广场光学连贯断层扫描血管图的诊断性能,用于检测高近视的开角玻璃眼
Yinhang Zhang1, Deming Wang1, Fengbin Lin1
1State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangdong Provincial Clinical Research Center for Ocular Diseases, Guangzhou, China.
Acta ophthalmologica
|December 22, 2023
概括
视网膜中部1-6毫米区域的毛细血管密度 (CD) 是检测高近视性开角青光眼 (HM-OAG) 的更好的指标,而不是外围区域. 外围扫描对HM-OAG检测没有额外的诊断价值.
科学领域:
- 眼科医生 眼科 眼科
- 医疗成像医学成像
- 玻璃眼研究研究 玻璃眼研究
背景情况:
- 高近视 (HM) 对于诊断开放角眼 (OAG) 提出了独特的挑战.
- 使用光连贯断层扫描血管学 (OCTA) 评估毛细管网络变化是一种有前途的诊断方法.
- 界定特定的视网膜区域以实现最佳诊断性能至关重要.
研究的目的:
- 为了比较毛细血管密度 (CD) 在中央 (1-6mm) 与外围 (6-12mm) 视网膜环状区域的诊断效果,用于检测高度近视的开角青光眼 (HM-OAG).
- 在这种情况下,评估广场扫描源光学连贯性断层扫描血管学 (WF SS-OCTA) 的实用性.
主要方法:
- 招募了206只眼睛与HM和103只眼睛与HM-OAG.
- 获取的WF SS-OCTA图像集中在焦点上.
- 使用内置软件在1-3mm,3-6mm,6-9mm和9-12mm环状区域测量了表面毛细管 (SCP) CD.
- 使用接收器操作特征曲线 (AUROC) 下面的面积来比较诊断性能.
主要成果:
- 中部1-6mm区域在HM-OAG检测方面表现出优越的诊断性能 (AUROC=0.849) 与外围6-12mm区域 (AUROC=0.756,p=0.001) 相比.
- SCP CD AUROCs在3-6mm区域达到峰值 (AUROC=0.858),并在更大的直径下降.
- 3-6mm区域的下方象限显示了最高的诊断性能 (AUROC=0.859).
结论:
- 中央视网膜毛细血管密度 (1-6mm) 在诊断高度近视眼中检测HM-OAG时在诊断上优越.
- 评估外围视网膜区域 (6-12mm) 在这个人群中对HM-OAG没有额外的诊断益处.
- WF SS-OCTA是评估HM-OAG中微血管变化的宝贵工具.
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