Evidence map›Paper›PMID 30971814›Full record

ArticleEye (London, England)2019

Optical coherence tomography angiography of types 1 and 2 choroidal neovascularization in age-related macular degeneration during anti-VEGF therapy: evaluation of a new quantitative method.

Henrik Faatz, Marie-Louise Farecki, Kai Rothaus, Frederic Gunnemann, Matthias Gutfleisch, Albrecht Lommatzsch, Daniel Pauleikhoff

Abstract read
In one paragraph

Article in Eye (London, England), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed.

  1. Article
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  3. Observational
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  16. Review
  17. A practical guide to optical coherence tomography angiography interpretation.International journal of retina and vitreous · 2020
    Review
  18. Quantitative optical coherence tomography angiography: A review.Experimental biology and medicine (Maywood, N.J.) · 2020
    Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Henrik FaatzDepartment of Ophthalmology, St. Franziskus Hospital, Münster, Germany. henrik.faatz@augen-franziskus.de.
Marie-Louise FareckiDepartment of Ophthalmology, St. Franziskus Hospital, Münster, Germany.
Kai RothausDepartment of Ophthalmology, St. Franziskus Hospital, Münster, Germany.
Frederic GunnemannDepartment of Ophthalmology, St. Franziskus Hospital, Münster, Germany.
Matthias GutfleischDepartment of Ophthalmology, St. Franziskus Hospital, Münster, Germany.
Albrecht LommatzschDepartment of Ophthalmology, St. Franziskus Hospital, Münster, Germany.
Daniel PauleikhoffDepartment of Ophthalmology, St. Franziskus Hospital, Münster, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of this pilot study was to test whether mathematical parameters of the vascular morphology of choroidal neovascularization (CNV) can be used as biomarkers and to investigate how these parameters change during anti-vascular endothelial growth factor (VEGF) therapy.

methodsTreatment-naive CNV in exudative age-related macular degeneration (AMD) was diagnosed in 28 patients. OCT-angiography (OCT-A) (Avanti/FA Optovue) performed before and after anti-VEGF therapy. The OCT-A data sets were exported to an external image processing program and vessel skeletonization was accomplished by means of edge detection. Based on this technique the total vessel length, the number of segments and the fractal dimension (FD) of the CNV were calculated before and after therapy. The results were compared with other clinical parameters such as VA and central retinal thickness (RT).

resultsThe total vessel length of the CNV was significantly reduced by anti-VEGF-therapy (mean value 652 pixels vs. 397 pixels; p < 0.0001), as well as the number of individual vessel segments of the CNV (mean value 117 vs. 76; p < 0.0001). The FD of the CNV also decreased significant reduction during therapy (mean 1.23 vs. 1.16, p < 0.0001). The changes in these parameters during treatment corresponded with an increase in VA and a reduction in RT.

conclusionThis pilot study demonstrates that the vascular pattern of CNV in AMD can be visualized and described using mathematical parameters of OCT-A. The changes during therapy correlate significantly with established "activity" parameters of CNV, so changes in these parameters (especially FD) may represent additional CNV "activity" biomarkers.

Indexed as

Fluorescein AngiographyTomography, Optical CoherenceAgedAngiogenesis InhibitorsBiomarkersChoroidChoroidal NeovascularizationFemaleHumansIntravitreal InjectionsMalePilot ProjectsVascular Endothelial Growth Factor AVisual AcuityWet Macular DegenerationAngiogenesis InhibitorsBiomarkersVascular Endothelial Growth Factor AVEGFA protein, human

Identifiers

PMID30971814
PMCPMC7002694

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.