학술논문

Repeatability and reproducibility of quantitative OCT angiography measurements from table-top and portable Flex Spectralis devices
Document Type
Original Paper
Source
Graefe's Archive for Clinical and Experimental Ophthalmology: Incorporating German Journal of Ophthalmology. 262(6):1785-1793
Subject
Retina
Retinal imaging
Imaging and instrumentation
Optical coherence tomography
Optical coherence tomography angiography
Language
English
ISSN
0721-832X
1435-702X
Abstract
Purpose: The recent development of a portable investigational handheld OCT-angiography (OCTA) device has allowed for expansion of imaging into the operating room (OR) in addition to standard in-clinic imaging. The aim of this study was to assess intravisit repeatability and intervisit reproducibility of retinal microvasculature measures and central retinal thickness for in-clinic table-top and portable OR compatible OCTA devices.Methods: Repeated 10 × 10 OCTA images were acquired in 20 healthy adult participants on two separate visit days using Spectralis spectral-domain OCTA table-top and investigational armature suspended Flex systems. Intravisit and intervisit intraclass correlation coefficients and average absolute percent difference were calculated for quantitative microvasculature measures and CRT.Results: 120 OCTA images were acquired from 20 subjects (n = 20, mean age 26.7 ± 1.61 years, range 24–30 years) with both devices across two separate imaging days. FAZ and CRT measurements had near complete intravisit and intervisit agreement with ICCs between .97 and 1 for both table-top (FAZ ICC .97, .97; CRT ICC .98–1, .98–.99) and Flex (FAZ ICC .97, .95; CRT ICC .99–1, .98–.99) devices. Vessel density measures demonstrated greater variance with only fair to strong agreement (ICC .32–.75) and average absolute percent differences ranging from 2.96 to 6.63%.Conclusion: FAZ and CRT measures for both devices demonstrated high repeatability and reproducibility; retinal vessel density measures demonstrated less. Differences of less than 7% for retinal microvasculature measurements across time and devices are most likely attributable to expectable variance between repeat scans.