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arXiv 2511.05106cs.CVcs.LG

基于视网膜OCT图像的早期阿尔茨海默病检测:一项UK Biobank研究

Early Alzheimer's Disease Detection from Retinal OCT Images: A UK Biobank Study

Department of Computer Engineering Isik University Istanbul, Turkey(计算机工程系伊斯肯大学);Department of Artificial Intelligence and Data Engineering(人工智能与数据工程系);Data Engineering Istanbul Technical University Istanbul, Turkey(数据工程系伊斯坦布尔技术大学)

Yasemin Turkan, F. Boray Tek, M. Serdar Nazlı, Öykü Eren

AI总结:

本研究首次将深度学习应用于UK Biobank原始OCT B-scan图像以早期检测阿尔茨海默病,通过微调ResNet-34等预训练模型并结合年份加权损失与增强技术,在4年队列中取得0.62的AUC,为后续研究提供了基线。

摘要:

利用光学相干断层扫描(OCT)可测量的视网膜层厚度改变,已被认为与阿尔茨海默病(AD)等神经退行性疾病相关。以往研究主要聚焦于分割后的层厚度测量,而本研究探索了直接对OCT B-scan图像进行分类以实现AD的早期检测。据我们所知,这是文献中首次将深度学习应用于原始OCT B-scan进行AD预测。与常规医学图像分类任务不同,早期检测比诊断更具挑战性,因为成像时间比临床诊断早数年。我们使用来自UK Biobank队列的、按年龄、性别和成像次数匹配的受试者级交叉验证数据集,对多个预训练模型进行了微调和评估,包括基于ImageNet的网络和OCT专用的RETFound transformer。为减少这一小型高维数据集上的过拟合,我们应用了标准增强和OCT专用增强技术,并采用了一种年份加权损失函数,优先考虑成像后四年内确诊的病例。ResNet-34产生了最稳定的结果,在4年队列中达到0.62的AUC。尽管低于临床应用阈值,我们的可解释性分析证实了AD组与对照组在中央黄斑子区存在局部结构差异。这些发现为基于OCT的AD预测提供了基线,突显了在AD诊断前数年检测细微视网膜生物标志物所面临的挑战,并指出需要更大规模的数据集和多模态方法。

英文摘要:

Alterations in retinal layer thickness, measurable using Optical Coherence Tomography (OCT), have been associated with neurodegenerative diseases such as Alzheimer's disease (AD). While previous studies have mainly focused on segmented layer thickness measurements, this study explored the direct classification of OCT B-scan images for the early detection of AD. To our knowledge, this is the first application of deep learning to raw OCT B-scans for AD prediction in the literature. Unlike conventional medical image classification tasks, early detection is more challenging than diagnosis because imaging precedes clinical diagnosis by several years. We fine-tuned and evaluated multiple pretrained models, including ImageNet-based networks and the OCT-specific RETFound transformer, using subject-level cross-validation datasets matched for age, sex, and imaging instances from the UK Biobank cohort. To reduce overfitting in this small, high-dimensional dataset, both standard and OCT-specific augmentation techniques were applied, along with a year-weighted loss function that prioritized cases diagnosed within four years of imaging. ResNet-34 produced the most stable results, achieving an AUC of 0.62 in the 4-year cohort. Although below the threshold for clinical application, our explainability analyses confirmed localized structural differences in the central macular subfield between the AD and control groups. These findings provide a baseline for OCT-based AD prediction, highlight the challenges of detecting subtle retinal biomarkers years before AD diagnosis, and point to the need for larger datasets and multimodal approaches.

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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