Expert consensus statement for quantitative measurement and morphologic assessment of optical coherence tomography:...

Area of Science:

• Cardiovascular Imaging
• Interventional Cardiology
• Medical Device Technology

Background:

• Optical Coherence Tomography (OCT) and Optical Frequency Domain Imaging (OFDI) are advanced intravascular imaging modalities.
• Accurate interpretation of OCT/OFDI requires standardized quantitative and morphologic assessment methods.
• Clinical adoption necessitates robust evidence for guiding interventions.

Purpose of the Study:

• To provide an updated expert consensus on the quantitative and morphologic assessment of OCT/OFDI images.
• To summarize the clinical application and evidence base for using OCT/OFDI in percutaneous coronary interventions (PCI).
• To guide clinicians in the optimal use of OCT/OFDI for procedural guidance.

Main Methods:

• Brief summary of established quantitative measurement techniques for OCT/OFDI.
• Overview of morphologic assessment criteria for coronary lesions and stents visualized with OCT/OFDI.
• Review of clinical studies and expert opinions on OCT/OFDI guided PCI.

Main Results:

• Standardized methods for image analysis enhance diagnostic accuracy.
• Clinical evidence supports the utility of OCT/OFDI in optimizing stent deployment and lesion preparation.
• OCT/OFDI can identify specific morphologic features predictive of procedural success and adverse events.

Conclusions:

• Expert consensus reaffirms the value of quantitative and morphologic assessment in OCT/OFDI.
• OCT/OFDI is a valuable tool for guiding percutaneous coronary interventions, supported by growing clinical evidence.
• Standardized application of OCT/OFDI improves patient outcomes in interventional cardiology.