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Images from Angiography 2.0
PCA & Camera




Angiography 2.0   2
Image quality in
normal rabbits




                   Angiography 2.0   3
Looks can be deceiving
                                 (Pages 5-10)


-Fluorescein angiography shows less florid leakage 2 days after intravitreal
injection of VEGF in rabbit compared to one week after injection (page 5).
Similar results can be shown by fluorescein channel (Page 6).
-40KDa channel (page 8) shows leakage at day 2 and no leakage at 1 week. This
indicates that at day 2 post VEGF injection, the BRB is more permeable to 40
KDa particles than at one week. Which suggests a more severe BRB dysfunction
-This in turn suggests the presence of a discrepancy between the qualitative
assessment of fluorescein angiography leakage (based on area of distribution
and intensity of color) and permeability to macromolecules.


-FA leakage grading may not be directly correlated to BRB status.
-PCA may provide new information about BRB dysfunction not provided by FA



                                  Angiography 2.0                               4
Fluorescein
                  Ameri et al 2007




Angiography 2.0               5
Day 0   400 Da




Day 2                        Day 8




  Angiography 2.0                6
Day 0
                          10 KDa




Day 2                       Day 8




Angiography 2.0               7
Day 0   40 KDa




Day 2                              Day 8




        Angiography 2.0                8
Day 0   70 KDa




Day 2                              Day 8




        Angiography 2.0                9
Angiography 2.0   10
“to some journey…
       to some a destination…”
-PCA shows different patterns of flows for different components.
-Smaller particles (400 Da and 10 KDa) go through an arterial phase,
neovascular membrane (NVM phase) followed by leakage and with no venous
phase. (pages 12, 13)
-40 Kda particles (page 14) travel from artery followed by a venous & NVM
(almost simultaneously) phase and no leakage.
-70 Kda particles (page 15) show an arterial phase followed by a venous phase
and delayed staining of the NVM.




                                  Angiography 2.0                               11
First Detection/
Arterial Phase                         Venous/NVM
                                          Phase




                                          3-4 minutes
 1-1.5 minutes




            400 Da   Angiography 2.0                    12
First Detection/                     Venous/NVM
 Arterial Phase                          Phase




   1-1.5 minutes                      3-4 minutes




10 KDa              Angiography 2.0                 13
First Detection/                        Venous/NVM
Arterial Phase                             Phase




1-1.5 minutes                        3-4 minutes




40 KDa             Angiography 2.0                   14
Venous/NVM
 First Detection/
                                       Phase
 Arterial Phase




1-1.5 minutes                           3-4 minutes




                    70 KDa   Angiography 2.0          15
Angiography 2.0   16
New technology

      New perspective

                         New findings


             Angiography 2.0            17
New patterns
Of Auto-fluorescence




                       Angiography 2.0   18
Enhanced nerve fiber layer visibility




                             Angiography 2.0   19
Please Join
PolyChromatic Angiography
                                        Group
We would like this group to become a discussion forum for PCA and a
communication channel between retina researchers and PCAsso to
improve and facilitate the development of this new technology




                           Angiography 2.0                            20

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Images from Angiography 2.0

  • 3. Image quality in normal rabbits Angiography 2.0 3
  • 4. Looks can be deceiving (Pages 5-10) -Fluorescein angiography shows less florid leakage 2 days after intravitreal injection of VEGF in rabbit compared to one week after injection (page 5). Similar results can be shown by fluorescein channel (Page 6). -40KDa channel (page 8) shows leakage at day 2 and no leakage at 1 week. This indicates that at day 2 post VEGF injection, the BRB is more permeable to 40 KDa particles than at one week. Which suggests a more severe BRB dysfunction -This in turn suggests the presence of a discrepancy between the qualitative assessment of fluorescein angiography leakage (based on area of distribution and intensity of color) and permeability to macromolecules. -FA leakage grading may not be directly correlated to BRB status. -PCA may provide new information about BRB dysfunction not provided by FA Angiography 2.0 4
  • 5. Fluorescein Ameri et al 2007 Angiography 2.0 5
  • 6. Day 0 400 Da Day 2 Day 8 Angiography 2.0 6
  • 7. Day 0 10 KDa Day 2 Day 8 Angiography 2.0 7
  • 8. Day 0 40 KDa Day 2 Day 8 Angiography 2.0 8
  • 9. Day 0 70 KDa Day 2 Day 8 Angiography 2.0 9
  • 11. “to some journey… to some a destination…” -PCA shows different patterns of flows for different components. -Smaller particles (400 Da and 10 KDa) go through an arterial phase, neovascular membrane (NVM phase) followed by leakage and with no venous phase. (pages 12, 13) -40 Kda particles (page 14) travel from artery followed by a venous & NVM (almost simultaneously) phase and no leakage. -70 Kda particles (page 15) show an arterial phase followed by a venous phase and delayed staining of the NVM. Angiography 2.0 11
  • 12. First Detection/ Arterial Phase Venous/NVM Phase 3-4 minutes 1-1.5 minutes 400 Da Angiography 2.0 12
  • 13. First Detection/ Venous/NVM Arterial Phase Phase 1-1.5 minutes 3-4 minutes 10 KDa Angiography 2.0 13
  • 14. First Detection/ Venous/NVM Arterial Phase Phase 1-1.5 minutes 3-4 minutes 40 KDa Angiography 2.0 14
  • 15. Venous/NVM First Detection/ Phase Arterial Phase 1-1.5 minutes 3-4 minutes 70 KDa Angiography 2.0 15
  • 17. New technology New perspective New findings Angiography 2.0 17
  • 18. New patterns Of Auto-fluorescence Angiography 2.0 18
  • 19. Enhanced nerve fiber layer visibility Angiography 2.0 19
  • 20. Please Join PolyChromatic Angiography Group We would like this group to become a discussion forum for PCA and a communication channel between retina researchers and PCAsso to improve and facilitate the development of this new technology Angiography 2.0 20