scholarly journals HyCAD-OCT: A Hybrid Computer-Aided Diagnosis of Retinopathy by Optical Coherence Tomography Integrating Machine Learning and Feature Maps Localization

2020 ◽  
Vol 10 (14) ◽  
pp. 4716 ◽  
Author(s):  
Mohamed Ramzy Ibrahim ◽  
Karma M. Fathalla ◽  
Sherin M. Youssef
Keyword(s):  
Optical Coherence Tomography ◽  
Deep Learning ◽  
Sensitivity And Specificity ◽  
Learning System ◽  
Substantial Contribution ◽  
Optical Coherence ◽  
Feature Maps ◽  
Wide Range ◽  
Computer Aided ◽  
Hybrid Computer

Optical Coherence Tomography (OCT) imaging has major advantages in effectively identifying the presence of various ocular pathologies and detecting a wide range of macular diseases. OCT examinations can aid in the detection of many retina disorders in early stages that could not be detected in traditional retina images. In this paper, a new hybrid computer-aided OCT diagnostic system (HyCAD) is proposed for classification of Diabetic Macular Edema (DME), Choroidal Neovascularization (CNV) and drusen disorders, while separating them from Normal OCT images. The proposed HyCAD hybrid learning system integrates the segmentation of Region of Interest (RoI), based on central serious chorioretinopathy (CSC) in Spectral Domain Optical Coherence Tomography (SD-OCT) images, with deep learning architectures for effective diagnosis of retinal disorders. The proposed system assimilates a range of techniques including RoI localization and feature extraction, followed by classification and diagnosis. An efficient feature fusion phase has been introduced for combining the OCT image features, extracted by Deep Convolutional Neural Network (CNN), with the features extracted from the RoI segmentation phase. This fused feature set is used to predict multiclass OCT retina disorders. The proposed segmentation phase of retinal RoI regions adds substantial contribution as it draws attention to the most significant areas that are candidate for diagnosis. A new modified deep learning architecture (Norm-VGG16) is introduced integrating a kernel regularizer. Norm-VGG16 is trained from scratch on a large benchmark dataset and used in RoI localization and segmentation. Various experiments have been carried out to illustrate the performance of the proposed system. Large Dataset of Labeled Optical Coherence Tomography (OCT) v3 benchmark is used to validate the efficiency of the model compared with others in literature. The experimental results show that the proposed model achieves relatively high-performance in terms of accuracy, sensitivity and specificity. An average accuracy, sensitivity and specificity of 98.8%, 99.4% and 98.2% is achieved, respectively. The remarkable performance achieved reflects that the fusion phase can effectively improve the identification ratio of the urgent patients’ diagnostic images and clinical data. In addition, an outstanding performance is achieved compared to others in literature.

scholarly journals Optical coherence tomography-based deep-learning model for detecting central serous chorioretinopathy

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Jeewoo Yoon ◽  
Jinyoung Han ◽  
Ji In Park ◽  
Joon Seo Hwang ◽  
Jeong Mo Han ◽  
...  
Keyword(s):  
Optical Coherence Tomography ◽  
Deep Learning ◽  
Sensitivity And Specificity ◽  
Central Serous Chorioretinopathy ◽  
Characteristic Curve ◽  
Posterior Pole ◽  
Learning System ◽  
Control Group ◽  
Optical Coherence ◽  
Sd Oct

Abstract Central serous chorioretinopathy (CSC) is a common condition characterized by serous detachment of the neurosensory retina at the posterior pole. We built a deep learning system model to diagnose CSC, and distinguish chronic from acute CSC using spectral domain optical coherence tomography (SD-OCT) images. Data from SD-OCT images of patients with CSC and a control group were analyzed with a convolutional neural network. Sensitivity, specificity, accuracy, and area under the receiver operating characteristic curve (AUROC) were used to evaluate the model. For CSC diagnosis, our model showed an accuracy, sensitivity, and specificity of 93.8%, 90.0%, and 99.1%, respectively; AUROC was 98.9% (95% CI, 0.983–0.995); and its diagnostic performance was comparable with VGG-16, Resnet-50, and the diagnoses of five different ophthalmologists. For distinguishing chronic from acute cases, the accuracy, sensitivity, and specificity were 97.6%, 100.0%, and 92.6%, respectively; AUROC was 99.4% (95% CI, 0.985–1.000); performance was better than VGG-16 and Resnet-50, and was as good as the ophthalmologists. Our model performed well when diagnosing CSC and yielded highly accurate results when distinguishing between acute and chronic cases. Thus, automated deep learning system algorithms could play a role independent of human experts in the diagnosis of CSC.

