Evidence map›Paper›PMID 32333339›Full record

ArticleInternational ophthalmology2020

Swept-source optical coherence tomography angiography alleviates shadowing artifacts caused by subretinal fluid.

Michael Reich, Daniel Boehringer, Kai Rothaus, Bertan Cakir, Felicitas Bucher, Moritz Daniel, Stefan J Lang, Wolf A Lagrèze, Hansjuergen Agostini, Clemens Lange

Open access · hybridAbstract read
In one paragraph

Article in International ophthalmology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
1.7field-weighted citation impact, top 13% of its field
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

18 citing papers in PubMed, 24 citations in OpenAlex.

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  18. Artifacts in Optical Coherence Tomography Angiography.Journal of ophthalmic & vision research
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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

10 authors at 2 institutions in 1 country.

Michael ReichEye Center, Faculty of Medicine, University of Freiburg, Killianstrasse 5D-79106, Freiburg, Germany.
Daniel BoehringerEye Center, Faculty of Medicine, University of Freiburg, Killianstrasse 5D-79106, Freiburg, Germany.
Kai RothausAugenzentrum am St. Franziskus Hospital, Muenster, Germany.
Bertan CakirEye Center, Faculty of Medicine, University of Freiburg, Killianstrasse 5D-79106, Freiburg, Germany.
Felicitas BucherEye Center, Faculty of Medicine, University of Freiburg, Killianstrasse 5D-79106, Freiburg, Germany.
Moritz DanielEye Center, Faculty of Medicine, University of Freiburg, Killianstrasse 5D-79106, Freiburg, Germany.
Stefan J LangEye Center, Faculty of Medicine, University of Freiburg, Killianstrasse 5D-79106, Freiburg, Germany.
Wolf A LagrèzeEye Center, Faculty of Medicine, University of Freiburg, Killianstrasse 5D-79106, Freiburg, Germany.
Hansjuergen AgostiniEye Center, Faculty of Medicine, University of Freiburg, Killianstrasse 5D-79106, Freiburg, Germany.
Clemens LangeEye Center, Faculty of Medicine, University of Freiburg, Killianstrasse 5D-79106, Freiburg, Germany. clemens.lange@uniklinik-freiburg.de.
University of Freiburg · DESt. Franziskus Hospital · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo characterize the choriocapillaris (CC) structure in relation to subretinal fluid (SRF) as a possible systematic error source using spectral domain (SD-OCTA) compared to swept-source optical coherence tomography angiography (SS-OCTA).

methodsThis is a prospective case-control study of 23 eyes. Ten patients with acute central serous chorioretinopathy (CSC), three patients with partial macular-off retinal detachment (RD) and ten healthy, age-matched controls were included. Abnormal CC decorrelation signals were quantitatively compared in CSC and controls by means of custom image processing. To investigate the influence of SRF on CC OCTA signal, the extent of SRF was quantified with a macular heatmap and compared with the corresponding OCTA signal of the CC.

resultsSS-OCTA yielded a more homogeneous OCTA signal from the CC than SD-OCTA, offering less signal dispersion and variability in healthy and diseased eyes. Both devices demonstrated CC signal voids in CSC and RD, respectively. In CCS, the voids were predominantly located in the area with SRF. Compared to SD-OCTA, SS-OCTA delivered a more homogenous OCTA signal and reduced signal voids in the CC underneath SRF in both RD and CSC (CSC, 7.6% ± 6.3% vs, 19.7% ± 9.6%, p < 0.01). Despite this significant attenuation of signal voids, SS-OCTA continued to reveal signal voids below SRF and more pixels with reduced OCTA signals in CSC patients compared to controls (7.6% ± 6.3%, 0.1% ± 0.1%, p < 0.0001).

conclusionUnderstanding OCTA artifacts is critical to ensure accurate clinical evaluations. In this study, we describe the presence of SRF as an important shadow-causing artifact source for CC OCTA analysis which can be mitigated but not completely eliminated by employing SS-OCTA.

Indexed as

ArtifactsTomography, Optical CoherenceCase-Control StudiesChoroidFluorescein AngiographyHumansProspective StudiesSubretinal FluidArtifactsCentral serous chorioretinopathyChoriocapillarisOCT angiographySpectral domain optical coherence tomography angiographySwept-source optical coherence tomography angiography

Identifiers

PMID32333339
PMCPMC7358920
OpenAlexW3018716615

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.