI SD-OCT. Qualitative characteristics (tumor outline, reflectivity and/or shadowing of choroidal layers, and detection of inner sclera) and quantitative characteristics (measurement of maximum tumor thickness and the largest tumor diameter) were assessed. Results Patients (male = 12) were categorized as: amelanotic choroidal nevus (4), melanotic choroidal nevus (9), choroidal melanoma (3), circumscribed choroidal hemangioma (3), and choroidal metastasis (4). In all cases, EDI SD-OCT was able to identify the tumor distinctly from the surrounding normal choroid. Qualitative analysis revealed: amelanotic nevi, homogenous and medium reflective band with visible choroidal vessels; melanotic nevi and choroidal melanomas, high reflective band in the anterior choroid with shadowing, and nonvisualization of choroidal vessels and inner sclera; choroidal hemangiomas, medium/low reflective band without shadowing; and choroidal metastasis, low reflective band in the deep choroid with enlargement of the suprachoroidal space. Maximum tumor diameter and thickness was measurable by EDI SD-OCT only in 10 cases that were &lt;9.0 mm in diameter and &lt;1.0 mm in thickness (undetectable by ultrasonography). Conclusions It is possible to obtain cross-sectional views of a variety of choroidal tumors using EDI SD-OCT. Small choroidal tumors nondetectable by ultrasonography can be objectively measured by this technique.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>21257150</pmid><doi>10.1016/j.ajo.2010.09.028</doi><tpages>8</tpages></addata></record>
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subjects Biological and medical sciences
Cancer
Choroid Neoplasms - diagnosis
Choroid Neoplasms - pathology
Female
Hemangioma - diagnosis
Hemangioma - pathology
Humans
Image Processing, Computer-Assisted
Male
Medical research
Medical sciences
Melanoma - diagnosis
Melanoma - pathology
Melanoma, Amelanotic - diagnosis
Melanoma, Amelanotic - pathology
Miscellaneous
Nevus - diagnosis
Nevus - pathology
Nevus, Pigmented - diagnosis
Nevus, Pigmented - pathology
Oncology
Ophthalmology
Photography
Prospective Studies
Review boards
Tomography, Optical Coherence
Tumors
Ultrasonography
title Optical Coherence Tomography Enhanced Depth Imaging of Choroidal Tumors
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