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使用光学相干断层扫描血管造影术对视神经乳头的血管密度和血流面积进行定量测量。

The Quantitative Measurements of Vascular Density and Flow Area of Optic Nerve Head Using Optical Coherence Tomography Angiography.

作者信息

Bazvand Fatemeh, Mirshahi Reza, Fadakar Kaveh, Faghihi Houshangh, Sabour Siamak, Ghassemi Fariba

机构信息

*Eye Research Center †Retina & Vitreous Service, Farabi Eye Hospital, Tehran University of Medical Sciences ‡Department of Clinical Epidemiology, Safety Promotion and Injury Prevention Research Centre, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

J Glaucoma. 2017 Aug;26(8):735-741. doi: 10.1097/IJG.0000000000000722.

Abstract

PURPOSE

The purpose of this study was to evaluate the vascular density (VD) and the flow area on optic nerve head (ONH) and peripapillary area, and the impact of age and sex using optical coherence tomography angiography (OCTA) in healthy human subjects.

METHODS

Both eyes of each volunteer were scanned by an RTVue XR Avanti; Optovue with OCTA using the split-spectrum amplitude-decorrelation angiography algorithm technique. Masked graders evaluated enface angiodisc OCTA data. The flow area of ONH and the VD were automatically calculated.

RESULTS

A total of 79 eyes of patients with a mean age of 37.03±11.27 were examined. The total ONH (papillary and peripapillary) area VD was 56.03%±4.55%. The flow area of the ONH was 1.74±0.10 mm/1.34 mm. The temporal and inferotemporal peripapillary VD was different between male and female patients. Increasing age causes some changes in the flow area of the ONH and the papillary VD from the third to the fourth decade (analysis of variance test; P<0.05).

CONCLUSIONS

A normal quantitative database of the flow area and VD of the papillary and peripapillary area, obtained by RTVue XR with OCT angiography technique, is presented here.

摘要

目的

本研究旨在利用光学相干断层扫描血管造影术(OCTA)评估健康受试者视神经乳头(ONH)和视乳头周围区域的血管密度(VD)及血流面积,并探讨年龄和性别的影响。

方法

使用RTVue XR Avanti Optovue对每位志愿者的双眼进行扫描,采用分裂谱幅度去相关血管造影算法技术进行OCTA检查。由不知晓受试者信息的分级人员对视盘OCTA的表面血管图像数据进行评估。自动计算ONH的血流面积和VD。

结果

共检查了79只眼睛,患者平均年龄为37.03±11.27岁。ONH(视乳头和视乳头周围)总面积的VD为56.03%±4.55%。ONH的血流面积为1.74±0.10 mm²/1.34 mm²。男性和女性患者视乳头颞侧和颞下侧周围的VD存在差异。年龄增长会导致ONH血流面积和视乳头VD在第三个十年到第四个十年之间发生一些变化(方差分析检验;P<0.05)。

结论

本文给出了通过RTVue XR采用OCT血管造影技术获得的视乳头和视乳头周围区域血流面积和VD的正常定量数据库。

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