Tomography, Optical Coherence

体层摄影术, 光学相干
  • 文章类型: Journal Article
    光学相干层析成像对于捕获动态过程具有很大的实用性,但此类应用尤其是数据密集型。生物组织等样本在不同的时间尺度上表现出时间特征,这使得数据缩减具有挑战性。
    我们提出了一种使用非均匀时间采样以压缩方式捕获样本的短期和长期相关性的方法,以减少扫描时间和内存开销。
    所提出的方法分离了白噪声的相对贡献,波动特征,和固定特征。该方法已在三维培养的乳腺上皮细胞球体上证明,可捕获细胞内运动而不损失信号完整性。
    结果表明,保留了运动性的空间模式,并且用blebbistatin处理的球体的假设检验,一种运动蛋白抑制剂,在高达8倍的压缩下保持不变。
    压缩测量短期和长期相关性的能力将在(3+1)D成像和高通量筛选中实现新的应用。
    UNASSIGNED: Optical coherence tomography has great utility for capturing dynamic processes, but such applications are particularly data-intensive. Samples such as biological tissues exhibit temporal features at varying time scales, which makes data reduction challenging.
    UNASSIGNED: We propose a method for capturing short- and long-term correlations of a sample in a compressed way using non-uniform temporal sampling to reduce scan time and memory overhead.
    UNASSIGNED: The proposed method separates the relative contributions of white noise, fluctuating features, and stationary features. The method is demonstrated on mammary epithelial cell spheroids in three-dimensional culture for capturing intracellular motility without loss of signal integrity.
    UNASSIGNED: Results show that the spatial patterns of motility are preserved and that hypothesis tests of spheroids treated with blebbistatin, a motor protein inhibitor, are unchanged with up to eightfold compression.
    UNASSIGNED: The ability to measure short- and long-term correlations compressively will enable new applications in (3+1)D imaging and high-throughput screening.
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  • 文章类型: Journal Article
    急性冠脉综合征(ACS)患者,经常由斑块破裂(PR)引起,通常在残留病变和罪魁祸首病变中都有易损斑块。然而,这种情况是否也发生在斑块糜烂(PE)患者中是未知的。我们回顾性分析了88例接受了最佳相干断层扫描(OCT)和血管内超声(IVUS)的ACS患者的数据。根据使用OCT识别的罪魁祸首病变的斑块形态,患者分为PE组(n=23)和PR组(n=35).在经皮冠状动脉介入治疗后,比较了两组之间使用背向散射IVUS评估的残留病变的组织特征。PE组的脂质体积百分比和纤维体积百分比明显低于PR组(35.0±17.8%vs49.2±13.4%,p<0.001;63.2±17.1%vs50.3±13.1%,分别为p=0.002)。受试者工作特征曲线分析显示,残留病变中的脂质体积百分比是估计罪犯病变斑块形态的重要判别因素(最佳临界值,<43.5%;敏感性和特异性值分别为73.9%和68.6%,分别)。总之,与PR患者相比,PE患者的脂质体积百分比明显较低,残留病变中的纤维体积百分比明显较高,提示PE患者的冠状动脉斑块性质与PR患者不同。
    Patients with acute coronary syndrome (ACS), frequently caused by plaque rupture (PR), often have vulnerable plaques in residual lesions as well as in culprit lesions. However, whether this occurs in patients with plaque erosion (PE) as well is unknown. We retrospectively analyzed the data of 88 patients with ACS who underwent both optimal coherence tomography (OCT) and intravascular ultrasound (IVUS). Based on plaque morphology of the culprit lesions identified using OCT, patients were classified into PE (n=23) and PR (n=35) groups. The tissue characteristics of residual lesions evaluated using integrated backscatter IVUS were compared between both groups after percutaneous coronary intervention. The PE group had a significantly lower percent lipid volume and a higher percent fibrous volume than the PR group (35.0±17.8% vs 49.2±13.4%, p<0.001; 63.2±17.1% vs 50.3±13.1%, p=0.002, respectively). Receiver operating characteristic curve analysis revealed that percent lipid volume in the residual lesions was a significant discriminant factor in estimating the plaque morphology of the culprit lesion (optimal cut-off value, <43.5%; sensitivity and specificity values were 73.9% and 68.6%, respectively). In conclusion, patients with PE had a significantly lower percent lipid volume and a significantly higher percent fibrous volume in the residual lesions than those with PR, suggesting that the nature of coronary plaques in patients with PE is different from that of those with PR.
