PMID- 38238371 OWN - NLM STAT- MEDLINE DCOM- 20240122 LR - 20240202 IS - 2045-2322 (Electronic) IS - 2045-2322 (Linking) VI - 14 IP - 1 DP - 2024 Jan 18 TI - Validation of reliability, repeatability and consistency of three-dimensional choroidal vascular index. PG - 1576 LID - 10.1038/s41598-024-51922-x [doi] LID - 1576 AB - This study aimed to investigate the reliability, repeatability and consistency of choroidal vascularity index (CVI) measurements provided by an artificial intelligence-based software in swept-source optical coherence tomography (SS-OCT) in normal subject, and to evaluate the influencing factors for 3D-CVI. Repeatability of 3D-CVI by SS-OCT was evaluated based on different scanning modes including Macular Cubes (3 mm x 3 mm, 6 mm x 6 mm, 9 mm x 9 mm) and Optic Nerve Head 6 mm x 6 mm. Intraclass Correlation Coefficient (ICC) was used to estimate the repeatability and reproducibility of five repeated measurement by SS-OCT. Consistency of CVI between SS-OCT and spectral-domain optical coherence tomography (SD-OCT) was measured and compared in a pilot study of ten eyes and agreement between SS-OCT and SD-OCT was evaluated by Bland-Altman analysis and Deming regression. The influencing factors for 3D-CVI including age, gender, axial length and spherical equivalent on CVI was further investigated in a prospective study of 125 eyes of 125 healthy subjects. ICC between different measurements by SS-OCT was 0.934 (95% CI 0.812-0.956) indicating good repeatability. Intraclass correlation coefficient between CVI measure by SS-OCT and SD-OCT was 0.887 (95% CI 0.796-0.938, P value < 0.001). The mean difference between 3D-CVI measured by SS-OCT and SD-OCT 0.133. CVI measured with SS-OCTA showed stronger correlations with axial length and age but not correlated with gender. There is good agreement between CVIs obtained from the built-in software that requires less timing in manual quantification. Studies investigating choroidal vascularity can be standardized by the AI-based CVI analyze software. CI - (c) 2024. The Author(s). FAU - Ma, Feiyan AU - Ma F AD - The Second Hospital of Hebei Medical University, 215 Heping Road, Shijiazhuang, Hebei Province, China. FAU - Bai, Yifan AU - Bai Y AD - The Second Hospital of Hebei Medical University, 215 Heping Road, Shijiazhuang, Hebei Province, China. FAU - Duan, Jialiang AU - Duan J AD - The Second Hospital of Hebei Medical University, 215 Heping Road, Shijiazhuang, Hebei Province, China. FAU - Liang, Yuchen AU - Liang Y AD - The Second Hospital of Hebei Medical University, 215 Heping Road, Shijiazhuang, Hebei Province, China. FAU - Shang, Qingli AU - Shang Q AD - The Second Hospital of Hebei Medical University, 215 Heping Road, Shijiazhuang, Hebei Province, China. shangqingli2020@163.com. LA - eng GR - 20200069/Hebei Province Medical Science Research Key Project/ PT - Journal Article DEP - 20240118 PL - England TA - Sci Rep JT - Scientific reports JID - 101563288 SB - IM MH - Humans MH - Reproducibility of Results MH - Prospective Studies MH - *Artificial Intelligence MH - Pilot Projects MH - *Choroid/diagnostic imaging/blood supply MH - Tomography, Optical Coherence/methods PMC - PMC10796765 COIS- The authors declare no competing interests. EDAT- 2024/01/19 00:42 MHDA- 2024/01/22 06:43 PMCR- 2024/01/18 CRDT- 2024/01/18 23:18 PHST- 2023/08/06 00:00 [received] PHST- 2024/01/11 00:00 [accepted] PHST- 2024/01/22 06:43 [medline] PHST- 2024/01/19 00:42 [pubmed] PHST- 2024/01/18 23:18 [entrez] PHST- 2024/01/18 00:00 [pmc-release] AID - 10.1038/s41598-024-51922-x [pii] AID - 51922 [pii] AID - 10.1038/s41598-024-51922-x [doi] PST - epublish SO - Sci Rep. 2024 Jan 18;14(1):1576. doi: 10.1038/s41598-024-51922-x.