1,225 research outputs found
Data mining for AMD screening: A classification based approach
This paper investigates the use of three alternative approaches to classifying retinal images. The novelty of these approaches is that they are not founded on individual lesion segmentation for feature generation, instead use encodings focused on the entire image. Three different mechanisms for encoding retinal image data were considered: (i) time series, (ii) tabular and (iii) tree based representations. For the evaluation two publically available, retinal fundus image data sets were used. The evaluation was conducted in the context of Age-related Macular Degeneration (AMD) screening and according to statistical significance tests. Excellent results were produced: Sensitivity, specificity and accuracy rates of 99% and over were recorded, while the tree based approach has the best performance with a sensitivity of 99.5%. Further evaluation indicated that the results were statistically significant. The excellent results indicated that these classification systems are ideally suited to large scale AMD screening processes
Una revisión sistemática de métodos de aprendizaje profundo aplicados a imágenes oculares
Artificial intelligence is having an important effect on different areas of medicine, and ophthalmology has not been the exception. In particular, deep learning methods have been applied successfully to the detection of clinical signs and the classification of ocular diseases. This represents a great potential to increase the number of people correctly diagnosed. In ophthalmology, deep learning methods have primarily been applied to eye fundus images and optical coherence tomography. On the one hand, these methods have achieved an outstanding performance in the detection of ocular diseases such as: diabetic retinopathy, glaucoma, diabetic macular degeneration and age-related macular degeneration. On the other hand, several worldwide challenges have shared big eye imaging datasets with segmentation of part of the eyes, clinical signs and the ocular diagnostic performed by experts. In addition, these methods are breaking the stigma of black-box models, with the delivering of interpretable clinically information. This review provides an overview of the state-of-the-art deep learning methods used in ophthalmic images, databases and potential challenges for ocular diagnosisLa inteligencia artificial está teniendo un importante impacto en diversas áreas de la medicina y a la oftalmología no ha sido la excepción. En particular, los métodos de aprendizaje profundo han sido aplicados con éxito en la detección de signos clínicos y la clasificación de enfermedades oculares. Esto representa un potencial impacto en el incremento de pacientes correctamente y oportunamente diagnosticados. En oftalmología, los métodos de aprendizaje profundo se han aplicado principalmente a imágenes de fondo de ojo y tomografía de coherencia óptica. Por un lado, estos métodos han logrado un rendimiento sobresaliente en la detección de enfermedades oculares tales como: retinopatía diabética, glaucoma, degeneración macular diabética y degeneración macular relacionada con la edad. Por otro lado, varios desafíos mundiales han compartido grandes conjuntos de datos con segmentación de parte de los ojos, signos clínicos y el diagnóstico ocular realizado por expertos. Adicionalmente, estos métodos están rompiendo el estigma de los modelos de caja negra, con la entrega de información clínica interpretable. Esta revisión proporciona una visión general de los métodos de aprendizaje profundo de última generación utilizados en imágenes oftálmicas, bases de datos y posibles desafíos para los diagnósticos oculare
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Combining macula clinical signs and patient characteristics for age-related macular degeneration diagnosis: a machine learning approach
Background: To investigate machine learning methods, ranging from simpler interpretable techniques to complex (non-linear) “black-box” approaches, for automated diagnosis of Age-related Macular Degeneration (AMD).
Methods: Data from healthy subjects and patients diagnosed with AMD or other retinal diseases were collected during routine visits via an Electronic Health Record (EHR) system. Patients’ attributes included demographics and, for each eye, presence/absence of major AMD-related clinical signs (soft drusen, retinal pigment epitelium, defects/ pigment mottling, depigmentation area, subretinal haemorrhage, subretinal fluid, macula thickness, macular scar, subretinal fibrosis). Interpretable techniques known as white box methods including logistic regression and decision trees as well as less interpreitable techniques known as black box methods, such as support vector machines (SVM), random forests and AdaBoost, were used to develop models (trained and validated on unseen data) to diagnose AMD. The gold standard was confirmed diagnosis of AMD by physicians. Sensitivity, specificity and area under the receiver operating characteristic (AUC) were used to assess performance.
