En face mode of swept-source optical coherence tomography in circumscribed choroidal haemangioma

Flores‐Moreno, Ignacio; Caminal, Josep M.; Arias, Luis; Caso, Marcos Javier Rubio; Català‐Mora, Jaume; Vidal-Martí, María; Muñoz-Blanco, Alex; Filloy, Alejandro; Ruiz-Moreno, José M.; Duker, Jay S.; Arruga, J

doi:10.1136/bjophthalmol-2015-307099

Cited by 19 publications

(11 citation statements)

References 18 publications

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“…However, diagnosis can be challenging when the presentation of these tumors is atypical, and new imaging modalities on OCT such as swept source and OCT angiography can offer a helpful auxiliary tool in such cases [16, 17, 22]. To the best of our knowledge, this is the largest study describing SD-OCT features in untreated cases of CCH and the first to investigate associated ODR measurements of SRF in the diagnosis of this pathology.…”

Section: Discussionmentioning

confidence: 95%

“…Hence, the ODR can offer an auxiliary tool for the differential diagnosis of those cases, while new imaging OCT modalities might add further information about the internal composition of CCH. A recent study of 22 previously treated cases of CCH that had been imaged by swept-source OCT described a multilobular pattern with hyporeflective, confluent areas corresponding with the lumen of the tumor vascular spaces [22]. Another recent study showed that OCT-A can detect blood flow patterns in CCH [28].…”

Section: Discussionmentioning

confidence: 99%

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Subretinal Fluid Optical Density and Spectral-Domain Optical Coherence Tomography Characteristics for the Diagnosis of Circumscribed Choroidal Hemangioma

et al. 2018

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Purpose: To investigate spectral domain-optical coherence tomography (SD-OCT) features of untreated circumscribed choroidal hemangioma (CCH), and the optical density (OD) of the associated subretinal fluid (SRF). Procedures: This international retrospective multicenter study conducted at 5 tertiary retina referral centers included 34 patients with symptomatic CCH imaged on SD-OCT. CCH surface, size, and overlying retinal changes and OD ratio (ODR) were evaluated. Results: The mean ODR of the SRF was 0.808 ± 0.287. Tumor base measured on ultrasound correlated significantly with the ODR (p = 0.012). ODR values in cases of CCH were similar to those of choroidal metastasis, but significantly lower than those of choroidal melanoma (p = 0.006). Thirty-two out of 34 cases (94%) presented with a regular smooth choroidal surface. OCT demonstrated SRF overlying the CCH in 29 eyes (85%). The presence of SRF correlated significantly with a larger basal tumor diameter (p = 0.035). OCT displayed sub- and intraretinal hyperreflective foci, correlating with both larger maximal retinal thickness overlying the tumor (p = 0.031) and the amount of SRF (p = 0.016) in 29 eyes (85%). Conclusion: CCH displays typical findings on SD-OCT. ODR is a new important tool in the differential diagnosis of choroidal tumors and should be considered for enhancing the accuracy of diagnosing CCH. This benefit is especially relevant for cases in which the presentation of CCH is atypical.

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Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

Subretinal Fluid Optical Density and Spectral-Domain Optical Coherence Tomography Characteristics for the Diagnosis of Circumscribed Choroidal Hemangioma

et al. 2018

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“…4 SS-OCT has recently been proposed as a beneficial imaging modality to more accurately measure the size of the tumor in comparison with ultrasonography 7 and to provide a distinct multi-lobular, sponge-like pattern with a hyperreflective halo surrounding the tumor. 8 OCTA is a noninvasive imaging modality capable of acquiring 3-D retinal and choroidal microvascular maps without the use of exogenous dye. It also provides information about vascular flow in various diseases including vascular lesions.…”

Section: Discussionmentioning

confidence: 99%

“…2 Multiple authors report imaging modalities used to evaluate choroidal hemangiomas, with variable advantages. 4,[6][7][8] Given the location and vascularized nature of these tumors, it is difficult to ascertain with traditional imaging the depth and size, underlining the need for further imaging modalities to better evaluate this tumor. To date, findings from optical coherence tomography angiography (OCTA) have yet to be reported for a choroidal hemangioma.…”

Section: Introductionmentioning

confidence: 99%

Optical Coherence Tomography Microangiography Imaging of Circumscribed Choroidal Hemangioma