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  • 文章类型: Journal Article
    背景:炎症性皮肤病,比如牛皮癣,特应性湿疹,和接触性皮炎由于其不同的临床表现和快速和精确的诊断评估的需要带来诊断挑战.
    目的:虽然最近的研究描述了非侵入性成像设备,如光学相干断层扫描和线场共聚焦OCT(LC-OCT),作为实时可视化病理特征的可能技术,尚未进行标准化分析和验证.
    方法:诊断为特应性湿疹的患者的一百四十个病变(57),牛皮癣(50),和接触性皮炎(33)使用OCT和LC-OCT成像。采用统计分析来评估其特征形态特征的重要性。此外,开发了一种基于Gini系数计算的决策树算法,以识别关键属性和准确分类疾病组的标准。
    结果:描述性统计揭示了湿疹的独特形态特征,牛皮癣,和接触性皮炎病变。多变量逻辑回归证明了这些特征的重要性,提供了三种炎症状态之间的强大区别。决策树算法通过识别疾病判别的最佳属性,进一步提高了分类精度,强调特定的形态学标准对临床快速诊断至关重要。
    结论:描述性统计的组合方法,多元逻辑回归,决策树算法提供了与每个炎症性皮肤病相关的独特方面的透彻理解。这项研究为病变分类提供了一个实用的框架,增强临床医生对成像结果的可解释性。
    BACKGROUND: Inflammatory skin diseases, such as psoriasis, atopic eczema, and contact dermatitis pose diagnostic challenges due to their diverse clinical presentations and the need for rapid and precise diagnostic assessment.
    OBJECTIVE: While recent studies described non-invasive imaging devices such as Optical coherence tomography and Line-field confocal OCT (LC-OCT) as possible techniques to enable real-time visualization of pathological features, a standardized analysis and validation has not yet been performed.
    METHODS: One hundred forty lesions from patients diagnosed with atopic eczema (57), psoriasis (50), and contact dermatitis (33) were imaged using OCT and LC-OCT. Statistical analysis was employed to assess the significance of their characteristic morphologic features. Additionally, a decision tree algorithm based on Gini\'s coefficient calculations was developed to identify key attributes and criteria for accurately classifying the disease groups.
    RESULTS: Descriptive statistics revealed distinct morphologic features in eczema, psoriasis, and contact dermatitis lesions. Multivariate logistic regression demonstrated the significance of these features, providing a robust differentiation between the three inflammatory conditions. The decision tree algorithm further enhanced classification accuracy by identifying optimal attributes for disease discrimination, highlighting specific morphologic criteria as crucial for rapid diagnosis in the clinical setting.
    CONCLUSIONS: The combined approach of descriptive statistics, multivariate logistic regression, and a decision tree algorithm provides a thorough understanding of the unique aspects associated with each inflammatory skin disease. This research offers a practical framework for lesion classification, enhancing the interpretability of imaging results for clinicians.