scholarly journals Development and validation of a deep learning system to screen vision-threatening conditions in high myopia using optical coherence tomography images

2020 ◽  
pp. bjophthalmol-2020-317825
Author(s):  
Yonghao Li ◽  
Weibo Feng ◽  
Xiujuan Zhao ◽  
Bingqian Liu ◽  
Yan Zhang ◽  
...  
Keyword(s):  
Optical Coherence Tomography ◽  
Deep Learning ◽  
High Myopia ◽  
Large Scale ◽  
Learning System ◽  
Youden Index ◽  
Optical Coherence ◽  
Test Dataset ◽  
Independent Test ◽  
Independent Test Dataset

Background/aimsTo apply deep learning technology to develop an artificial intelligence (AI) system that can identify vision-threatening conditions in high myopia patients based on optical coherence tomography (OCT) macular images.MethodsIn this cross-sectional, prospective study, a total of 5505 qualified OCT macular images obtained from 1048 high myopia patients admitted to Zhongshan Ophthalmic Centre (ZOC) from 2012 to 2017 were selected for the development of the AI system. The independent test dataset included 412 images obtained from 91 high myopia patients recruited at ZOC from January 2019 to May 2019. We adopted the InceptionResnetV2 architecture to train four independent convolutional neural network (CNN) models to identify the following four vision-threatening conditions in high myopia: retinoschisis, macular hole, retinal detachment and pathological myopic choroidal neovascularisation. Focal Loss was used to address class imbalance, and optimal operating thresholds were determined according to the Youden Index.ResultsIn the independent test dataset, the areas under the receiver operating characteristic curves were high for all conditions (0.961 to 0.999). Our AI system achieved sensitivities equal to or even better than those of retina specialists as well as high specificities (greater than 90%). Moreover, our AI system provided a transparent and interpretable diagnosis with heatmaps.ConclusionsWe used OCT macular images for the development of CNN models to identify vision-threatening conditions in high myopia patients. Our models achieved reliable sensitivities and high specificities, comparable to those of retina specialists and may be applied for large-scale high myopia screening and patient follow-up.

OCTAI: Smartphone-based Optical Coherence Tomography Image Analysis System

2021 ◽  
Author(s):  
Adrit Rao ◽  
Harvey A. Fishman
Keyword(s):  
Optical Coherence Tomography ◽  
Image Analysis ◽  
Deep Learning ◽  
Early Stage ◽  
Real Life ◽  
Learning System ◽  
Optical Coherence Tomography Image ◽  
Image Analysis System ◽  
Optical Coherence ◽  
Oct Image

Identifying diseases in Optical Coherence Tomography (OCT) images using Deep Learning models and methods is emerging as a powerful technique to enhance clinical diagnosis. Identifying macular diseases in the eye at an early stage and preventing misdiagnosis is crucial. The current methods developed for OCT image analysis have not yet been integrated into an accessible form-factor that can be utilized in a real-life scenario by Ophthalmologists. Additionally, current methods do not employ robust multiple metric feedback. This paper proposes a highly accurate smartphone-based Deep Learning system, OCTAI, that allows a user to take an OCT picture and receive real-time feedback through on-device inference. OCTAI analyzes the input OCT image in three different ways: (1) full image analysis, (2) quadrant based analysis, and (3) disease detection based analysis. With these three analysis methods, along with an Ophthalmologist's interpretation, a robust diagnosis can potentially be made. The ultimate goal of OCTAI is to assist Ophthalmologists in making a diagnosis through a digital second opinion and enabling them to cross-check their diagnosis before making a decision based on purely manual analysis of OCT images. OCTAI has the potential to allow Ophthalmologists to improve their diagnosis and may reduce misdiagnosis rates, leading to faster treatment of diseases.

