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arXiv 2409.20195cs.CVcs.AIcs.LG

利用纵向视网膜OCT中的平行超平面预测疾病进展

Forecasting Disease Progression with Parallel Hyperplanes in Longitudinal Retinal OCT

Medical University of Vienna(维也纳医科大学);University of Basel(巴塞尔大学);University of Michigan(密歇根大学);NIHR Moorfields Biomedical Research Centre(NIHR穆尔菲尔德生物医学研究中心);Technical University Munich(慕尼黑工业大学);University of Southampton(南安普顿大学)
Arunava Chakravarty, Taha Emre, Dmitrii Lachinov, Antoine Rivail, Hendrik Scholl, Lars Fritsche, Sobha Sivaprasad, Daniel Rueckert, Andrew Lotery, Ursula Schmid… 展开作者

Arunava Chakravarty, Taha Emre, Dmitrii Lachinov, Antoine Rivail, Hendrik Scholl, Lars Fritsche, Sobha Sivaprasad, Daniel Rueckert, Andrew Lotery, Ursula Schmidt-Erfurth, Hrvoje Bogunović

AI总结:

本文提出一种基于平行超平面的深度学习生存预测方法,从视网膜OCT预测晚期干性AMD发病风险,并通过无监督损失实现跨扫描仪数据高效微调,在两个数据集上取得0.82和0.83的平均AUROC。

摘要:

由于患者异质性以及细微或未知的成像生物标志物,从医学图像中预测未来疾病进展风险具有挑战性。此外,用于生存分析的深度学习方法容易受到不同扫描仪之间图像域偏移的影响。我们在从视网膜OCT扫描预测晚期干性年龄相关性黄斑变性(dAMD)发病的任务中解决这些问题。我们提出了一种新的用于生存预测的深度学习方法,从当前扫描中联合预测一个风险评分(与转换时间成反比)以及在时间间隔$t$内发生转换的概率。该方法使用一族平行超平面,通过将偏置项参数化为$t$的函数来生成。此外,我们开发了基于同一受试者图像对的无监督损失,以确保风险评分随时间增加,并确保未来转换预测与使用未来访视实际扫描的AMD分期预测一致。此类损失使得在采用不同扫描仪获取的新未标注数据集上对训练模型进行数据高效微调成为可能。在两个采用不同扫描仪获取的大型数据集上的广泛评估显示,在6、12和24个月的预测间隔上,Dataset-1的平均AUROC为0.82,Dataset-2的平均AUROC为0.83。

英文摘要:

Predicting future disease progression risk from medical images is challenging due to patient heterogeneity, and subtle or unknown imaging biomarkers. Moreover, deep learning (DL) methods for survival analysis are susceptible to image domain shifts across scanners. We tackle these issues in the task of predicting late dry Age-related Macular Degeneration (dAMD) onset from retinal OCT scans. We propose a novel DL method for survival prediction to jointly predict from the current scan a risk score, inversely related to time-to-conversion, and the probability of conversion within a time interval $t$. It uses a family of parallel hyperplanes generated by parameterizing the bias term as a function of $t$. In addition, we develop unsupervised losses based on intra-subject image pairs to ensure that risk scores increase over time and that future conversion predictions are consistent with AMD stage prediction using actual scans of future visits. Such losses enable data-efficient fine-tuning of the trained model on new unlabeled datasets acquired with a different scanner. Extensive evaluation on two large datasets acquired with different scanners resulted in a mean AUROCs of 0.82 for Dataset-1 and 0.83 for Dataset-2, across prediction intervals of 6,12 and 24 months.

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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