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arXiv 2406.18247eess.IVcs.CVcs.LG

眼科中的生成式人工智能:基于卷积神经网络的多模态视网膜图像用于阿尔茨海默病诊断

Generative artificial intelligence in ophthalmology: multimodal retinal images for the diagnosis of Alzheimer's disease with convolutional neural networks

I. R. Slootweg, M. Thach, K. R. Curro-Tafili, F. D. Verbraak, F. H. Bouwman, Y. A. L. Pijnenburg, J. F. Boer, J. H. P. de Kwisthout, L. Bagheriye, P. J. González

AI总结:

本研究利用生成式AI(DDPM)合成多模态视网膜图像,预训练CNN以预测阿尔茨海默病相关AmyloidPET状态,结合元数据将AUPR提升至0.634。

摘要:

背景/目标。本研究旨在利用多模态视网膜成像和卷积神经网络(CNN)预测淀粉样蛋白正电子发射断层扫描(AmyloidPET)状态,并通过合成数据预训练提升性能。方法。使用来自59名AmyloidPET阳性受试者和108名AmyloidPET阴性受试者共328只眼睛的眼底自发荧光、光学相干断层扫描(OCT)和OCT血管成像图像进行分类。训练去噪扩散概率模型(DDPM)生成合成图像,并在合成数据上预训练单模态CNN,然后在真实数据上微调,或仅在真实数据上训练。开发了多模态分类器,结合四个单模态CNN的预测与患者元数据。单模态分类器的类激活图揭示了网络对输入的关注区域。结果。DDPM生成了多样、逼真且无记忆的合成图像。使用合成数据预训练单模态CNN将AUPR从0.350提升至0.579。在多模态CNN中整合元数据将AUPR从0.486提升至0.634,为整体最佳分类器。类激活图突出显示了与AD相关的视网膜区域。结论。我们生成和利用合成数据的方法有望改善基于多模态视网膜成像的AmyloidPET预测。DDPM能够生成逼真且独特的多模态合成视网膜图像。我们表现最佳的单模态和多模态分类器未使用合成数据预训练,然而,对于四种模态中的两种,合成数据预训练略微提升了分类性能。

英文摘要:

Background/Aim. This study aims to predict Amyloid Positron Emission Tomography (AmyloidPET) status with multimodal retinal imaging and convolutional neural networks (CNNs) and to improve the performance through pretraining with synthetic data. Methods. Fundus autofluorescence, optical coherence tomography (OCT), and OCT angiography images from 328 eyes of 59 AmyloidPET positive subjects and 108 AmyloidPET negative subjects were used for classification. Denoising Diffusion Probabilistic Models (DDPMs) were trained to generate synthetic images and unimodal CNNs were pretrained on synthetic data and finetuned on real data or trained solely on real data. Multimodal classifiers were developed to combine predictions of the four unimodal CNNs with patient metadata. Class activation maps of the unimodal classifiers provided insight into the network's attention to inputs. Results. DDPMs generated diverse, realistic images without memorization. Pretraining unimodal CNNs with synthetic data improved AUPR at most from 0.350 to 0.579. Integration of metadata in multimodal CNNs improved AUPR from 0.486 to 0.634, which was the best overall best classifier. Class activation maps highlighted relevant retinal regions which correlated with AD. Conclusion. Our method for generating and leveraging synthetic data has the potential to improve AmyloidPET prediction from multimodal retinal imaging. A DDPM can generate realistic and unique multimodal synthetic retinal images. Our best performing unimodal and multimodal classifiers were not pretrained on synthetic data, however pretraining with synthetic data slightly improved classification performance for two out of the four modalities.

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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