Results: Study population included 487 patients (912 eyes). In terms of AUC, random forests, logistic regression and adaboost showed a mean performance of (0.92), followed by SVM and decision trees (0.90). All machine learning models identified soft drusen and age as the most discriminating variables in clinicians’ decision pathways to diagnose AMD. C
Conclusions: Both black-box and white box methods performed well in identifying diagnoses of AMD and their decision pathways. Machine learning models developed through the proposed approach, relying on clinical signs identified by retinal specialists, could be embedded into EHR to provide physicians with real time (interpretable) support
A Deep Learning Approach to Denoise Optical Coherence Tomography Images of the Optic Nerve Head
Purpose: To develop a deep learning approach to de-noise optical coherence
tomography (OCT) B-scans of the optic nerve head (ONH).
Methods: Volume scans consisting of 97 horizontal B-scans were acquired
through the center of the ONH using a commercial OCT device (Spectralis) for
both eyes of 20 subjects. For each eye, single-frame (without signal
averaging), and multi-frame (75x signal averaging) volume scans were obtained.
A custom deep learning network was then designed and trained with 2,328 "clean
B-scans" (multi-frame B-scans), and their corresponding "noisy B-scans" (clean
B-scans + gaussian noise) to de-noise the single-frame B-scans. The performance
of the de-noising algorithm was assessed qualitatively, and quantitatively on
1,552 B-scans using the signal to noise ratio (SNR), contrast to noise ratio
(CNR), and mean structural similarity index metrics (MSSIM).
Results: The proposed algorithm successfully denoised unseen single-frame OCT
B-scans. The denoised B-scans were qualitatively similar to their corresponding
multi-frame B-scans, with enhanced visibility of the ONH tissues. The mean SNR
increased from dB (single-frame) to dB
(denoised). For all the ONH tissues, the mean CNR increased from (single-frame) to (denoised). The MSSIM increased from
(single frame) to (denoised) when compared with
the corresponding multi-frame B-scans.
Conclusions: Our deep learning algorithm can denoise a single-frame OCT
B-scan of the ONH in under 20 ms, thus offering a framework to obtain superior
quality OCT B-scans with reduced scanning times and minimal patient discomfort
Comparative Topic Modeling for Determinants of Divergent Report Results Applied to Macular Degeneration Studies
Topic modeling and text mining are subsets of Natural Language Processing
with relevance for conducting meta-analysis (MA) and systematic review (SR).
For evidence synthesis, the above NLP methods are conventionally used for
topic-specific literature searches or extracting values from reports to
automate essential phases of SR and MA. Instead, this work proposes a
comparative topic modeling approach to analyze reports of contradictory results
on the same general research question. Specifically, the objective is to find
topics exhibiting distinct associations with significant results for an outcome
of interest by ranking them according to their proportional occurrence and
consistency of distribution across reports of significant results. The proposed
method was tested on broad-scope studies addressing whether supplemental
nutritional compounds significantly benefit macular degeneration (MD). Eight
compounds were identified as having a particular association with reports of
significant results for benefitting MD. Six of these were further supported in
terms of effectiveness upon conducting a follow-up literature search for
validation (omega-3 fatty acids, copper, zeaxanthin, lutein, zinc, and
nitrates). The two not supported by the follow-up literature search (niacin and
molybdenum) also had the lowest scores under the proposed methods ranking
system, suggesting that the proposed method's score for a given topic is a
viable proxy for its degree of association with the outcome of interest. These
results underpin the proposed methods potential to add specificity in
understanding effects from broad-scope reports, elucidate topics of interest
for future research, and guide evidence synthesis in a systematic and scalable
way
The Role of Medical Image Modalities and AI in the Early Detection, Diagnosis and Grading of Retinal Diseases: A Survey.
Traditional dilated ophthalmoscopy can reveal diseases, such as age-related macular degeneration (AMD), diabetic retinopathy (DR), diabetic macular edema (DME), retinal tear, epiretinal membrane, macular hole, retinal detachment, retinitis pigmentosa, retinal vein occlusion (RVO), and retinal artery occlusion (RAO). Among these diseases, AMD and DR are the major causes of progressive vision loss, while the latter is recognized as a world-wide epidemic. Advances in retinal imaging have improved the diagnosis and management of DR and AMD. In this review article, we focus on the variable imaging modalities for accurate diagnosis, early detection, and staging of both AMD and DR. In addition, the role of artificial intelligence (AI) in providing automated detection, diagnosis, and staging of these diseases will be surveyed. Furthermore, current works are summarized and discussed. Finally, projected future trends are outlined. The work done on this survey indicates the effective role of AI in the early detection, diagnosis, and staging of DR and/or AMD. In the future, more AI solutions will be presented that hold promise for clinical applications
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