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  • 文章类型: Journal Article
    评估准分子激光辅助深板层角膜移植术(Exc-DALK)和准分子激光辅助穿透性角膜移植术(Exc-PKP)对晚期圆锥角膜眼中央凹下脉络膜厚度(SFCT)的影响。回顾性比较临床研究,比较了术后2个月(T1)和2年(T2)接受Exc-DALK(G1)治疗的24只眼与接受Exc-PKP(G2)治疗的配对组的43只眼的结局。主要结果包括最佳矫正视力(BCVA),黄斑中心厚度(CMT),和SFCT。术前,两组之间的BCVA没有显着差异,CMT或SFCT(p>0.05)。在两次随访中,两组之间的BCVA没有显着差异(p>0.05)。在两次随访中,两组之间的CMT没有显着差异(p>0.05)。在两次随访中,G2的SFCT均高于G1(p<0.01)。与术前SFCT相比,在两次随访中,G1期SFCT均无明显变化(p>0.05)。在G2中,SFCT在T1时显着增加(p<0.01),在T2时没有显着差异(p=0.17)。SFCT在Exc-PKP后显著增加,但在Exc-DALK后没有,这可能表明Exc-DALK对脉络膜的影响较小,因此与Exc-PKP相比,对眼部组织的创伤较小。
    To evaluate the impact of excimer laser-assisted deep anterior lamellar keratoplasty (Exc-DALK) and excimer laser-assisted penetrating keratoplasty (Exc-PKP) on subfoveal choroidal thickness (SFCT) in eyes with advanced keratoconus. A retrospective comparative clinical study, which compares the outcomes of 24 eyes treated with Exc-DALK (G1) against matched group of 43 eyes treated with Exc-PKP (G2) at both 2 months (T1) and 2 years (T2) postoperatively. Main outcomes included best-corrected visual acuity (BCVA), central macular thickness (CMT), and SFCT. Preoperatively, there were no significant differences between both groups regarding BCVA, CMT or SFCT (p > 0.05). There were no significant differences between both groups regarding BCVA at both follow-ups (p > 0.05). There were no significant differences between both groups regarding CMT at both follow-ups (p > 0.05). SFCT was higher in G2 than G1 at both follow-ups (p < 0.01). Compared to preoperative SFCT, there were no significant changes in SFCT in G1 at both follow-ups (p > 0.05). In G2, SFCT increased significantly at T1 (p < 0.01) and did not differ significantly at T2 (p = 0.17). SFCT increased significantly after Exc-PKP but not after Exc-DALK, which might indicate that Exc-DALK affects the choroid less and thus could represent a less traumatic approach to ocular tissue than Exc-PKP.
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  • 文章类型: Journal Article
    这项研究的目的是分析生成对抗网络(GAN)的光学相干断层扫描(OCT)图像,以预测长期治疗后的糖尿病性黄斑水肿。
    糖尿病性黄斑水肿(DME)眼(n=327)每4周接受抗血管内皮生长因子(VEGF)治疗,共52周。在第0、4、12和52周,通过中央凹中心的OCTB扫描图像,眼底摄影,收集视网膜厚度(RT)图。训练GAN模型以在治疗后生成可能的OCT图像。每个模型的输入包括单独的基线B扫描或与额外的OCT组合。厚度图,或眼底图像。将生成的OCTB扫描图像与实际的52周图像进行比较。
    对于30个测试图像,CycleGAN生成了28、29、15和30张可分级的OCT图像,UNIT,Pix2PixHD,还有RegGAN,分别。与真实的第52周相比,这些GAN模型显示出阳性预测值(PPV),灵敏度,特异性,残留流体的κ分别为0.500至0.889、0.455至1.000、0.357至0.857和0.537至0.929。对于硬渗出物(HE),它们分别为0.500至1.000、0.545至0.900、0.600至1.000和0.642至0.894。用第4周和12周B扫描作为基线B扫描的额外输入训练的模型显示出改善的性能。
    GAN模型可以预测DME长期抗VEGF治疗后的残余液体和HE。
    该工具的实施可能有助于识别长期治疗后潜在的无反应者,从而促进这些眼睛的管理规划。
    UNASSIGNED: The purpose of this study was to analyze optical coherence tomography (OCT) images of generative adversarial networks (GANs) for the prediction of diabetic macular edema after long-term treatment.
    UNASSIGNED: Diabetic macular edema (DME) eyes (n = 327) underwent anti-vascular endothelial growth factor (VEGF) treatments every 4 weeks for 52 weeks from a randomized controlled trial (CRTH258B2305, KINGFISHER) were included. OCT B-scan images through the foveal center at weeks 0, 4, 12, and 52, fundus photography, and retinal thickness (RT) maps were collected. GAN models were trained to generate probable OCT images after treatment. Input for each model were comprised of either the baseline B-scan alone or combined with additional OCT, thickness map, or fundus images. Generated OCT B-scan images were compared with real week 52 images.
