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Cited by 502

The DOI matches its Crossref record; 30 of the 30 references it cites were found in a registry or an index.

Quantifying Microvascular Density and Morphology in Diabetic Retinopathy Using Spectral-Domain Optical Coherence Tomography Angiography

Open access
Kim, Alice Y., Chu, Zhongdi, Shahidzadeh, Anoush, Wang, Ruikang K., Puliafito, Carmen A., Kashani, Amir H.·2016·Investigative Opthalmology & Visual Science

Abstract

PURPOSE: To quantify changes in retinal microvasculature in diabetic retinopathy (DR) by using spectral-domain optical coherence tomography angiography (SD-OCTA). METHODS: Retrospective, cross-sectional, observational study of healthy and diabetic adult subjects with and without DR. Retinal microvascular changes were assessed by using SD-OCTA images and an intensity-based optical microangiography algorithm. A semiautomated program was used to calculate indices of microvascular density and morphology in nonsegmented and segmented SD-OCTA images. Microvascular density was quantified by using skeleton density (SD) and vessel density (VD), while vessel morphology was quantified as fractal dimension (FD) and vessel diameter index (VDI). Statistical analyses were performed by using the Student's t-test or analysis of variance with post hoc Tukey honest significant difference tests for multiple comparisons. RESULTS: Eighty-four eyes with DR and 14 healthy eyes were studied. Spearman's rank test demonstrated a negative correlation between DR severity and SD, VD, and FD, and a positive correlation with VDI (ρ = -0.767, -0.7166, -0.768, and +0.5051, respectively; P < 0.0001). All parameters showed high reproducibility between graders (ICC = 0.971, 0.962, 0.937, and 0.994 for SD, VD, FD, and VDI, respectively). Repeatability (κ) was greater than 0.99 for SD, VD, FD, and VDI. CONCLUSIONS: Vascular changes in DR can be objectively and reliably characterized with SD, VD, FD, and VDI. In general, decreasing capillary density (SD and VD), branching complexity (FD), and increasing average vascular caliber (VDI) were associated with worsening DR. Changes in capillary density and morphology were significantly correlated with diabetic macular edema.

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Metadata

Authors
Kim, A. Y., Chu, Z., Shahidzadeh, A., Wang, R. K., Puliafito, C. A., & Kashani, A. H.
Venue
Investigative Opthalmology & Visual Science
Published
2016-07-13
Volume
57
Issue
9
Pages
OCT362
ISSN
  • 0146-0404 (ISSN-L)
  • 1552-5783
OpenAlex
W2461701740
Cited by
502
References
30
FWCI
40.21
Type
journal article
Language
en
Open access
gold

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CoChat. (2026). Citation check: Quantifying Microvascular Density and Morphology in Diabetic Retinopathy Using Spectral-Domain Optical Coherence Tomography Angiography. https://app.cochat.ai/papers/10.1167/iovs.15-18904
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Kim, A. Y., Chu, Z., Shahidzadeh, A., Wang, R. K., Puliafito, C. A., & Kashani, A. H. (2016). Quantifying Microvascular Density and Morphology in Diabetic Retinopathy Using Spectral-Domain Optical Coherence Tomography Angiography. Investigative Opthalmology & Visual Science. https://doi.org/10.1167/iovs.15-18904

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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