PMID- 25970861 OWN - NLM STAT- MEDLINE DCOM- 20151023 LR - 20220310 IS - 2325-8179 (Electronic) IS - 2325-8160 (Linking) VI - 46 IP - 4 DP - 2015 Apr TI - Comparison of Geographic Atrophy Growth Rates Using Different Imaging Modalities in the COMPLETE Study. PG - 413-22 LID - 10.3928/23258160-20150422-03 [doi] AB - BACKGROUND AND OBJECTIVE: To compare the measurements and growth rates of geographic atrophy (GA) secondary to age-related macular degeneration (AMD) obtained using different imaging modalities. PATIENTS AND METHODS: Thirty patients with AMD and GA measuring from 1.25 mm(2) to 18 mm(2) based on spectral-domain optical coherence tomography (SD-OCT) fundus imaging were enrolled. Imaging was performed at baseline and at follow-up months 3, 6, 9, and 12, including autofluorescence (AF) imaging with a fundus camera-based flash system (TRC-50DX; Topcon Medical Systems, Oakland, NJ; AF excitation lambda: 535-585 nm; detection lambda: 605-715 nm), AF and fluorescein angiography (FA) imaging with a confocal scanning laser ophthalmoscopy (SLO) system (Spectralis; Heidelberg Engineering, Heidelberg, Germany; AF excitation lambda: 488 nm; detection lambda: > 500 nm), and SD-OCT en face imaging (Cirrus; Carl Zeiss Meditec, Dublin, CA). RESULTS: Average baseline square root measurements and enlargement rates of square root areas appeared similar across all modalities; 0.2 mm was the largest difference between any pair of measurement means. The intraclass correlation coefficients (ICC) were essentially equal to 1 for all comparisons of area measurements but were lower for growth rates than area measurements. Comparison of 26-week average enlargement rates showed no significant difference between the SLO AF image and enhanced SD-OCT en face image (mean difference: 0.01 mm; SD: 0.10; P = .70). CONCLUSION: Agreement among all imaging modalities in measuring the areas of GA at baseline diminished when the growth rates of GA were compared over 26 weeks, likely because each imaging technique identifies different anatomic features along the border of GA, which may appear similar but change at different rates. CI - Copyright 2015, SLACK Incorporated. FAU - Yehoshua, Zohar AU - Yehoshua Z FAU - de Amorim Garcia Filho, Carlos Alexandre AU - de Amorim Garcia Filho CA FAU - Nunes, Renata Portella AU - Nunes RP FAU - Gregori, Giovanni AU - Gregori G FAU - Penha, Fernando M AU - Penha FM FAU - Moshfeghi, Andrew A AU - Moshfeghi AA FAU - Sadda, SriniVas AU - Sadda S FAU - Feuer, William AU - Feuer W FAU - Rosenfeld, Philip J AU - Rosenfeld PJ LA - eng GR - P30 EY014801/EY/NEI NIH HHS/United States PT - Comparative Study PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, Non-P.H.S. PL - United States TA - Ophthalmic Surg Lasers Imaging Retina JT - Ophthalmic surgery, lasers & imaging retina JID - 101599215 RN - 0 (Antibodies, Monoclonal, Humanized) RN - 0 (Complement Inactivating Agents) RN - A3ULP0F556 (eculizumab) SB - IM MH - Aged MH - Antibodies, Monoclonal, Humanized/therapeutic use MH - Complement Inactivating Agents/therapeutic use MH - Double-Blind Method MH - Fluorescein Angiography MH - Geographic Atrophy/classification/*diagnosis/drug therapy MH - Humans MH - Middle Aged MH - *Multimodal Imaging MH - Ophthalmoscopy MH - Optical Imaging MH - Prospective Studies MH - Retina/*pathology MH - Tomography, Optical Coherence EDAT- 2015/05/15 06:00 MHDA- 2015/10/24 06:00 CRDT- 2015/05/14 06:00 PHST- 2014/05/18 00:00 [received] PHST- 2015/02/06 00:00 [accepted] PHST- 2015/05/14 06:00 [entrez] PHST- 2015/05/15 06:00 [pubmed] PHST- 2015/10/24 06:00 [medline] AID - 10.3928/23258160-20150422-03 [doi] PST - ppublish SO - Ophthalmic Surg Lasers Imaging Retina. 2015 Apr;46(4):413-22. doi: 10.3928/23258160-20150422-03.