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Reduced blood flow by laser speckle flowgraphy after 125I-plaque brachytherapy for uveal melanoma
Journal article   Open access   Peer reviewed

Reduced blood flow by laser speckle flowgraphy after 125I-plaque brachytherapy for uveal melanoma

Michelle R Tamplin, Jui-Kai Wang, Anthony H Vitale, Ryuya Hashimoto, Mona K Garvin, Elaine M Binkley, Daniel E Hyer, John M Buatti, H Culver Boldt, Randy H Kardon, …
BMC ophthalmology, Vol.22(1), pp.285-285
06/28/2022
DOI: 10.1186/s12886-022-02505-9
PMCID: PMC9238054
PMID: 35765019
url
https://doi.org/10.1186/s12886-022-02505-9View
Published (Version of record) Open Access

Abstract

BACKGROUNDTo determine whether reductions in retinal and choroidal blood flow measured by laser speckle flowgraphy are detected after 125I-plaque brachytherapy for uveal melanoma. METHODSIn a cross-sectional study, retinal and choroidal blood flow were measured using laser speckle flowgraphy in 25 patients after treatment with 125I-plaque brachytherapy for uveal melanoma. Flow was analyzed in the peripapillary region by mean blur rate as well as in the entire image area with a novel superpixel-based method. Relationships between measures were determined by Spearman correlation. RESULTSSignificant decreases in laser speckle blood flow were observed in both the retinal and choroidal vascular beds of irradiated, but not fellow, eyes. Overall, 24 of 25 patients had decreased blood flow compared to their fellow eye, including 5 of the 6 patients imaged within the first 6 months following brachytherapy. A significant negative correlation between blood flow and time from therapy was present. CONCLUSIONSDecreases in retinal and choroidal blood flow by laser speckle flowgraphy were detected within the first 6 months following brachytherapy. Reduced retinal and choroidal blood flow may be an early indicator of microangiographic response to radiation therapy.

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