光学相干层析成像
青光眼
接收机工作特性
人工智能
支持向量机
随机森林
神经纤维层
卷积神经网络
医学
计算机科学
视网膜
眼科
开角型青光眼
模式识别(心理学)
机器学习
作者
Ryo Asaoka,Hiroshi Murata,Kazunori Hirasawa,Yuri Fujino,Masato Matsuura,Atsuya Miki,Takashi Kanamoto,Yoko Ikeda,Kazuhiko Mori,Aiko Iwase,Nobuyuki Shoji,Kenji Inoue,Junkichi Yamagami,Makoto Araie
标识
DOI:10.1016/j.ajo.2018.10.007
摘要
We sought to construct and evaluate a deep learning (DL) model to diagnose early glaucoma from spectral-domain optical coherence tomography (OCT) images.Artificial intelligence diagnostic tool development, evaluation, and comparison.This multi-institution study included pretraining data of 4316 OCT images (RS3000) from 1371 eyes with open angle glaucoma (OAG) regardless of the stage of glaucoma and 193 normal eyes. Training data included OCT-1000/2000 images from 94 eyes of 94 patients with early OAG (mean deviation > -5.0 dB) and 84 eyes of 84 normal subjects. Testing data included OCT-1000/2000 from 114 eyes of 114 patients with early OAG (mean deviation > -5.0 dB) and 82 eyes of 82 normal subjects. A DL (convolutional neural network) classifier was trained using a pretraining dataset, followed by a second round of training using an independent training dataset. The DL model input features were the 8 × 8 grid macular retinal nerve fiber layer thickness and ganglion cell complex layer thickness from spectral-domain OCT. Diagnostic accuracy was investigated in the testing dataset. For comparison, diagnostic accuracy was also evaluated using the random forests and support vector machine models. The primary outcome measure was the area under the receiver operating characteristic curve (AROC).The AROC with the DL model was 93.7%. The AROC significantly decreased to between 76.6% and 78.8% without the pretraining process. Significantly smaller AROCs were obtained with random forests and support vector machine models (82.0% and 67.4%, respectively).A DL model for glaucoma using spectral-domain OCT offers a substantive increase in diagnostic performance.
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