Sweeney¹,

Zhang²,

Wang³

et al. 2018

Ophthalmic Surg Lasers Imaging Retina

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Optical coherence tomography angiography (OCTA) is a new imaging technology capable of providing three-dimensional (3-D) retinal and choroidal microvascular maps without a need for exogenous dye. In this study, the authors evaluate the retinal and choroidal microvascular architecture of the macula in a patient with choroidal hemangioma using OCTA. Widefield OCTA with tracking capability and segmentation was performed to provide images with a field of view at 9 × 9 mm. The en face maximum projection was used to generate 2-D angiograms of different layers with color-coded images. Variable levels of perfusion within the lesion were identified, which correlate well with the known vascular abnormalities of choroidal hemangiomas. OCTA demonstrated an accurate modality to measure the 3-D borders of this lesion. This is the novel utilization of OCTA imaging on choroidal hemangioma. OCTA may provide detailed vascular findings in circumscribed choroidal hemangiomas, which may aid in the diagnosis and evaluation of the treatment response. [Ophthalmic Surg Lasers Imaging Retina. 2018;49:134-137.].

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“…Diagnosis is often suspected clinically, and multimodal imaging is considered to be useful for the differential diagnosis of CCH from other malignant tumors such as melanoma [8][9][10]. On uorescein angiography (FA), exudative CCH appears varying degrees of hyper uorescence in all phases [1].…”

Section: Introductionmentioning

confidence: 99%

Quantitative Evaluation of Parafoveal Microvasculature Changes in Eyes with Exudative Circumscribed Choroidal Haemangioma : An Optical Coherence Tomography Angiography Study

Lai

Huang

Zhang

et al. 2020

Preprint

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Background: To quantitative evaluation of parafoveal microvasculature changes in eyes with exudative circumscribed choroidal haemangioma (CCH) compared with age- and gender-controlled healthy eyes.Methods: This was a cross-sectional, case-control study. 82 eyes of eighty-two subjects including 41 eyes of forty-one subjects in the exudative CCH group and 41 eyes of forty-one subjects in the age- and gender-controlled healthy eye group were enrolled in this study. Optical coherence tomography angiography (OCTA) was performed in each subject, and the capillary density (CD) of superficial plexus, deep capillary plexus, and the choriocapillaris as well as the area of foveal avascular zone (FAZ) were noted and analyzed between two groups.Results: The CD of the superficial plexus (44.51 ± 3.58 % vs 47.93 ± 2.94%) and deep plexus (47.75 ± 5.60% vs 52.66 ± 5.04%) of retina as well as the vessel density of choriocapillaris (54.42 ± 6.36% vs 61.83 ± 3.65%) significantly decreased in eyes with exudative CCH compared with age- and gender-controlled healthy eyes (all P < 0.001). Although we found that the FAZ areas in the exudative CCH group was larger than that of the healthy eye control group (0.30 ± 0.11mm2 vs 0.27 ± 0.87mm2), however, no statistical significance was found between two groups (P = 0.164).Conclusions: OCTA is a rapid, non-invasive, high-resolution procedure with which could monitor the parafoveal microvasculature changes in eyes with exudative CCH. We found that not only the CD of the superficial plexus and deep plexus but also the CD of choriocapillaris significantly decreased in eyes with exudative CCH compared with age- and gender-controlled healthy eye group.Trial registration: This study was registered on the https://www.clinicaltrials.gov (trial registration number: NCT04449900)

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En face mode of swept-source optical coherence tomography in circumscribed choroidal haemangioma

Cited by 19 publications

References 18 publications

Subretinal Fluid Optical Density and Spectral-Domain Optical Coherence Tomography Characteristics for the Diagnosis of Circumscribed Choroidal Hemangioma

Subretinal Fluid Optical Density and Spectral-Domain Optical Coherence Tomography Characteristics for the Diagnosis of Circumscribed Choroidal Hemangioma

Optical Coherence Tomography Microangiography Imaging of Circumscribed Choroidal Hemangioma

Quantitative Evaluation of Parafoveal Microvasculature Changes in Eyes with Exudative Circumscribed Choroidal Haemangioma : An Optical Coherence Tomography Angiography Study

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