PMID- 38472220 OWN - NLM STAT- MEDLINE DCOM- 20240314 LR - 20240316 IS - 2045-2322 (Electronic) IS - 2045-2322 (Linking) VI - 14 IP - 1 DP - 2024 Mar 12 TI - Towards standardising retinal OCT angiography image analysis with open-source toolbox OCTAVA. PG - 5979 LID - 10.1038/s41598-024-53501-6 [doi] LID - 5979 AB - Quantitative assessment of retinal microvasculature in optical coherence tomography angiography (OCTA) images is important for studying, diagnosing, monitoring, and guiding the treatment of ocular and systemic diseases. However, the OCTA user community lacks universal and transparent image analysis tools that can be applied to images from a range of OCTA instruments and provide reliable and consistent microvascular metrics from diverse datasets. We present a retinal extension to the OCTA Vascular Analyser (OCTAVA) that addresses the challenges of providing robust, easy-to-use, and transparent analysis of retinal OCTA images. OCTAVA is a user-friendly, open-source toolbox that can analyse retinal OCTA images from various instruments. The toolbox delivers seven microvascular metrics for the whole image or subregions and six metrics characterising the foveal avascular zone. We validate OCTAVA using images collected by four commercial OCTA instruments demonstrating robust performance across datasets from different instruments acquired at different sites from different study cohorts. We show that OCTAVA delivers values for retinal microvascular metrics comparable to the literature and reduces their variation between studies compared to their commercial equivalents. By making OCTAVA publicly available, we aim to expand standardised research and thereby improve the reproducibility of quantitative analysis of retinal microvascular imaging. Such improvements will help to better identify more reliable and sensitive biomarkers of ocular and systemic diseases. CI - (c) 2024. The Author(s). FAU - Untracht, Gavrielle R AU - Untracht GR AD - Department of Health Technology, Technical University of Denmark, 2800, Kongens Lyngby, Denmark. AD - School of Biosciences, The University of Surrey, Guildford, GU27XH, UK. FAU - Durkee, Madeleine S AU - Durkee MS AD - Department of Radiology, University of Chicago, Chicago, IL, 60637, USA. FAU - Zhao, Mei AU - Zhao M AD - Centre for Myopia Research, School of Optometry, Faculty of Health and Social Science, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong, China. FAU - Kwok-Cheung Lam, Andrew AU - Kwok-Cheung Lam A AD - Centre for Myopia Research, School of Optometry, Faculty of Health and Social Science, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong, China. FAU - Sikorski, Bartosz L AU - Sikorski BL AD - Department of Ophthalmology, Nicolaus Copernicus University, 85-090, Bydgoszcz, Poland. AD - International Center for Translational Eye Research (ICTER), Institute of Physical Chemistry, Polish Academy of Sciences, Kasprzaka 44/52, 01-224, Warsaw, Poland. FAU - Sarunic, Marinko V AU - Sarunic MV AD - Department of Medical Physics and Biomedical Engineering, University College London, London, WC1E6BT, UK. AD - Institute of Ophthalmology, University College London, London, EC1V2PD, UK. FAU - Andersen, Peter E AU - Andersen PE AD - Department of Health Technology, Technical University of Denmark, 2800, Kongens Lyngby, Denmark. FAU - Sampson, David D AU - Sampson DD AD - School of Computer Science and Electronic Engineering, The University of Surrey, Guildford, GU27XH, UK. FAU - Chen, Fred K AU - Chen FK AD - Centre for Ophthalmology and Visual Science (Incorporating Lions Eye Institute), The University of Western Australia, Perth, WA, 6009, Australia. AD - Department of Ophthalmology, Royal Perth Hospital, Perth, WA, 6000, Australia. AD - Ophthalmology, Department of Surgery, University of Melbourne, Melbourne, VIC, 3002, Australia. FAU - Sampson, Danuta M AU - Sampson DM AD - School of Biosciences, The University of Surrey, Guildford, GU27XH, UK. Danuta.sampson@uwa.edu.au. AD - Institute of Ophthalmology, University College London, London, EC1V2PD, UK. Danuta.sampson@uwa.edu.au. AD - Centre for Ophthalmology and Visual Science (Incorporating Lions Eye Institute), The University of Western Australia, Perth, WA, 6009, Australia. Danuta.sampson@uwa.edu.au. AD - Department of Optometry, School of Allied Health, The University of Western Australia, Perth, WA, 6009, Australia. Danuta.sampson@uwa.edu.au. LA - eng GR - 871212/Horizon 2020 Framework Programme/ PT - Journal Article DEP - 20240312 PL - England TA - Sci Rep JT - Scientific reports JID - 101563288 SB - IM MH - *Retinal Vessels MH - Reproducibility of Results MH - Fluorescein Angiography/methods MH - *Macula Lutea MH - Microvessels MH - Tomography, Optical Coherence/methods PMC - PMC10933365 COIS- The authors declare no competing interests. EDAT- 2024/03/13 06:47 MHDA- 2024/03/14 06:46 PMCR- 2024/03/12 CRDT- 2024/03/13 00:47 PHST- 2023/08/15 00:00 [received] PHST- 2024/02/01 00:00 [accepted] PHST- 2024/03/14 06:46 [medline] PHST- 2024/03/13 06:47 [pubmed] PHST- 2024/03/13 00:47 [entrez] PHST- 2024/03/12 00:00 [pmc-release] AID - 10.1038/s41598-024-53501-6 [pii] AID - 53501 [pii] AID - 10.1038/s41598-024-53501-6 [doi] PST - epublish SO - Sci Rep. 2024 Mar 12;14(1):5979. doi: 10.1038/s41598-024-53501-6.