scholarly journals A Multitask Deep-Learning System to Classify Diabetic Macular Edema for Different Optical Coherence Tomography Devices: A Multicenter Analysis

2021 ◽  
Author(s):  
Fangyao Tang ◽  
Xi Wang ◽  
An-ran Ran ◽  
Carmen KM Chan ◽  
Mary Ho ◽  
...  
Keyword(s):  
Optical Coherence Tomography ◽  
Deep Learning ◽  
Macular Edema ◽  
Diabetic Macular Edema ◽  
Vision Loss ◽  
Three Dimensional ◽  
Learning System ◽  
Optical Coherence ◽  
Automated Classification

<a><b>Objective:</b></a> Diabetic macular edema (DME) is the primary cause of vision loss among individuals with diabetes mellitus (DM). We developed, validated, and tested a deep-learning (DL) system for classifying DME using images from three common commercially available optical coherence tomography (OCT) devices. <p><b>Research Design and Methods:</b> We trained and validated two versions of a multi-task convolution neural network (CNN) to classify DME (center-involved DME [CI-DME], non-CI-DME, or absence of DME) using three-dimensional (3D) volume-scans and two-dimensional (2D) B-scans respectively. For both 3D and 2D CNNs, we employed the residual network (ResNet) as the backbone. For the 3D CNN, we used a 3D version of ResNet-34 with the last fully connected layer removed as the feature extraction module. A total of 73,746 OCT images were used for training and primary validation. External testing was performed using 26,981 images across seven independent datasets from Singapore, Hong Kong, the US, China, and Australia. </p> <p><b>Results:</b> In classifying the presence or absence of DME, the DL system achieved area under the receiver operating characteristic curves (AUROCs) of 0.937 (95% CI 0.920–0.954), 0.958 (0.930–0.977), and 0.965 (0.948–0.977) for primary dataset obtained from Cirrus, Spectralis, and Triton OCTs respectively, in addition to AUROCs greater than 0.906 for the external datasets. For the further classification of the CI-DME and non-CI-DME subgroups, the AUROCs were 0.968 (0.940–0.995), 0.951 (0.898–0.982), and 0.975 (0.947–0.991) for the primary dataset and greater than 0.894 for the external datasets. </p> <p><b>Conclusion:</b> We demonstrated excellent performance with a DL system for the automated classification of DME, highlighting its potential as a promising second-line screening tool for patients with DM, which may potentially create a more effective triaging mechanism to eye clinics. </p>

A multi-task deep-learning system for assessment of diabetic macular ischemia on optical coherence tomography angiography images

Retina ◽  
2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Dawei Yang ◽  
Zihan Sun ◽  
Jian Shi ◽  
Anran Ran ◽  
Fangyao Tang ◽  
...  
Keyword(s):  
Optical Coherence Tomography ◽  
Deep Learning ◽  
Optical Coherence Tomography Angiography ◽  
Learning System ◽  
Optical Coherence ◽  
Macular Ischemia

scholarly journals A Deep Learning System for Automated Angle-Closure Detection in Anterior Segment Optical Coherence Tomography Images

2019 ◽  
Vol 203 ◽  
pp. 37-45 ◽  
Author(s):  
Huazhu Fu ◽  
Mani Baskaran ◽  
Yanwu Xu ◽  
Stephen Lin ◽  
Damon Wing Kee Wong ◽  
...  
Keyword(s):  
Optical Coherence Tomography ◽  
Deep Learning ◽  
Anterior Segment ◽  
Learning System ◽  
Angle Closure ◽  
Optical Coherence

scholarly journals Automatic Anterior Chamber Angle Classification Using Deep Learning System and Anterior Segment Optical Coherence Tomography Images

