Intrasession Repeatability of OCT Angiography Parameters in Neurodegenerative Disease.

dc.contributor.author

Akrobetu, Dennis Y

dc.contributor.author

Robbins, Cason B

dc.contributor.author

Ma, Justin P

dc.contributor.author

Soundararajan, Srinath

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Quist, Michael S

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Stinnett, Sandra S

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Moore, Kathryn PL

dc.contributor.author

Johnson, Kim G

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Liu, Andy J

dc.contributor.author

Grewal, Dilraj S

dc.contributor.author

Fekrat, Sharon

dc.date.accessioned

2023-04-01T13:30:14Z

dc.date.available

2023-04-01T13:30:14Z

dc.date.issued

2023-06

dc.date.updated

2023-04-01T13:30:13Z

dc.description.abstract

Purpose

To assess the intrasession repeatability of macular OCT angiography (OCTA) parameters in Alzheimer's disease (AD), mild cognitive impairment (MCI), Parkinson's disease (PD), and normal cognition (NC).

Design

Cross sectional study.

Subjects

Patients with a clinical diagnosis of AD, PD, MCI, or NC were imaged. Images with poor quality and of those with diabetes mellitus, glaucoma, or vitreoretinal disease were excluded from analysis.

Methods intervention or testing

All participants were imaged using the Zeiss Cirrus HD-5000 with AngioPlex (Carl Zeiss Meditec, Software Version 11.0.0.29946) and repeat OCTA images were obtained for both eyes. Perfusion density (PFD), vessel density (VD), and Foveal avascular zone (FAZ) area were measured from 3 × 3 mm and 6 × 6 mm OCTA images centered on the fovea using an ETDRS grid overlay.

Main outcome measures

Intraclass correlation coefficients were used to quantify repeatability of PFD, VD, and FAZ area measurements obtained from imaging.

Results

3 × 3 mm scans of 22 AD, 40 MCI, 21 PD, and 26 NC participants and 6 × 6 mm scans of 29 AD, 44 MCI, 29 PD, and 30 NC participants were analyzed. Repeatability values ranged from 0.64 (0.49-0.82) for 6 × 6 mm PFD in AD participants to 0.87 (0.67-0.92) for 3 × 3 mm PFD in AD participants. No significant differences were observed in repeatability between NC participants and those with neurodegenerative disease.

Conclusions

Overall, similar OCTA repeatability was observed between NC participants and those with neurodegeneration. Regardless of diagnostic group, macular OCTA metrics demonstrated moderate to good repeatability.

Financial disclosures

The authors have no proprietary or commercial interest in any materials discussed in this article.
dc.identifier

S2666-9145(23)00007-6

dc.identifier.issn

2666-9145

dc.identifier.issn

2666-9145

dc.identifier.uri

https://hdl.handle.net/10161/26945

dc.language

eng

dc.publisher

Elsevier BV

dc.relation.ispartof

Ophthalmology science

dc.relation.isversionof

10.1016/j.xops.2023.100275

dc.subject

AD, Alzheimer's disease

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Alzheimer

dc.subject

CI, confidence interval

dc.subject

D, diopters

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FAZ, Foveal avascular zone

dc.subject

ICC, intraclass correlation

dc.subject

MCI, mild cognitive impairment

dc.subject

MSE, mean square error

dc.subject

Mild cognitive impairment

dc.subject

NC, normal cognition

dc.subject

OCTA

dc.subject

OCTA, OCT angiography

dc.subject

PD, Parkinson's disease

dc.subject

PFD, Perfusion density

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Parkinson

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Repeatability

dc.subject

SSI, strength signal index

dc.subject

VD, vessel density

dc.title

Intrasession Repeatability of OCT Angiography Parameters in Neurodegenerative Disease.

dc.type

Journal article

duke.contributor.orcid

Stinnett, Sandra S|0000-0001-7192-0195

duke.contributor.orcid

Moore, Kathryn PL|0000-0002-4889-1549

duke.contributor.orcid

Liu, Andy J|0000-0003-3096-1788

duke.contributor.orcid

Grewal, Dilraj S|0000-0002-2229-5343

duke.contributor.orcid

Fekrat, Sharon|0000-0003-4403-5996

pubs.begin-page

100275

pubs.issue

2

pubs.organisational-group

Duke

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School of Medicine

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Clinical Science Departments

pubs.organisational-group

Ophthalmology

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Pathology

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Surgery

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Ophthalmology, Vitreoretinal Diseases & Surgery

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Neurology

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Neurology, Behavioral Neurology

pubs.organisational-group

Neurology, Movement Disorders

pubs.organisational-group

Surgical Oncology

pubs.publication-status

Published online

pubs.volume

3

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