2019-07-112019-06-25OLIVEIRA, T. Concordância entre a angiografia por OCT e a avaliação multimodal na detecção de neovascularização de coroide no descolamento do epitélio pigmentado da retina. 2019. 85 f. Dissertação (Mestrado em Ciências da Saúde) - Universidade Federal de Goiás, Goiânia, 2019.http://repositorio.bc.ufg.br/tede/handle/tede/9813The aim of this study was to evaluate the agreement between multimodal imaging – MI (fluorescein angiography, indocyanine green angiography, optical coherence tomography - OCT) and optical coherence tomography angiography (OCTA) in the detection of choroidal neovascularization (CNV) in patients with pigment epithelial detachment with subretinal/intraretinal fluid (PED+F) and patients with PED without subretinal/intraretinal fluid (PED-F). We evaluated 22 eyes of 15 patients were divided into 2 groups (PED+F and PED-F). All patients underwent MI and OCTA with manual and automatic segmentations. OCTA findings were conferred to MI findings and then analyzed for diagnostic concordance. In the PED+F group (10 eyes) all studied eyes demonstrated CNV in MI. In manual segmentation OCTA assessment, 9 of 10 eyes (90%) were detected with CNV. When evaluated by automatic segmentation, 8 of 10 eyes (80%) revealed the presence of CNV. In the PED-F (12 eyes) group, all eyes did not demonstrate CNV in MI and OCTA evaluations, either by manual or automatic segmentation. The agreement between MI and OCTA has shown concordance (k: 0.908; 95% CI, 0.491-1.000); the evaluation of the agreement between the automatic and manual segmentation also showed concordance (k: 0.904; 95% CI, 0.488-1.000). The solid agreement between the multimodal imaging regarding the ability of OCTA to identify possible initial CNV in a patient with PED-F was observed. OCTA accuracy in the detection of CNV was 95.45%. In addition, the solid agreement between manual and automatic segmentations to identify CNV on OCTA was also shown.application/pdfAcesso AbertoDescolamento do epitélioImagem multimodalAngiografia por tomografia de coerência ópticaPigmentado da retinaNeovascularização de coroideAngiografia com indocianina verdeAngiografia com fluoresceínaOptical coherence tomography angiographyMultimodal imagingRetinal pigment epithelium detachmentChoroidal neovascularizationIndocyanine green angiographyFluorescein angiographyCLINICA MEDICA::OFTALMOLOGIADissertação