    UNASSIGNED: For 30 test images, 28, 29, 15, and 30 gradable OCT images were generated by CycleGAN, UNIT, Pix2PixHD, and RegGAN, respectively. In comparison with the real week 52, these GAN models showed positive predictive value (PPV), sensitivity, specificity, and kappa for residual fluid ranging from 0.500 to 0.889, 0.455 to 1.000, 0.357 to 0.857, and 0.537 to 0.929, respectively. For hard exudate (HE), they were ranging from 0.500 to 1.000, 0.545 to 0.900, 0.600 to 1.000, and 0.642 to 0.894, respectively. Models trained with week 4 and 12 B-scans as additional inputs to the baseline B-scan showed improved performance.
    UNASSIGNED: GAN models could predict residual fluid and HE after long-term anti-VEGF treatment of DME.
    UNASSIGNED: The implementation of this tool may help identify potential nonresponders after long-term treatment, thereby facilitating management planning for these eyes.
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  • 文章类型: Journal Article
    本研究旨在使用扫频源光学相干断层扫描(SS-OCT)和其他眼科参数研究血液透析(HD)对终末期患者视神经乳头(ONH)的筛板(LC)的影响。肾脏疾病(ESKD)。这项前瞻性观察性研究包括29例因ESKD而接受HD的患者。ONH参数包括神经管直径(NCD),乳头周围垂直高度(PVH),和前LC深度(LCD),使用SS-OCT进行评估。统计分析HD前后ONH参数的变化。使用Pearson的相关性分析确定了LCD变化与其他眼部和全身测量之间的相关性。平均前LCD从HD前的441.6±139.8μm降至HD后的413.5±141.7μm(P=0.001)。平均NCD和PVH在HD后没有显示显著变化(分别为P=0.841和P=0.574)。前LCD的变化与平均眼灌注压之间存在显着相关性(r=0.397,P=0.036)。我们观察到HD后前部LCD的显着减少。我们的研究表明,HD可以影响ONH,尤其是在LC。
    This study is aimed to investigate the effect of hemodialysis (HD) on the lamina cribrosa (LC) of the optic nerve head (ONH) using swept-source optical coherence tomography (SS-OCT) and other ophthalmological parameters in patients with end-stage kidney disease (ESKD). This prospective observational study included 29 patients who underwent HD for ESKD. ONH parameters including neural canal diameter (NCD), peripapillary vertical height (PVH), and anterior LC depth (LCD), were assessed using SS-OCT. Changes in the ONH parameters before and after HD were statistically analysed. Correlations between changes in the LCD and other ocular and systemic measurements were identified using Pearson\'s correlation analyses. The mean anterior LCD significantly decreased from 441.6 ± 139.8 μm before HD to 413.5 ± 141.7 μm after HD (P = 0.001). Mean NCD and PVH did not show significant changes after HD (P = 0.841 and P = 0.574, respectively). A significant correlation was found between changes in the anterior LCD and the mean ocular perfusion pressure (r = 0.397, P = 0.036). We observed a significant decrease in anterior LCD after HD. Our study suggests that HD can influence the ONH, especially in the LC.
