Recommendations for OCT Angiography Reporting in Retinal Vascular Disease: A Delphi Approach by International Experts.
Обработка статьи · этапы, ошибки и управление
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Munk Marion R, Kashani Amir H, Tadayoni Ramin, Korobelnik Jean-Francois, Wolf Sebastian, Pichi Francesco, Koh Adrian, Ishibazawa Akihiro, Gaudric Alain, Loewenstein Anat, Lumbroso Bruno, Ferrara Daniela, Sarraf David, Wong David T, Skondra Dimitra, Rodriguez Francisco J, Staurenghi Giovanni, Pearce Ian, Kim Judy E, Freund K Bailey, Parodi Maurizio Battaglia, Waheed Nadia K, Rosen Richard, Spaide Richard F, Nakao Shintaro, Sadda SriniVas, Vujosevic Stela, Wong Tien Yin, Murata Toshinori, Chakravarthy Usha, Ogura Yuichiro, Huf Wolfgang, Tian Meng
Аннотация
DESIGN: Delphi-based survey.
SUBJECTS, PARTICIPANTS, AND/OR CONTROLS: Twenty-five retinal vascular disease and OCTA imaging experts.
METHODS, INTERVENTION, OR TESTING: A Delphi method of consensus development was used, comprising 2 rounds of online questionnaires, followed by a face-to-face meeting conducted virtually. Twenty-five experts in retinal vascular disease and retinal OCTA imaging were selected to constitute the OCTA Nomenclature in Delphi Study Group for retinal vascular disease. The 4 main areas of consensus were: definition of the parameters of "wide-field (WF)" OCTA, measurement of decreased vascular flow on conventional and WF-OCTA, nomenclature of OCTA findings, and OCTA in retinal vascular disease management and staging. The study end point was defined by the degree of consensus for each question: "strong consensus" was defined as ≥85% agreement, "consensus" as 80% to 84%, and "near consensus" as 70% to 79%.
MAIN OUTCOME MEASURES: Consensus and near consensus on OCTA nomenclature in retinal vascular disease.
RESULTS: A consensus was reached that a meaningful change in percentage of flow on WF-OCTA imaging should be an increase or decrease ≥30% of the absolute imaged area of flow signal and that a "large area" of WF-OCTA reduced flow signal should also be defined as ≥30% of the absolute imaged area. The presence of new vessels and intraretinal microvascular abnormalities, the foveal avascular zone parameters, the presence and amount of "no-flow areas," and the assessment of vessel density in various retinal layers should be added for the staging and classification of diabetic retinopathy. Decreased flow ≥30% of the absolute imaged area should define an ischemic central retinal vein occlusion. Several other items did not meet consensus requirements or were rejected in the final discussion round.
CONCLUSIONS: This study provides international consensus recommendations for reporting OCTA findings in retinal vascular disease, which may help to improve the interpretability and description in clinic and clinical trials. Further validation in these settings is warranted and ongoing. Efforts are continuing to address unresolved questions.