Liu Wei, Luisi Jonathan, Liu Hua, Motamedi Massoud, Zhang Wenbo
Ophthalmology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Department of Ophthalmology and Visual Sciences, University of Texas Medical Branch, Galveston, TX, United States.
EC Ophthalmol. 2017;5(3):89-98. Epub 2017 Feb 21.
Optical coherence tomography angiography (OCT-A) is a newly developed technique to visualize retinal vasculature non-invasively based on interferometry. Although OCT-A has been used clinically, its applications in small animal studies have been limited. This study is designed to develop and demonstrate the feasibility of a protocol for the use of an en-face OCT-based method to visualize and quantify retinal microvasculature in mice that can be used for assessment of retina ischemia.
A customized algorithm was developed to extract angiographic profiles of the mouse retina from en-face OCT using an unmodified Bioptigen Envisu R-Class OCT imaging system. En-face OCT images were collected in living animals and then compared to images acquired following termination of blood flow to the retina. The images were processed with ImageJ using the raw file importer. The vessel enhancement algorithm was developed based on a combination of local contrast enhancement, Laplacian of Gaussian peak detection and background subtraction methods. For comparison, fluorescein angiography (FA) was performed using Heidelberg Spectralis HRA+OCT imaging system.
By vessel enhancement algorithm, we successfully extracted retinal vasculature and quantified retinal vessel branch points, vascular area and vessel lengths with AngioTool. While the retinal neuronal structure could be simultaneously identified and quantified using B-scan and volumetric OCT run in the annular scanning model, the retinal vasculature in OCT-A was dramatically diminished after the animals were sacrificed, indicating en-face OCT-A signal is a measure of the blood flow.
These studies indicate that a novel approach to extract angiographs from en-face OCT images by utilizing local structure enhancement can be used to provide depth-resolved retinal vasculature distributions. Simultaneous non-invasive analysis of retinal vessels and neurons by OCT-A and OCT may provide a novel approach to characterize retinal ischemia accompanied by neurovascular coupling.
光学相干断层扫描血管造影(OCT-A)是一种基于干涉测量法非侵入性可视化视网膜血管系统的新技术。尽管OCT-A已应用于临床,但其在小动物研究中的应用有限。本研究旨在开发并证明一种基于OCT的表面成像方法用于可视化和量化小鼠视网膜微血管系统的方案的可行性,该方案可用于评估视网膜缺血。
开发了一种定制算法,使用未修改的Bioptigen Envisu R-Class OCT成像系统从OCT表面图像中提取小鼠视网膜的血管造影轮廓。在活体动物中采集OCT表面图像,然后与视网膜血流终止后采集的图像进行比较。使用原始文件导入器在ImageJ中对图像进行处理。基于局部对比度增强、高斯拉普拉斯峰值检测和背景减法方法的组合开发了血管增强算法。为作比较,使用海德堡Spectralis HRA+OCT成像系统进行荧光血管造影(FA)。
通过血管增强算法,我们成功提取了视网膜血管系统,并使用AngioTool量化了视网膜血管分支点、血管面积和血管长度。虽然在环形扫描模型中使用B扫描和容积OCT可以同时识别和量化视网膜神经元结构,但在动物处死后,OCT-A中的视网膜血管系统显著减少,这表明OCT表面信号是血流的一种度量。
这些研究表明,利用局部结构增强从OCT表面图像中提取血管造影的新方法可用于提供深度分辨的视网膜血管系统分布。通过OCT-A和OCT对视网膜血管和神经元进行同步非侵入性分析,可能为表征伴有神经血管耦合的视网膜缺血提供一种新方法。