arXivDaily arXiv每日学术速递 周一至周五更新
arXiv 1807.04855cs.CVcs.LGstat.ML
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OCT体积中青光眼检测的特征不可知方法

A feature agnostic approach for glaucoma detection in OCT volumes

IBM Research Australia(IBM澳大利亚研究院);NYU Langone Eye Center(纽约大学朗格尼眼科中心);New York University School of Medicine(纽约大学医学院)

Stefan Maetschke, Bhavna Antony, Hiroshi Ishikawa, Gadi Wollstein, Joel S. Schuman, Rahil Garnavi

摘要:

基于光学相干断层扫描(OCT)的视网膜层厚度(例如视网膜神经纤维层(RNFL)和具有内丛状层的神经节细胞(GCIPL))的测量通常用于青光眼的诊断和监测。以前,机器学习技术已经利用基于分割的成像特征,例如视乳头周围RNFL厚度和杯盘比。在这里,我们提出了一种深度学习技术,该技术使用3D卷积神经网络(CNN)直接从视神经乳头(ONH)的原始未分割OCT体积中将眼睛分类为健康或昏迷。我们将该技术的准确性与各种基于特征的机器学习算法进行了比较,并证明了所提出的基于深度学习的方法的优越性。发现逻辑回归是表现最好的经典机器学习技术,AUC为0.89。在直接比较中,深度学习方法实现了显著更高的AUC(0.94),其额外优势是提供了对OCT体积的哪些区域对于青光眼检测是重要的洞察。计算类激活图(CAM),我们发现CNN将神经视网膜边缘和视盘杯状以及筛板(LC)及其周围区域识别为与青光眼分类显著相关的区域。这些区域在解剖学上对应于青光眼诊断的成熟和常用的临床标记,例如杯体积增加、杯直径增加和上节段和下节段的神经视网膜边缘变薄。

英文摘要:

Optical coherence tomography (OCT) based measurements of retinal layer thickness, such as the retinal nerve fibre layer (RNFL) and the ganglion cell with inner plexiform layer (GCIPL) are commonly used for the diagnosis and monitoring of glaucoma. Previously, machine learning techniques have utilized segmentation-based imaging features such as the peripapillary RNFL thickness and the cup-to-disc ratio. Here, we propose a deep learning technique that classifies eyes as healthy or glaucomatous directly from raw, unsegmented OCT volumes of the optic nerve head (ONH) using a 3D Convolutional Neural Network (CNN). We compared the accuracy of this technique with various feature-based machine learning algorithms and demonstrated the superiority of the proposed deep learning based method. Logistic regression was found to be the best performing classical machine learning technique with an AUC of 0.89. In direct comparison, the deep learning approach achieved a substantially higher AUC of 0.94 with the additional advantage of providing insight into which regions of an OCT volume are important for glaucoma detection. Computing Class Activation Maps (CAM), we found that the CNN identified neuroretinal rim and optic disc cupping as well as the lamina cribrosa (LC) and its surrounding areas as the regions significantly associated with the glaucoma classification. These regions anatomically correspond to the well established and commonly used clinical markers for glaucoma diagnosis such as increased cup volume, cup diameter, and neuroretinal rim thinning at the superior and inferior segments.

机构、总结、中文摘要均由AI分析而来,可能存在错误,请以论文正文为准。

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