1. Recommendations for OCT Angiography Reporting in Retinal Vascular Disease: A Delphi Approach by International Experts.
- Author
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Munk, MR, Kashani, AH, Tadayoni, R, Korobelnik, J-F, Wolf, S, Pichi, F, Koh, A, Ishibazawa, A, Gaudric, A, Loewenstein, A, Lumbroso, B, Ferrara, D, Sarraf, D, Wong, DT, Skondra, D, Rodriguez, FJ, Staurenghi, G, Pearce, I, Kim, JE, Freund, KB, Parodi, MB, Waheed, NK, Rosen, R, Spaide, RF, Nakao, S, Sadda, S, Vujosevic, S, Wong, TY, Murata, T, Chakravarthy, U, Ogura, Y, Huf, W, Tian, M, Munk, MR, Kashani, AH, Tadayoni, R, Korobelnik, J-F, Wolf, S, Pichi, F, Koh, A, Ishibazawa, A, Gaudric, A, Loewenstein, A, Lumbroso, B, Ferrara, D, Sarraf, D, Wong, DT, Skondra, D, Rodriguez, FJ, Staurenghi, G, Pearce, I, Kim, JE, Freund, KB, Parodi, MB, Waheed, NK, Rosen, R, Spaide, RF, Nakao, S, Sadda, S, Vujosevic, S, Wong, TY, Murata, T, Chakravarthy, U, Ogura, Y, Huf, W, and Tian, M
- Abstract
PURPOSE: To develop a consensus nomenclature for reporting OCT angiography (OCTA) findings in retinal vascular disease (e.g., diabetic retinopathy, retinal vein occlusion) by international experts. 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
- Published
- 2022