Dataset Information

A CNN-aided method to predict glaucoma progression using DARC (Detection of Apoptosing Retinal Cells).

ABSTRACT: BACKGROUND:A key objective in glaucoma is to identify those at risk of rapid progression and blindness. Recently, a novel first-in-man method for visualising apoptotic retinal cells called DARC (Detection-of-Apoptosing-Retinal-Cells) was reported. The aim was to develop an automatic CNN-aided method of DARC spot detection to enable prediction of glaucoma progression. METHODS:Anonymised DARC images were acquired from healthy control (n=40) and glaucoma (n=20) Phase 2 clinical trial subjects (ISRCTN10751859) from which 5 observers manually counted spots. The CNN-aided algorithm was trained and validated using manual counts from control subjects, and then tested on glaucoma eyes. RESULTS:The algorithm had 97.0% accuracy, 91.1% sensitivity and 97.1% specificity to spot detection when compared to manual grading of 50% controls. It was next tested on glaucoma patient eyes defined as progressing or stable based on a significant (p<0.05) rate of progression using OCT-retinal nerve fibre layer measurements at 18 months. It demonstrated 85.7% sensitivity, 91.7% specificity with AUC of 0.89, and a significantly (p=0.0044) greater DARC count in those patients who later progressed. CONCLUSION:This CNN-enabled algorithm provides an automated and objective measure of DARC, promoting its use as an AI-aided biomarker for predicting glaucoma progression and testing new drugs.

SUBMITTER: Normando EM

PROVIDER: S-EPMC7115906 | biostudies-literature | 2020 Jul

REPOSITORIES: biostudies-literature

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A CNN-aided method to predict glaucoma progression using DARC (Detection of Apoptosing Retinal Cells).

Normando Eduardo M EM Yap Tim E TE Maddison John J Miodragovic Serge S Bonetti Paolo P Almonte Melanie M Mohammad Nada G NG Ameen Sally S Crawley Laura L Ahmed Faisal F Bloom Philip A PA Cordeiro Maria Francesca MF

Expert review of molecular diagnostics 20200503 7

<h4>Background</h4>A key objective in glaucoma is to identify those at risk of rapid progression and blindness. Recently, a novel first-in-man method for visualising apoptotic retinal cells called DARC (Detection-of-Apoptosing-Retinal-Cells) was reported. The aim was to develop an automatic CNN-aided method of DARC spot detection to enable prediction of glaucoma progression.<h4>Methods</h4>Anonymised DARC images were acquired from healthy control (n=40) and glaucoma (n=20) Phase 2 clinical trial ...[more]

PMID: 32310684

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Project description:ObjectiveWe aimed to develop a deep learning (DL)-based algorithm for early glaucoma detection based on color fundus photographs that provides information on defects in the retinal nerve fiber layer (RNFL) and its thickness from the mapping and translating relations of spectral domain OCT (SD-OCT) thickness maps.DesignDeveloping and evaluating an artificial intelligence detection tool.SubjectsPretraining paired data of color fundus photographs and SD-OCT images from 189 healthy participants and 371 patients with early glaucoma were used.MethodsThe variational autoencoder (VAE) network training architecture was used for training, and the correlation between the fundus photographs and RNFL thickness distribution was determined through the deep neural network. The reference standard was defined as a vertical cup-to-disc ratio of ≥0.7, other typical changes in glaucomatous optic neuropathy, and RNFL defects. Convergence indicates that the VAE has learned a distribution that would enable us to produce corresponding synthetic OCT scans.Main outcome measuresSimilarly to wide-field OCT scanning, the proposed model can extract the results of RNFL thickness analysis. The structural similarity index measure (SSIM) and peak signal-to-noise ratio (PSNR) were used to assess signal strength and the similarity in the structure of the color fundus images converted to an RNFL thickness distribution model. The differences between the model-generated images and original images were quantified.ResultsWe developed and validated a novel DL-based algorithm to extract thickness information from the color space of fundus images similarly to that from OCT images and to use this information to regenerate RNFL thickness distribution images. The generated thickness map was sufficient for clinical glaucoma detection, and the generated images were similar to ground truth (PSNR: 19.31 decibels; SSIM: 0.44). The inference results were similar to the OCT-generated original images in terms of the ability to predict RNFL thickness distribution.ConclusionsThe proposed technique may aid clinicians in early glaucoma detection, especially when only color fundus photographs are available.

