Evidence map›Paper›PMID 40458670›Full record

ArticleOphthalmology science

Repeatability of Fractal Analysis in OCT Angiography of the Macula and Optic Nerve Head.

Gustavo Rosa Gameiro, Alessandro A Jammal, Verônica Vilasboas-Campos, Jianhua Wang, Felipe A Medeiros

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Article in Ophthalmology science. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Gustavo Rosa GameiroBascom Palmer Eye Institute, University of Miami, Miami, Florida.
Alessandro A JammalBascom Palmer Eye Institute, University of Miami, Miami, Florida.
Verônica Vilasboas-CamposBascom Palmer Eye Institute, University of Miami, Miami, Florida.
Jianhua WangBascom Palmer Eye Institute, University of Miami, Miami, Florida.
Felipe A MedeirosBascom Palmer Eye Institute, University of Miami, Miami, Florida.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: To evaluate the repeatability of OCT angiography (OCTA) vessel density measurements using fractal analysis in the macula and optic nerve head (ONH) regions. Design: A prospective longitudinal observational cohort study. Participants: One hundred sixteen eyes from 71 primary open-angle glaucoma patients with valid macula OCTA scans and 91 eyes from 59 primary open-angle glaucoma patients with valid ONH OCTA scans, with 53 patients contributing scans for both regions. Methods: Participants underwent 5 OCTA imaging sessions at weekly intervals using the Spectralis spectral-domain OCT (Heidelberg Engineering). OCT angiography images were processed for fractal analysis focusing on small vessels (<25 μm in diameter) within Main Outcome Measures: Repeatability of OCTA vessel density quantified by fractal analysis and correlation with RNFL thickness. Results: One thousand three hundred twenty-eight macula OCTA scans from 269 visits and 801 ONH scans from 164 visits were included. Fractal analysis demonstrated high repeatability for vessel density measurements, with CoVs ranging from 0.4% to 0.9% in the macula and 0.7% to 1.8% in the ONH region. Full retina slabs exhibited the best repeatability in both regions, while DVC measurements in the ONH showed the highest variability (CoV = 1.8%). Moderate correlations between fractal parameters and RNFL thickness were observed in the ONH (SVC: rho = 0.65; NFLVP: rho = 0.67; Conclusions: High repeatability of OCTA vessel density measurements using fractal analysis was observed in the macula and ONH regions, supporting its potential utility in monitoring vascular changes in glaucoma. Future studies should investigate its diagnostic accuracy and ability to detect disease progression. Financial Disclosures: Proprietary or commercial disclosure may be found in the Footnotes and Disclosures at the end of this article.

Indexed as

OCTOCT angiographyRepeatabilityRetinal nerve fiber layer

Identifiers

PMID40458670
PMCPMC12127646

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