Repeatability and Reproducibility of Retinal Fractal Dimension Measured with Swept-Source Optical Coherence Tomography Angiography in Healthy Eyes: A Proof-of-Concept Study

The retinal vascular network fractal dimension (FD) could be a promising imaging biomarker. Our objective was to evaluate its repeatability and reproducibility in healthy eyes. A cross-sectional study was undertaken with young, healthy volunteers who had no reported cardiac risk factors or ocular di...

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Main Authors: Louis Arnould, Déa Haddad, Florian Baudin, Pierre-Henry Gabrielle, Marc Sarossy, Alain M. Bron, Behzad Aliahmad, Catherine Creuzot-Garcher
Format: Article
Language:English
Published: MDPI AG 2022-07-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/12/7/1769
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author Louis Arnould
Déa Haddad
Florian Baudin
Pierre-Henry Gabrielle
Marc Sarossy
Alain M. Bron
Behzad Aliahmad
Catherine Creuzot-Garcher
author_facet Louis Arnould
Déa Haddad
Florian Baudin
Pierre-Henry Gabrielle
Marc Sarossy
Alain M. Bron
Behzad Aliahmad
Catherine Creuzot-Garcher
author_sort Louis Arnould
collection DOAJ
description The retinal vascular network fractal dimension (FD) could be a promising imaging biomarker. Our objective was to evaluate its repeatability and reproducibility in healthy eyes. A cross-sectional study was undertaken with young, healthy volunteers who had no reported cardiac risk factors or ocular disease history. For each participant, three SS-OCTA images (12 × 12 mm) were acquired using the Plex Elite 9000 (Carl Zeiss Meditec AG, Jena, Germany) by two ophthalmologists. Automated segmentation was obtained from both the superficial and deep capillary plexuses. FD was estimated by box counting. The intraclass correlation coefficients (ICC) were used as measures for repeatability and reproducibility. A total of 43 eyes of healthy volunteers were included. The mean ± standard deviation (SD) age was 30 ± 6.2 years. The results show good repeatability. The ICC was 0.722 (95% CI, 0.541–0.839) in the superficial capillary plexus and 0.828 (95% CI, 0.705–0.903) in the deep capillary plexus. For reproducibility, the ICC was 0.651 (95% CI, 0.439–0.795) and 0.363 (95% CI, 0.073–0.596) at the superficial and deep capillary plexus, respectively. In this study, the FD of the vascular network measured via SS-OCTA showed good repeatability and reproducibility in healthy participants.
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spelling doaj.art-11fdafc42168419daab15b3b7a06693c2023-11-30T23:04:14ZengMDPI AGDiagnostics2075-44182022-07-01127176910.3390/diagnostics12071769Repeatability and Reproducibility of Retinal Fractal Dimension Measured with Swept-Source Optical Coherence Tomography Angiography in Healthy Eyes: A Proof-of-Concept StudyLouis Arnould0Déa Haddad1Florian Baudin2Pierre-Henry Gabrielle3Marc Sarossy4Alain M. Bron5Behzad Aliahmad6Catherine Creuzot-Garcher7Ophthalmology Department, Dijon University Hospital, 21000 Dijon, FranceOphthalmology Department, Dijon University Hospital, 21000 Dijon, FranceOphthalmology Department, Dijon University Hospital, 21000 Dijon, FranceOphthalmology Department, Dijon University Hospital, 21000 Dijon, FranceSchool of Engineering, RMIT University, Melbourne, VIC 3000, AustraliaOphthalmology Department, Dijon University Hospital, 21000 Dijon, FranceSchool of Engineering, RMIT University, Melbourne, VIC 3000, AustraliaOphthalmology Department, Dijon University Hospital, 21000 Dijon, FranceThe retinal vascular network fractal dimension (FD) could be a promising imaging biomarker. Our objective was to evaluate its repeatability and reproducibility in healthy eyes. A cross-sectional study was undertaken with young, healthy volunteers who had no reported cardiac risk factors or ocular disease history. For each participant, three SS-OCTA images (12 × 12 mm) were acquired using the Plex Elite 9000 (Carl Zeiss Meditec AG, Jena, Germany) by two ophthalmologists. Automated segmentation was obtained from both the superficial and deep capillary plexuses. FD was estimated by box counting. The intraclass correlation coefficients (ICC) were used as measures for repeatability and reproducibility. A total of 43 eyes of healthy volunteers were included. The mean ± standard deviation (SD) age was 30 ± 6.2 years. The results show good repeatability. The ICC was 0.722 (95% CI, 0.541–0.839) in the superficial capillary plexus and 0.828 (95% CI, 0.705–0.903) in the deep capillary plexus. For reproducibility, the ICC was 0.651 (95% CI, 0.439–0.795) and 0.363 (95% CI, 0.073–0.596) at the superficial and deep capillary plexus, respectively. In this study, the FD of the vascular network measured via SS-OCTA showed good repeatability and reproducibility in healthy participants.https://www.mdpi.com/2075-4418/12/7/1769fractal dimensionhealthy volunteersswept-source OCT angiographysuperficial retinal capillary plexusdeep retinal capillary plexusretina
spellingShingle Louis Arnould
Déa Haddad
Florian Baudin
Pierre-Henry Gabrielle
Marc Sarossy
Alain M. Bron
Behzad Aliahmad
Catherine Creuzot-Garcher
Repeatability and Reproducibility of Retinal Fractal Dimension Measured with Swept-Source Optical Coherence Tomography Angiography in Healthy Eyes: A Proof-of-Concept Study
Diagnostics
fractal dimension
healthy volunteers
swept-source OCT angiography
superficial retinal capillary plexus
deep retinal capillary plexus
retina
title Repeatability and Reproducibility of Retinal Fractal Dimension Measured with Swept-Source Optical Coherence Tomography Angiography in Healthy Eyes: A Proof-of-Concept Study
title_full Repeatability and Reproducibility of Retinal Fractal Dimension Measured with Swept-Source Optical Coherence Tomography Angiography in Healthy Eyes: A Proof-of-Concept Study
title_fullStr Repeatability and Reproducibility of Retinal Fractal Dimension Measured with Swept-Source Optical Coherence Tomography Angiography in Healthy Eyes: A Proof-of-Concept Study
title_full_unstemmed Repeatability and Reproducibility of Retinal Fractal Dimension Measured with Swept-Source Optical Coherence Tomography Angiography in Healthy Eyes: A Proof-of-Concept Study
title_short Repeatability and Reproducibility of Retinal Fractal Dimension Measured with Swept-Source Optical Coherence Tomography Angiography in Healthy Eyes: A Proof-of-Concept Study
title_sort repeatability and reproducibility of retinal fractal dimension measured with swept source optical coherence tomography angiography in healthy eyes a proof of concept study
topic fractal dimension
healthy volunteers
swept-source OCT angiography
superficial retinal capillary plexus
deep retinal capillary plexus
retina
url https://www.mdpi.com/2075-4418/12/7/1769
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