Project description:BackgroundDeep learning has been widely used for glaucoma diagnosis. However, there is no clinically validated algorithm for glaucoma incidence and progression prediction. This study aims to develop a clinically feasible deep-learning system for predicting and stratifying the risk of glaucoma onset and progression based on color fundus photographs (CFPs), with clinical validation of performance in external population cohorts.MethodsWe established data sets of CFPs and visual fields collected from longitudinal cohorts. The mean follow-up duration was 3 to 5 years across the data sets. Artificial intelligence (AI) models were developed to predict future glaucoma incidence and progression based on the CFPs of 17,497 eyes in 9346 patients. The area under the receiver operating characteristic (AUROC) curve, sensitivity, and specificity of the AI models were calculated with reference to the labels provided by experienced ophthalmologists. Incidence and progression of glaucoma were determined based on longitudinal CFP images or visual fields, respectively.ResultsThe AI model to predict glaucoma incidence achieved an AUROC of 0.90 (0.81-0.99) in the validation set and demonstrated good generalizability, with AUROCs of 0.89 (0.83-0.95) and 0.88 (0.79-0.97) in external test sets 1 and 2, respectively. The AI model to predict glaucoma progression achieved an AUROC of 0.91 (0.88-0.94) in the validation set, and also demonstrated outstanding predictive performance with AUROCs of 0.87 (0.81-0.92) and 0.88 (0.83-0.94) in external test sets 1 and 2, respectively.ConclusionOur study demonstrates the feasibility of deep-learning algorithms in the early detection and prediction of glaucoma progression.FUNDINGNational Natural Science Foundation of China (NSFC); the High-level Hospital Construction Project, Zhongshan Ophthalmic Center, Sun Yat-sen University; the Science and Technology Program of Guangzhou, China (2021), the Science and Technology Development Fund (FDCT) of Macau, and FDCT-NSFC.

Project description:Retinal imaging helps to detect retinal and cardiovascular abnormalities. Among these abnormalities, Diabetic Macular Edema (DME) and Age Related Macular Degeneration (AMD), both are frequent retinal degenerative diseases leading to blindness. Content based retinal OCT scan retrieval process makes use of characteristic features to retrieve similar Optical Coherent Tomography (OCT) scans, index-wise, from a database with minimal human intervention. A number of existing methods take care of segmentation and identification of retinal landmarks and pathologies from OCT volumes. As per the literature survey, till date, no papers are there which deal with the retrieval of retinal OCT scans. In this work, we propose a retrieval system for retinal OCT scans which extracts feature maps of both query and database samples from the layer of deep convolutional neural network and compares for their similarity. The Twin network comparison approach exploits deep features without the resource, space and computation exhaustive network training phase. Most of the techniques involving deep network implementation suffer from the drawbacks of data augmentation and resizing. These requirements have been eliminated automatically as part of the Twin network implementation procedure. The system successfully retrieves retinas with similar symptoms from the database of differently affected and unaffected OCT scans. We evaluated different variations of retrieval performances like AMD-Normal, DME-Normal, AMD-DME, AMD-DME-Normal, etc. Execution time optimization has also been achieved as the network used is comparatively shallow and network training is not required. The system retrieves similar scans from a dataset of abnormal and normal OCT scans with a mean average precision of 0.7571 and mean reciprocal rank of 0.9050. Considering all possible variations of retrieval, we achieved overall mean average precision and mean reciprocal rank of 0.631167 and 0.829607, respectively which are also quite notable with rank thresholds of 3, 5 and 7. Experiments show that the method is noticeably successful in retrieving similar OCT volumes. Per image mean average retrieval time is 8.3 sec. Automatic retrieval of retinal OCT volumes for the presence of a particular ailment can help ophthalmologists in the mass screening process. Supplementary Information The online version contains supplementary material available at 10.1007/s12046-021-01701-5.

Dataset Information

A CNN-aided method to predict glaucoma progression using DARC (Detection of Apoptosing Retinal Cells).

Publications

A CNN-aided method to predict glaucoma progression using DARC (Detection of Apoptosing Retinal Cells).

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