Featured Application: Optical Coherence Tomography Angiography (OCTA) is a technique for label-free vascular imaging in fields such as ophthalmology, gastroenterology, cancer biology, and neuroscience. Here, we discuss advances that relate OCTA more rigorously to underlying blood physiology and hemodynamics, which promise to make OCTA an even more powerful quantitative tool.Abstract: Optical Coherence Tomography Angiography (OCTA) refers to a powerful class of OCT scanning protocols and algorithms that selectively enhance the imaging of blood vessel lumens, based mainly on the motion and scattering of red blood cells (RBCs). Though OCTA is widely used in clinical and basic science applications for visualization of perfused blood vessels, OCTA is still primarily a qualitative tool. However, more quantitative hemodynamic information would better delineate disease mechanisms, and potentially improve the sensitivity for detecting early stages of disease. Here, we take a broader view of OCTA in the context of microvascular hemodynamics and light scattering. Paying particular attention to the unique challenges presented by capillaries versus larger supplying and draining vessels, we critically assess opportunities and challenges in making OCTA a quantitative tool.