2021 ◽  
Vol 10 (6) ◽  
pp. 19
Author(s):  
Wanyue Li ◽  
Qian Chen ◽  
Chunhui Jiang ◽  
Guohua Shi ◽  
Guohua Deng ◽  
...  
Keyword(s):  
Optical Coherence Tomography ◽  
Deep Learning ◽  
Anterior Chamber ◽  
Anterior Segment ◽  
Learning System ◽  
Optical Coherence ◽  
Anterior Chamber Angle ◽  
Chamber Angle

A Multitask Deep-Learning System to Classify Diabetic Macular Edema for Different Optical Coherence Tomography Devices: A Multicenter Analysis

Diabetes Care ◽  
2021 ◽  
pp. dc203064
Author(s):  
Fangyao Tang ◽  
Xi Wang ◽  
An-ran Ran ◽  
Carmen K.M. Chan ◽  
Mary Ho ◽  
...  
Keyword(s):  
Optical Coherence Tomography ◽  
Deep Learning ◽  
Macular Edema ◽  
Diabetic Macular Edema ◽  
Learning System ◽  
Optical Coherence ◽  
Multicenter Analysis

A Multi-Task Deep-Learning System to Classify Diabetic Macular Edema for Different Optical Coherence Tomography Devices: A Multi-Centre Analysis

2020 ◽  
Author(s):  
Fangyao Tang ◽  
Xi Wang ◽  
An-Ran Ran ◽  
Carmen K. M. Chan ◽  
Mary Ho ◽  
...  
Keyword(s):  
Optical Coherence Tomography ◽  
Deep Learning ◽  
Macular Edema ◽  
Diabetic Macular Edema ◽  
Learning System ◽  
Optical Coherence

scholarly journals Development and Validation of a Deep Learning System for Diagnosing Glaucoma Using Optical Coherence Tomography

2020 ◽  
Vol 9 (7) ◽  
pp. 2167
Author(s):  
Ko Eun Kim ◽  
Joon Mo Kim ◽  
Ji Eun Song ◽  
Changwon Kee ◽  
Jong Chul Han ◽  
...  
Keyword(s):  
Optical Coherence Tomography ◽  
Deep Learning ◽  
External Validation ◽  
Learning System ◽  
Validation Dataset ◽  
Inner Plexiform Layer ◽  
Optical Coherence ◽  
Diagnostic Ability ◽  
Rnfl Thickness ◽  
Validation Set

This study aimed to develop and validate a deep learning system for diagnosing glaucoma using optical coherence tomography (OCT). A training set of 1822 eyes (332 control, 1490 glaucoma) with 7288 OCT images, an internal validation set of 425 eyes (104 control, 321 glaucoma) with 1700 images, and an external validation set of 355 eyes (108 control, 247 glaucoma) with 1420 images were included. Deviation and thickness maps of retinal nerve fiber layer (RNFL) and ganglion cell–inner plexiform layer (GCIPL) analyses were used to develop the deep learning system for glaucoma diagnosis based on the visual geometry group deep convolutional neural network (VGG-19) model. The diagnostic abilities of deep learning models using different OCT maps were evaluated, and the best model was compared with the diagnostic results produced by two glaucoma specialists. The glaucoma-diagnostic ability was highest when the deep learning system used the RNFL thickness map alone (area under the receiver operating characteristic curve (AUROC) 0.987), followed by the RNFL deviation map (AUROC 0.974), the GCIPL thickness map (AUROC 0.966), and the GCIPL deviation map (AUROC 0.903). Among combination sets, use of the RNFL and GCIPL deviation map showed the highest diagnostic ability, showing similar results when tested via an external validation dataset. The inclusion of the axial length did not significantly affect the diagnostic performance of the deep learning system. The location of glaucomatous damage showed generally high level of agreement between the heatmap and the diagnosis of glaucoma specialists, with 90.0% agreement when using the RNFL thickness map and 88.0% when using the GCIPL thickness map. In conclusion, our deep learning system showed high glaucoma-diagnostic abilities using OCT thickness and deviation maps. It also showed detection patterns similar to those of glaucoma specialists, showing promising results for future clinical application as an interpretable computer-aided diagnosis.

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