Assessment of the choroidal structure in pregnant women in the first trimester

Abstract We investigated the anatomical differences in the choroidal structure between pregnant women in the first trimester of pregnancy and age-matched healthy nonpregnant women using enhanced depth imaging optical coherence tomography (EDI-OCT) and choroidal binarization analysis. The main parame...

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Autores principales: Keiko Azuma, Atsushi Okubo, Takafumi Suzuki, Nozomi Igarashi, Yoko Nomura, Hirotsugu Soga, Hiroshi Murata, Ryosuke Fujino, Asako Ogawa, Haruka Matsui, Takeshi Nagamatsu, Takayuki Iriyama, Ryo Asaoka, Tatsuya Inoue, Maiko Maruyama-Inoue, Kazuaki Kadonosono, Ryo Obata
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Publicado: Nature Portfolio 2021
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spelling oai:doaj.org-article:0c91293c6d194fc39a31acd75bfabd552021-12-02T13:20:04ZAssessment of the choroidal structure in pregnant women in the first trimester10.1038/s41598-021-84204-x2045-2322https://doaj.org/article/0c91293c6d194fc39a31acd75bfabd552021-02-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-84204-xhttps://doaj.org/toc/2045-2322Abstract We investigated the anatomical differences in the choroidal structure between pregnant women in the first trimester of pregnancy and age-matched healthy nonpregnant women using enhanced depth imaging optical coherence tomography (EDI-OCT) and choroidal binarization analysis. The main parameters measured in the two study groups, namely, pregnant women in the first trimester and healthy nonpregnant women, were choroidal thickness and the choroidal luminal area. Binarization of the EDI-OCT images from each patient was performed, and the choroidal vascularity index (CVI) was calculated. The correlations between the baseline characteristics of the subjects and the CVI were investigated using linear mixed model analysis. As a result, there was no statistically significant difference in the mean age, best-corrected visual acuity, axial length, central retinal thickness, subfoveal choroidal thickness, systolic blood pressure (BP), or diastolic BP between the two study groups. Conversely, a significant difference was observed in the CVI (P = 0.012) between the two groups. The multivariate analysis identified a significant correlation between the CVI and the systolic BP (P = 0.0044, linear mixed test). Taken together, a larger choroidal luminal area was associated with a higher systolic BP, especially in the first trimester of pregnancy. Our findings may provide further insight into the choroidal changes that occur during pregnancy.Keiko AzumaAtsushi OkuboTakafumi SuzukiNozomi IgarashiYoko NomuraHirotsugu SogaHiroshi MurataRyosuke FujinoAsako OgawaHaruka MatsuiTakeshi NagamatsuTakayuki IriyamaRyo AsaokaTatsuya InoueMaiko Maruyama-InoueKazuaki KadonosonoRyo ObataNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-7 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Keiko Azuma
Atsushi Okubo
Takafumi Suzuki
Nozomi Igarashi
Yoko Nomura
Hirotsugu Soga
Hiroshi Murata
Ryosuke Fujino
Asako Ogawa
Haruka Matsui
Takeshi Nagamatsu
Takayuki Iriyama
Ryo Asaoka
Tatsuya Inoue
Maiko Maruyama-Inoue
Kazuaki Kadonosono
Ryo Obata
Assessment of the choroidal structure in pregnant women in the first trimester
description Abstract We investigated the anatomical differences in the choroidal structure between pregnant women in the first trimester of pregnancy and age-matched healthy nonpregnant women using enhanced depth imaging optical coherence tomography (EDI-OCT) and choroidal binarization analysis. The main parameters measured in the two study groups, namely, pregnant women in the first trimester and healthy nonpregnant women, were choroidal thickness and the choroidal luminal area. Binarization of the EDI-OCT images from each patient was performed, and the choroidal vascularity index (CVI) was calculated. The correlations between the baseline characteristics of the subjects and the CVI were investigated using linear mixed model analysis. As a result, there was no statistically significant difference in the mean age, best-corrected visual acuity, axial length, central retinal thickness, subfoveal choroidal thickness, systolic blood pressure (BP), or diastolic BP between the two study groups. Conversely, a significant difference was observed in the CVI (P = 0.012) between the two groups. The multivariate analysis identified a significant correlation between the CVI and the systolic BP (P = 0.0044, linear mixed test). Taken together, a larger choroidal luminal area was associated with a higher systolic BP, especially in the first trimester of pregnancy. Our findings may provide further insight into the choroidal changes that occur during pregnancy.
format article
author Keiko Azuma
Atsushi Okubo
Takafumi Suzuki
Nozomi Igarashi
Yoko Nomura
Hirotsugu Soga
Hiroshi Murata
Ryosuke Fujino
Asako Ogawa
Haruka Matsui
Takeshi Nagamatsu
Takayuki Iriyama
Ryo Asaoka
Tatsuya Inoue
Maiko Maruyama-Inoue
Kazuaki Kadonosono
Ryo Obata
author_facet Keiko Azuma
Atsushi Okubo
Takafumi Suzuki
Nozomi Igarashi
Yoko Nomura
Hirotsugu Soga
Hiroshi Murata
Ryosuke Fujino
Asako Ogawa
Haruka Matsui
Takeshi Nagamatsu
Takayuki Iriyama
Ryo Asaoka
Tatsuya Inoue
Maiko Maruyama-Inoue
Kazuaki Kadonosono
Ryo Obata
author_sort Keiko Azuma
title Assessment of the choroidal structure in pregnant women in the first trimester
title_short Assessment of the choroidal structure in pregnant women in the first trimester
title_full Assessment of the choroidal structure in pregnant women in the first trimester
title_fullStr Assessment of the choroidal structure in pregnant women in the first trimester
title_full_unstemmed Assessment of the choroidal structure in pregnant women in the first trimester
title_sort assessment of the choroidal structure in pregnant women in the first trimester
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/0c91293c6d194fc39a31acd75bfabd55
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