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  • 文章类型: Journal Article
    探讨光学相干断层扫描(OCT)分析的视盘参数与有症状的玻璃体后脱离(PVD)患者周边视网膜撕裂的发生之间的关联。
    这项横断面研究纳入了75例急性PVD症状患者,根据是否发生周边视网膜撕裂将患者分为两组。
    当比较视网膜撕裂和对照组之间的平均视网膜神经纤维层(RNFL)厚度(μm)时,研究表明,患有视网膜撕裂的患者有明显更高的(87.18[95%置信区间(CI),84.47至89.9]vs81.14[95%CI,77.81至84.46],P=0.005)平均RNFL厚度。此外,我们观察到泪液组和对照组之间的杯体积(mm3)大小存在显着差异(0.13,0.06至0.22vs0.07,0.04至0.1,P=0.036,Mann-WhitneyU检验),分别。线性回归显示平均RNFL厚度随着年龄的增加而显著降低(P=0.029)。但两组之间没有显着差异。泪液组与对照组在边缘面积方面无统计学差异,光盘面积,和平均杯盘比。
    具有较高的平均RNFL厚度和通过OCT测量的较大杯体积的患者更容易发生周边视网膜撕裂。由于创伤和随后的炎症,乳头周围平均RNFL厚度增加,可能与视网膜上更粘附的后透明膜有关,也可能表明视网膜撕裂发生的周边视网膜区域的粘连增强。视神经乳头的OCT分析可用于日常临床实践中,作为有症状的PVD患者周围视网膜撕裂发展的预测因子。
    UNASSIGNED: To investigate association between optic disc parameters analyzed by optical coherence tomography (OCT) and occurrence of peripheral retinal tears in patients with symptomatic posterior vitreous detachment (PVD).
    UNASSIGNED: This cross-sectional study enrolled 75 patients with symptoms of acute PVD, who were allocated into two groups based on whether a peripheral retinal tear occurred or not.
    UNASSIGNED: When comparing the average retinal nerve fiber layer (RNFL) thickness (μm) between retinal tear and control groups, it was shown that patients with a retinal tear have a significantly higher (87.18 [95% confidence interval (CI), 84.47 to 89.9] vs 81.14 [95% CI, 77.81 to 84.46], P = 0.005) average RNFL thickness. Furthermore, we observed a significant difference (0.13, 0.06 to 0.22 vs 0.07, 0.04 to 0.1, P = 0.036, Mann-Whitney U-test) in the size of cup volume (mm3) between the tear and control groups, respectively. Linear regression showed a significant decrease (P = 0.029) in average RNFL thickness with increasing age, but without a significant difference between the two groups. There was no statistically significant difference between the tear and control groups in terms of rim area, disc area, and average cup-to-disc ratio.
    UNASSIGNED: Patients with a higher average RNFL thickness and larger cup volume measured by OCT were more prone to develop a peripheral retinal tear. Increased peripapillary average RNFL thickness due to trauma and subsequent inflammation, possibly related to the more adherent posterior hyaloid membrane to the retina, may also indicate strengthened adhesions in the areas of the peripheral retina where retinal tears occur. OCT analysis of the optic nerve head may be used in everyday clinical practice as a predictor of the development of peripheral retinal tears in patients with symptomatic PVD.
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  • 文章类型: Journal Article
    背景:消费品,例如电动剃须刀,以压力和剪切的形式在皮肤上施加动态载荷的组合。这种机械刺激可能导致不适和皮肤组织反应,其特征为“皮肤敏感性”。为了将剃须后的不适降至最低,需要使用光学相干断层扫描(OCT)等先进工具建立特定的刺激-反应关系.
    目的:探讨电剃刮刺激后皮肤形态和微血管功能的时空变化。
    方法:招募10名健康男性志愿者。这项研究包括对前臂进行60秒的电剃刺激,脸颊和脖子。在基线时记录皮肤参数,刺激后20分钟和刺激后24小时。使用OCT估计结构和动态皮肤参数,同时记录了经皮水分流失(TEWL),以提供皮肤屏障功能的参考值。
    结果:在基线时,八个参数中的六个显示了前臂和面部部位之间的统计学差异,而颊部和颈部之间仅表面粗糙度(Rq)和反射率有统计学差异(p<0.05)。剃须后20分钟,TEWL值显着增加,伴随着血液灌注的增加,变化幅度取决于解剖部位。刺激后24小时观察到恢复特征,大多数参数恢复到基础值,强调刺激的短暂影响。
    结论:OCT参数显示皮肤组织对电剃的反应在空间和时间上存在差异。这种方法可以告知剃须刀设计并防止皮肤敏感。
    BACKGROUND: Consumer products such as electrical shavers exert a combination of dynamic loading in the form of pressure and shear on the skin. This mechanical stimulus can lead to discomfort and skin tissue responses characterised as \"Skin Sensitivity\". To minimise discomfort following shaving, there is a need to establish specific stimulus-response relationships using advanced tools such as optical coherence tomography (OCT).
