Depth-Resolved Visualization of Perifoveal Retinal Vasculature in Preterm Infants Using Handheld Optical Coherence Tomography Angiography
Pujan R. Patel, Ryan Imperio, Christian Viehland, Du Tran-Viet, Stephanie J. Chiu, Vincent Tai, Joseph A. Izatt, Cynthia A. Toth, Xi Chen and BabySTEPS Grp
Translational vision science & technology, v 10(9), pp 10-10
Life Sciences & Biomedicine Ophthalmology Science & Technology
Purpose: To establish methods to visualize depth-resolved perifoveal retinal vasculature in preterm infants using handheld optical coherence tomography angiography (OCT-A). Methods: In this exploratory study, eyes of preterm infants were imaged using an investigational noncontact, handheld swept-source OCT-A device as part of the prospective BabySTEPS infant retinal imaging study. We selected high-quality OCT-A volumes at two developmental stages for analysis. Customized MATLAB scripts were used to segment retinal layers, test offset parameters, and generate depth-resolved OCT-A slabs. The superficial (SCP), intermediate (ICP), and deep (DCP) capillary plexuses were visualized and qualitatively assessed by three image graders. Results: Six eyes from six preterm infants were included in this analysis. A three-layered perifoveal retinal vasculature was successfully visualized in all three eyes (three infants) in the 40 weeks postmenstrual age (PMA) group (one of three eyes with treated type 1 retinopathy of prematurity [ROP]). No obvious ICP or DCP was found in good-quality scans of the three eyes (three infants) in the 35 weeks PMA group (three of three eyes developed type 1 ROP). Conclusions: Custom segmentation parameters are useful to visualize perifoveal retinal vasculature in preterm infants. At term age, a three-layered capillary structure is visible in most eyes, while prior to detectable flow within the ICP and DCP, the perifoveal vasculature may be better visualized in two layers. Translational Relevance: Development of segmentation parameters for depthresolved OCT-A of perifoveal retinal vasculature in preterm infants facilitates the study of human retinal vascular development and vascular pathologies of ROP.
Depth-Resolved Visualization of Perifoveal Retinal Vasculature in Preterm Infants Using Handheld Optical Coherence Tomography Angiography
Creators
Pujan R. Patel - Duke University
Ryan Imperio - Duke University
Christian Viehland - Duke University
Du Tran-Viet - Duke University
Stephanie J. Chiu - Duke University
Vincent Tai - Duke University
Joseph A. Izatt - Duke University
Cynthia A. Toth - Duke University
Xi Chen - Duke University
BabySTEPS Grp
Publication Details
Translational vision science & technology, v 10(9), pp 10-10
Publisher
Assoc Research Vision Ophthalmology Inc
Number of pages
9
Grant note
Stein Innovation Award (CAT)
Research to Prevent Blindness Career Development Award; Research to Prevent Blindness (RPB)
R01EY025009; K23EY028227 / NIH; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA
Resource Type
Journal article
Language
English
Academic Unit
Materials Science and Engineering
Web of Science ID
WOS:000700367100008
Scopus ID
2-s2.0-85112780689
Other Identifier
991019167522304721
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