To evaluate and classify image artefacts in optical coherence tomography (OCT) angiography (OCTA) of the choroid in a group of patients with macular diseases.
Retrospective observational study.
5 patients with age-related macular degeneration, 3 with central serous retinopathy, 1 with polypoidal choroidal vasculopathy and 1 with multiple evanescent white dot syndrome.
OCTA and OCT reflectivity (OCTR) maps were reviewed along with their fluorescein angiography and indocyanine green angiography. 60 OCTA images (20 outer retina, 20 Sattler and 20 Haller layers) were graded for image artefacts by 2 examiners independently.
OCTA artefacts and their correlation with OCTR maps, angiography and OCT B-scans.
Artefacts (frequency) were classified into (1) motion (70-100%), (2) fringe washout (100%), (3) decorrelation projection (0-20%), (4) masking and unmasking (50-65%), and (5) stromal decorrelation signal (100%). Motion artefact in OCTA is characterised by horizontal dark lines or bands not apparent on OCTR map. Fringe washout creates signal void within choroidal vessels due to fast blood flow. Decorrelation projection from retinal vasculature and choroidal new vessels above the Bruch's membrane are seen within the choroidal OCTA image. Masking and unmasking artefacts occur in regions of pigment epithelial detachment and atrophy. Decorrelation signals can also be seen in the choroidal stroma.
Our classification system of artefact in choroidal OCTA establishes a common terminology for clinical interpretation. This is important in enhancing our understanding of the principles of OCTA acquisition and it also serves as a bench mark for reading centres. This article is protected by copyright. All rights reserved.
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