دورية أكاديمية
Quantitative Evaluation of Type 1 and Type 2 Choroidal Neovascularization Components Under Treatment With Projection-Resolved OCT Angiography.
العنوان: | Quantitative Evaluation of Type 1 and Type 2 Choroidal Neovascularization Components Under Treatment With Projection-Resolved OCT Angiography. |
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المؤلفون: | Tsuboi K; Casey Eye Institute, Oregon Health & Science University, Portland, Oregon, United States.; Department of Ophthalmology, Aichi Medical University, Nagakute, Japan., You QS; Casey Eye Institute, Oregon Health & Science University, Portland, Oregon, United States., Wang J; Casey Eye Institute, Oregon Health & Science University, Portland, Oregon, United States.; Department of Biomedical Engineering, Oregon Health & Science University, Portland, Oregon, United States., Guo Y; Department of Biomedical Engineering, Oregon Health & Science University, Portland, Oregon, United States., Flaxel CJ; Casey Eye Institute, Oregon Health & Science University, Portland, Oregon, United States., Hwang TS; Casey Eye Institute, Oregon Health & Science University, Portland, Oregon, United States., Huang D; Casey Eye Institute, Oregon Health & Science University, Portland, Oregon, United States.; Department of Biomedical Engineering, Oregon Health & Science University, Portland, Oregon, United States., Jia Y; Casey Eye Institute, Oregon Health & Science University, Portland, Oregon, United States.; Department of Biomedical Engineering, Oregon Health & Science University, Portland, Oregon, United States., Bailey ST; Casey Eye Institute, Oregon Health & Science University, Portland, Oregon, United States. |
المصدر: | Investigative ophthalmology & visual science [Invest Ophthalmol Vis Sci] 2024 Sep 03; Vol. 65 (11), pp. 32. |
نوع المنشور: | Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: Association For Research In Vision And Ophthalmology (Arvo) Country of Publication: United States NLM ID: 7703701 Publication Model: Print Cited Medium: Internet ISSN: 1552-5783 (Electronic) Linking ISSN: 01460404 NLM ISO Abbreviation: Invest Ophthalmol Vis Sci Subsets: MEDLINE |
أسماء مطبوعة: | Publication: Brookline Ma : Association For Research In Vision And Ophthalmology (Arvo) Original Publication: St. Louis, Mosby. |
مواضيع طبية MeSH: | Tomography, Optical Coherence*/methods , Fluorescein Angiography*/methods , Angiogenesis Inhibitors*/therapeutic use , Intravitreal Injections* , Choroidal Neovascularization*/drug therapy , Choroidal Neovascularization*/diagnostic imaging , Choroidal Neovascularization*/diagnosis , Vascular Endothelial Growth Factor A*/antagonists & inhibitors, Humans ; Retrospective Studies ; Male ; Female ; Aged ; Aged, 80 and over ; Visual Acuity ; Ranibizumab/therapeutic use ; Ranibizumab/administration & dosage ; Wet Macular Degeneration/drug therapy ; Wet Macular Degeneration/diagnosis ; Fundus Oculi ; Follow-Up Studies ; Undertreatment |
مستخلص: | Purpose: To evaluate the response of type 1 and type 2 macular neovascularization (MNV) components under anti-vascular endothelial growth factor (VEGF) treatment in age-related macular degeneration (AMD) using projection-resolved optical coherence tomography angiography (PR-OCTA). Methods: This retrospective study included eyes with treatment-naïve exudative AMD treated with anti-VEGF injections under a pro re nata (PRN) protocol over 1 year. Two-dimensional MNV areas and three-dimensional MNV volumes were derived from macular PR-OCTA scans using an automated convolutional neural network. MNV was detected as flow signal within the outer retinal slab. Type 1 components and type 2 components were analyzed separately. Results: Of 17 enrolled eyes, 12 eyes were pure type 1 MNV and five eyes were type 2 MNV. In eyes with pure type 1, the total (sum of type 1 and type 2 components) MNV area and volume did not change from baseline to 6 months or 12 months (P > 0.05). In eyes with type 2 MNV, the total MNV area significantly decreased from the baseline to 6 months (P = 0.0074) and 12 months (P = 0.014). The total type 2 MNV volume also decreased from baseline visit to visits at 6 months and at 12 months, nearing statistical signifiicance (P = 0.061 and P = 0.074). In eyes with type 2 MNV, the type 1 component increased from 0.093 mm2 to 0.30 mm2 (P = 0.058), and the type 2 component decreased from 0.37 mm2 at 6 months to 0 at 12 months (P = 0.0087). Conclusions: Type 1 and type 2 MNV may have different response under PRN anti-VEGF treatment over 1 year. |
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معلومات مُعتمدة: | P30 EY010572 United States EY NEI NIH HHS; R01 EY024544 United States EY NEI NIH HHS; R01 EY027833 United States EY NEI NIH HHS |
المشرفين على المادة: | 0 (Angiogenesis Inhibitors) 0 (Vascular Endothelial Growth Factor A) ZL1R02VT79 (Ranibizumab) |
تواريخ الأحداث: | Date Created: 20240920 Date Completed: 20240920 Latest Revision: 20240926 |
رمز التحديث: | 20240926 |
مُعرف محوري في PubMed: | PMC11421666 |
DOI: | 10.1167/iovs.65.11.32 |
PMID: | 39302645 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1552-5783 |
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DOI: | 10.1167/iovs.65.11.32 |