VITELLIFORM LESIONS
Conditions
Keywords
vitelliform lesion, oct, radiomics
Brief summary
Vitelliform lesions (VLs) are subretinal accumulations of yellowish material on fundoscopy that correspond to hyperautofluorescent material on fundus autofluorescence (FAF) and hyperreflective subretinal material on structural optical coherence tomography (OCT). VLs are characterised by dynamic changes with progressive resorption of material and are associated with the appearance of visual symptoms, such as reduced visual acuity. The appearance of symptoms and changes in the characteristics of the VLs on retinal imaging are the basis of a sophisticated differential diagnosis, especially to distinguish a neovascular from a non-vascular sub-type. To date, additional retinal imaging techniques can be helpful in performing differential diagnosis in unclear cases. Radiomics is a quantitative approach to medical imaging that can extract many features to improve medical diagnosis and assess response to treatment. The aim of this study is to evaluate the performance of radiomics in the diagnosis of dynamic changes in VLs.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* diagnosis of acquired vitelliform lesions
Exclusion criteria
* age \< 18 years * axial length higher than 26 mm * the presence of clinically significant cataract * the presence of significant concomitant ocular or systemic diseases (such as diabetic retinopathy, uveitis, glaucoma) * known retinal disorders that could cause vitelliform lesions or retinal fluid (AMD, neovascularization, tractional pathologies, toxic or paraneoplastic syndromes) * inherited dystrophies
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Features analysis of aVLs OCT | Baseline | extraction and analysis of radiomic features from OCT images to characterize empty optical spaces and distinguish empty space in dynamic changes of aVLs from the presence of fluid in case of aVLs complicated by neovascularisation |
Countries
Italy