Optical Coherence Tomography Angiography in Healthy Adult Subjects: Normative Values, Frequency, and Impact of Artifacts.

Aim. This cross-sectional study is aimed at identifying normative ocular coherence tomography angiography (OCTA) values in a cohort of healthy adult Jordanian individuals and assessing the prevalence of different image artifacts and their impact on quantitative OCTA measurements. Materials and Metho...

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Published in:BioMed Research International pp. 1 - 9
Main Authors: Abu-Yaghi, Nakhleh E., Obiedat, Abdelrahman F., AlNawaiseh, Tamara I., Hamad, Ali M., Bani Ata, Basil A., Quzli, Ahmad A., AlRyalat, Saif Aldeen
Format: diagnostic images research tables/charts Journal Article
Published: Wiley-Blackwell 3/7/2022
Online Access:View this record in EBSCOhost
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      dt: 3/7/2022
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1155/2022/7286252
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        atl: Optical Coherence Tomography Angiography in Healthy Adult Subjects: Normative Values, Frequency, and Impact of Artifacts.
      aug:
        au:
          Abu-Yaghi, Nakhleh E.
          Obiedat, Abdelrahman F.
          AlNawaiseh, Tamara I.
          Hamad, Ali M.
          Bani Ata, Basil A.
          Quzli, Ahmad A.
          AlRyalat, Saif Aldeen
        affil: Department of Special Surgery, Ophthalmology Division, School of Medicine, The University of Jordan, Amman, Jordan
      sug:
        subj:
          Tomography, Optical Coherence Methods
          Computed Tomography Angiography Methods
          Reference Values Jordan
          Artifacts
          Image Processing, Computer Assisted
          Human
          Cross Sectional Studies
          Jordan
          Visual Acuity
          Slit Lamp Examination
          Ophthalmoscopy
          Male
          Female
          Adult
          Middle Age
          Aged
          Uvea Pathology
          Descriptive Statistics
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Aim. This cross-sectional study is aimed at identifying normative ocular coherence tomography angiography (OCTA) values in a cohort of healthy adult Jordanian individuals and assessing the prevalence of different image artifacts and their impact on quantitative OCTA measurements. Materials and Methods. One hundred and eighty-one eyes from 100 healthy participants were included in this study. All participants underwent a comprehensive ophthalmological examination including best corrected visual acuity, slit lamp examination, and dilated fundoscopy. Swept-source OCTA images were obtained and analyzed for all 181 eyes. We recorded vascularity measurements and analyzed the prevalence and effect of ten different artifacts on superficial and deep retinal and choriocapillaris layer images. Results. Sixty-two percent of the participants were men (n = 62), and 38% (n = 38) were women. The age of participants ranged between 24 and 75 years (mean 50.5 ± 10.92). The mean central macular thickness was 237.71 (±22.905) μm, and the mean choroidal thickness was 257.73 (±77.027) μm. Artifacts were present in 46.4% of the acquired scans. Images with artifacts had higher mean age (p = 0.03), lower image quality (p < 0.001), higher central vascular density (p < 0.001), and lower inferior vascular density (p < 0.001) compared to artifact-free tomographs. Motion artifact was the most common type, which was present in 29 (16%) of images, followed by blink artifact 18 (9.9%), and Z offset 8 (4.4%). Conclusion. OCTA artifact detection and correction remains a challenging aspect of the diagnostic and follow-up process of patients with retinal pathologies. To our knowledge, this is the first study to examine the association between OCTA outputs and artifacts in healthy eyes. We report that in this cohort of normal individuals, images with artifacts had a significantly higher central vascular density (22.62 vs. 16.60) and a lower inferior vascular density (46.09 vs. 48.81). We also found that a significant increase in central vascular density is only present in images with Z offset artifact type (49.03). Motion artifact was the most common artifact seen in our series. However, we observed no alteration in quantitative parameters in images with motion artifacts.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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