Quantitative assessment of retinal microvasculature in optical coherence tomography angiography (OCTA) images is important for studying, diagnosing, monitoring, and guiding the treatment of ocular and systemic diseases. However, the OCTA user community lacks harmonized image analysis tools that provide reliable and consistent microvascular metrics from diverse datasets. We present a retinal version of the OCTA vascular analyzer (OCTAVA) that addresses the challenges of robust and reproducible analysis of retinal OCTA images. We validate OCTAVA using images collected by four commercial OCTA instruments demonstrating robust performance across datasets from different instruments acquired at different sites. We show that OCTAVA characterizes retinal microvascular metrics accurately and reduces their variation between studies. By making OCTAVA publicly available, we aim to expand standardized research and improve the reproducibility of quantitative analysis of retinal microvascular imaging.
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