    OBJECTIVE: To explore the spatial and temporal changes in skin morphology and microvascular function following an electrical shaving stimulus.
    METHODS: Ten healthy male volunteers were recruited. The study included a 60-s electrical shaving stimulus on the forearm, cheek and neck. Skin parameters were recorded at baseline, 20 min post stimulus and 24 h post stimulus. Structural and dynamic skin parameters were estimated using OCT, while transepidermal water loss (TEWL) was recorded to provide reference values for skin barrier function.
    RESULTS: At baseline, six of the eight parameters revealed statistically significant differences between the forearm and the facial sites, while only surface roughness (Rq) and reflectivity were statistically different (p < 0.05) between the cheek and neck. At 20 min post shaving, there was a significant increase in the TEWL values accompanied by increased blood perfusion, with varying magnitude of change dependent on the anatomical site. Recovery characteristics were observed 24 h post stimulus with most parameters returning to basal values, highlighting the transient influence of the stimulus.
    CONCLUSIONS: OCT parameters revealed spatial and temporal differences in the skin tissue response to electrical shaving. This approach could inform shaver design and prevent skin sensitivity.
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  • 文章类型: Journal Article
    背景:关于使用药物涂层球囊(DCB)治疗新发冠状动脉病变的经皮冠状动脉介入(PCI)后病变靶病变失败(TLF)的决定因素的数据有限,包括光学相干断层扫描(OCT)的发现。
    目的:本研究旨在探讨DCB治疗新发冠状动脉病变时TLF的相关因素。
    方法:我们回顾性地纳入了328例接受DCBPCI的患者的328个新冠状动脉病变。所有病变都没有支架治疗,并进行了PCI术前和术后OCT.患者分为两组,有或没有TLF,它被定义为与病变相关的心脏死亡的复合,心肌梗塞,和靶病变血运重建,并对TLF的相关因素进行评估。
    结果:在460天的中位随访期,TLF事件发生在31例患者中(9.5%),与需要血液透析的患者有关(HD;29.0%vs10.8%),严重钙化病变(中位数最大钙弧215°vs104°),与无TLF事件的患者相比,无OCT内侧夹层(16.1%vs60.9%)。在Cox多变量逻辑回归分析中,HD(危险比[HR]:2.26,95%置信区间[CI]:1.00-5.11;p=0.049),最大钙弧(每90°,HR:1.34,95%CI:1.05-1.72;p=0.02),和在OCT上没有PCI后的内侧夹层(HR:8.24,95%CI:3.15-21.6;p<0.001)与TLF独立相关。
    结论:在接受DCB治疗的新生冠状动脉病变中,与TLF相关的因素是HD,严重钙化病变的存在,以及没有PCI术后内侧夹层。
    BACKGROUND: There are limited data about determinant factors of target lesion failure (TLF) in lesions after percutaneous coronary intervention (PCI) using a drug-coated balloon (DCB) for de novo coronary artery lesions, including optical coherence tomography (OCT) findings.
    OBJECTIVE: The present study aims to investigate the associated factors of TLF in de novo coronary artery lesions with DCB treatment.
    METHODS: We retrospectively enrolled 328 de novo coronary artery lesions in 328 patients who had undergone PCI with a DCB. All lesions had been treated without a stent, and both pre- and post-PCI OCT had been carried out. Patients were divided into two groups, with or without TLF, which was defined as a composite of culprit lesion-related cardiac death, myocardial infarction, and target lesion revascularisation, and the associated factors of TLF were assessed.
