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从诊断到预后:评估糖尿病性黄斑水肿的多模态成像的范式转变。

From diagnosis to prognosis: A paradigm shift for multimodal imaging in assessing diabetic macular edema.

机构信息

School of Medicine, Vita-Salute San Raffaele University, Milan, Italy.

Department of Ophthalmology, IRCCS San Raffaele Scientific Institute, Milan, Italy.

出版信息

Eur J Ophthalmol. 2024 Jan;34(1):7-10. doi: 10.1177/11206721231199149. Epub 2023 Aug 30.

DOI:10.1177/11206721231199149
PMID:37649341
Abstract

Diabetic macular edema (DME) is one of the leading causes of visual impairment in patients with diabetes. Multimodal imaging (MMI) has allowed a shift from DME diagnosis to prognosis. Although there are no accepted guidelines, MMI may also lead to treatment customization. Several study groups have tried to identify structural biomarkers that can predict treatment response and long-term visual prognosis. The purpose of this editorial is to review currently proposed optical coherence tomography (OCT) and optical coherence tomography angiography (OCT-A) biomarkers.

摘要

糖尿病性黄斑水肿(DME)是糖尿病患者视力损害的主要原因之一。多模态成像(MMI)已经实现了从 DME 诊断到预后的转变。尽管目前还没有公认的指南,但 MMI 也可能导致治疗的定制化。一些研究小组已经尝试确定可以预测治疗反应和长期视觉预后的结构生物标志物。本文的目的是回顾目前提出的光学相干断层扫描(OCT)和光学相干断层扫描血管造影(OCT-A)生物标志物。

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J Clin Med. 2024 Mar 7;13(6):1534. doi: 10.3390/jcm13061534.
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Enhancing Diabetic Macular Edema Treatment Outcomes: Exploring the ESASO Classification and Structural OCT Biomarkers.提高糖尿病性黄斑水肿的治疗效果:探索ESASO分类和光学相干断层扫描结构生物标志物
Ophthalmol Ther. 2024 May;13(5):1383-1398. doi: 10.1007/s40123-024-00925-y. Epub 2024 Mar 26.