Swept Source OCT versus Spectral Domain OCT: Myths and realities

Abreu-González, R.; Gallego-Pinazo, R.; Dolz-Marco, R.; Donate López, J.; López Guajardo, L.

doi:10.1016/j.oftale.2016.06.004

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The 55° single scan acquisition protocol with the EDI system was utilized. Note the visualization of the premacular sac in the vitreous space." ] ] ] "textoCompleto" => "At present we are witnessing a fascinating period in technological developments and the performance of optical coherence tomography systems (OCT). This opens the door to higher image quality, increasingly precise diagnostic and follow-up and breakthroughs in the pathophysiological assessment of various ocular diseases in general and of the macula and the retina in particular.Extremely fast technological developments, together with relentless and intense marketing pressures, could lead the ophthalmological community to believe that any new equipment will be better than the preceding one. What is worse, it could lead us to forget the basic principles which, from the technological viewpoint and their applicability in daily clinical practice, support our decision-making related to the management and acquisition of OCT systems. One example is the “war” between the recent Swept Source OCT (SS-OCT) against the already established Spectral Domain OCT (SD-OCT).For instance, let us take 2 commercial OCT systems: Spectralis OCT (Heidelberg Engineering, Heidelberg, Germany) as an example of an SD-OCT system, and DRI OCT Triton (Topcon Medical Systems Inc., Oakland, NJ, USA) as the SS-OCT system. Spectralis OCT utilizes a wavelength of 840nm and includes the enhanced depth imaging mode (EDI)<a class="elsevierStyleCrossRef" href="#bib0020">1</a> for improving image acquisition of the retinal and choroidal external layers. In turn, DRI OCT Triton utilizes a wavelength of 1050 nm<a class="elsevierStyleCrossRef" href="#bib0025">2</a> which does not require the inclusion of EDI but utilizes instead Enhanced Vitreous Visualization (EVV) for improving the visualization of the vitreoretinal interface and the internal retina layers where image definition diminishes.Some of the myths and facts about SS-OCT and SD-OCT are the following:<ul class="elsevierStyleList" id="lis0005"><li class="elsevierStyleListItem" id="lsti0005">−SS-OCT has greater penetration than SD-OCT: even though it is true that SS-OCT achieves said penetration due to a higher wavelength as well as to the SS-OCT technology, it is also true that SD-OCT achieves the same penetration if we activate the EDI option prior to acquiring images. No differences were found between both technologies.<a class="elsevierStyleCrossRef" href="#bib0030">3</a></li><li class="elsevierStyleListItem" id="lsti0010">−SS-OCT enables En Face OCT: the study of frontal retina sections by means of OCT or En Face OCT (C-Scan OCT) is enabled by SS-OCT. However, this technology is derived from SD-OCT. The Cirrus® HD-OCT system (Carl Zeiss Meditec, Dublin, CA, USA) was the first to include it and at present most market devices share this technology.</li><li class="elsevierStyleListItem" id="lsti0015">−SS-OCT enables longer OCT images than SD-OCT: the DRI OCT, Triton (Topcon Medical Systems Inc., Oakland, NJ, USA) allows us to carry out a scan with a maximum length of 12mm (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>), similar or somewhat higher than the majority of current OCT systems. However, Spectralis OCT (Heidelberg Engineering, Heidelberg, Germany) at present allows a maximum OCT scan of 16.5mm (55°) (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>).<elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia></li><li class="elsevierStyleListItem" id="lsti0020">−SS-OCT enables angio-OCT (OCT-A): OCT-A is not exclusive to the SS-OCT technology as it can be carried out with any SD-OCT system having at least 70,000A-scans/sec.</li></ul>The objective of this letter is not to be partial to any of the above technologies and devices as both are the state-of-the-art in OCT. In our view, SS-OCT and SD-OCT are in a “dead heat” situation and we must look to our requirements, user-friendliness, reproducibility, reliability and software solution to decide for one or the other, without considering industry marketing and pressures.Conflict of interestsNo conflict of interests was declared by the authors." "textoCompletoSecciones" => array:1 [ "secciones" => array:2 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Conflict of interests" ] 1 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "Please cite this article as: Abreu-González R, Gallego-Pinazo R, Dolz-Marco R, Donate López J, López Guajardo L. Swept Source OCT versus Spectral Domain OCT: mitos y realidades. Arch Soc Esp Oftalmol. 2016;91:459–460." ] ] "multimedia" => array:2 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 329 "Ancho" => 990 "Tamanyo" => 46185 ] ] "descripcion" => array:1 [ "en" => "12mm tomographic image centered on the fovea, acquired with Topcon DRI OCT Triton (Topcon Medical Systems Inc., Oakland, NJ, USA) in a healthy patient. The 12-section radial acquisition protocol was applied." ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 505 "Ancho" => 1536 "Tamanyo" => 82164 ] ] "descripcion" => array:1 [ "en" => "16mm tomographic image centered on the fovea, acquired with Spectralis® HRA (Heidelberg Engineering, Heidelberg, Germany) in a healthy patient. The 55° single scan acquisition protocol with the EDI system was utilized. Note the visualization of the premacular sac in the vitreous space." ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:3 [ 0 => array:3 [ "identificador" => "bib0020" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Enhanced depth imaging spectral-domain optical coherence tomography" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "R.F. Spaide" 1 => "H. Koizumi" 2 => "M.C. Pozzoni" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.ajo.2008.05.032" "Revista" => array:6 [ "tituloSerie" => "Am J Ophthalmol" "fecha" => "2008" "volumen" => "146" "paginaInicial" => "496" "paginaFinal" => "500" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18639219" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0025" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Ultrahigh speed 1050 nm swept source/Fourier domain OCT retinal and anterior segment imaging at 100,000 to 400,000 axial scans per second" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "B. Potsaid" 1 => "B. Baumann" 2 => "D. Huang" 3 => "S. Barry" 4 => "A.E. Cable" 5 => "J.S. Schuman" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Opt Express" "fecha" => "2010" "volumen" => "18" "paginaInicial" => "20029" "paginaFinal" => "20048" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20940894" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0030" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Comparison of penetration depth in choroidal imaging using swept source vs spectral domain optical coherence tomography" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "S.M. Waldstein" 1 => "H. Faatz" 2 => "M. Szimacsek" 3 => "A.M. Glodan" 4 => "D. Podkowinski" 5 => "A. Montuoro" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Eye (Lond)" "fecha" => "2015" "volumen" => "29" "paginaInicial" => "409" "paginaFinal" => "415" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735794/0000009100000010/v1_201609240012/S2173579416300718/v1_201609240012/en/main.assets" "Apartado" => array:4 [ "identificador" => "5814" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Editorial" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735794/0000009100000010/v1_201609240012/S2173579416300718/v1_201609240012/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173579416300718?idApp=UINPBA00004N"]

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Archivos de la Sociedad Española de Oftalmología is the official journal of the Ophthalmology Society of Spain, that has over 4,000 members. It gives priority to the publication of basic, translational and clinic research including reviews, original articles, short communications, editorials, letters to the editor and clinic practice guides related to Ophthalmology and its subspecialties. A small section of the journal is reserved for the most relevant papers presented at the annual Congress of the Society. All manuscripts considered for publication are reviewed by expert examiner peers (double blind). The journal is published monthly and even though its official language is Spanish all articles are translated into English to increase the dissemination of scientific information. At present, Archivos is the only Spanish language Ophthalmology journal indexed in PubMed/MEDLINE in addition to other prestigious international databases such as Scopus.

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Vol. 91. Issue 10.

Pages 459-460 (October 2016)

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