    RESULTS: At the median follow-up period of 460 days, TLF events occurred in 31 patients (9.5%) and were associated with patients requiring haemodialysis (HD; 29.0% vs 10.8%), with a severely calcified lesion (median maximum calcium arc 215° vs 104°), and with the absence of OCT medial dissection (16.1% vs 60.9%) as opposed to those without TLF events. In Cox multivariable logistic regression analysis, HD (hazard ratio [HR]: 2.26, 95% confidence interval [CI]: 1.00-5.11; p=0.049), maximum calcium arc (per 90°, HR: 1.34, 95% CI: 1.05-1.72; p=0.02), and the absence of post-PCI medial dissection on OCT (HR: 8.24, 95% CI: 3.15-21.6; p<0.001) were independently associated with TLF.
    CONCLUSIONS: In de novo coronary artery lesions that received DCB treatment, factors associated with TLF were being on HD, the presence of a severely calcified lesion, and the absence of post-PCI medial dissection.
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  • 文章类型: Journal Article
    本研究旨在探讨眼眶壁减压术和眼球突出减少术对甲状腺眼病(TED)患者脉络膜血管指数(CVI)和中心凹下脉络膜厚度(SFCT)的影响。这项研究纳入了38例受控TED和眼球突出患者的51只眼。大多数患者(50.9%)的临床活动评分(CAS)为零,没有一个CAS大于2。患者接受了完整的基线眼科检查,术前和术后3个月使用增强深度成像光学相干断层扫描(EDI-OCT)监测脉络膜轮廓改变.SFCT的变化,亮度面积(LA),脉络膜总面积(TCA),和脉络膜血管指数(CVI)测量为EDI-OCT图像中LA与TCA的比值。参与者的平均年龄为46.47岁,女性22人(57.9%)。患者的SFCT在随访期间表现出显著的降低,与基线相比,第一个月从388±103下降到355±95µm(p<0.001),到第三个月进一步下降到342±109µm(p<0.001)。CVI从基线的0.685±0.037下降到手术后1个月和3个月的0.682±0.035和0.675±0.030,分别。然而,这些变化没有统计学意义,表明LA和TCA的下降相当。改善的眼球突出度与SFCT减少之间存在显着相关性(p<0.001),但与CVI无关(p=0.171)。总之,在眼眶壁减压术后三个月的随访中,CVI没有改变,而SFCT明显降低。此外,SFCT与眼球突出减少显著相关,而CVI不是。
    This study aimed to investigate the effect of orbital wall decompression surgery and reduction of proptosis on the choroidal vascularity index (CVI) and subfoveal choroidal thickness (SFCT) in patients with thyroid eye disease (TED). Fifty-one eyes from 38 patients with controlled TED and proptosis were enrolled in this study. The majority of the patients (50.9%) had a clinical activity score (CAS) of zero, and none had a CAS greater than 2. The patients underwent a complete baseline ophthalmologic examination, and their choroidal profile alterations were monitored using enhanced depth imaging optical coherence tomography (EDI-OCT) before and during the three months after surgery. Changes in SFCT, luminance area (LA), total choroidal area (TCA), and the choroidal vascularity index (CVI) were measured as the ratio of LA to TCA in EDI-OCT images. The participants had an average age of 46.47 years, and 22 were female (57.9%). The SFCT of the patients exhibited a significant reduction over the follow-up period, decreasing from 388 ± 103 to 355 ± 95 µm in the first month (p < 0.001) and further decreasing to 342 ± 109 µm by the third month compared to baseline (p < 0.001). The CVI exhibited a drop from 0.685 ± 0.037 at baseline to 0.682 ± 0.035 and 0.675 ± 0.030 at 1 and 3 months post-surgery, respectively. However, these changes were not statistically significant, indicating comparable decreases in both LA and TCA. There was a significant correlation between improved proptosis and reduction in SFCT (p < 0.001) but not with CVI (p = 0.171). In conclusion, during the three months of follow-up following orbital wall decompression, CVI did not change, while SFCT reduced significantly. Additionally, SFCT was significantly correlated with proptosis reduction, whereas CVI was not.
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