The identification and quantification of markers in medical images is critical for diagnosis, prognosis, and disease management. Supervised machine learning enables the detection and exploitation of findings that are known a priori after annotation of training examples by experts. However, supervision does not scale well, due to the amount of necessary training examples, and the limitation of the marker vocabulary to known entities. In this proof-of-concept study, we propose unsupervised identification of anomalies as candidates for markers in retinal optical coherence tomography (OCT) imaging data without a constraint to a priori definitions. We identify and categorize marker candidates occurring frequently in the data and demonstrate that these markers show a predictive value in the task of detecting disease. A careful qualitative analysis of the identified data driven markers reveals how their quantifiable occurrence aligns with our current understanding of disease course, in early- and late age-related macular degeneration (AMD) patients. A multi-scale deep denoising autoencoder is trained on healthy images, and a one-class support vector machine identifies anomalies in new data. Clustering in the anomalies identifies stable categories. Using these markers to classify healthy-, early AMD- and late AMD cases yields an accuracy of 81.40 . In a second binary classification experiment on a publicly available data set (healthy versus intermediate AMD), the model achieves an area under the ROC curve of 0.944.
Regarding classification of retinal diseases on volume level, main focus of related work @cite_18 @cite_13 is to solve the classification task itself. In contrast, here our target is to evaluate the link of identified categories, alias marker candidates, to disease by using them as features for classification.
@cite_18 @cite_13
2293589535 2001080026 2898910301 1762163599
In the context of Computer Aided Diagnosis system for diabetic retinopathy, we present a novel method for detection of exudates and their classification for disease severity prediction. The method is based on Gaussian scale space based interest map and mathematical morphology. It makes use of support vector machine for classification and location information of the optic disc and the macula region for severity prediction. It can efficiently handle luminance variation and it is suitable for varied sized exudates. The method has been probed in publicly available DIARETDB1V2 and e-ophthaEX databases. For exudate detection the proposed method achieved a sensitivity of 96.54 and prediction of 98.35 in DIARETDB1V2 database. Objective To define quantitative indicators for the presence of intermediate age-related macular degeneration (AMD) via spectral-domain optical coherence tomography (SD-OCT) imaging of older adults. Design Evaluation of diagnostic test and technology. Participants and Controls One eye from 115 elderly subjects without AMD and 269 subjects with intermediate AMD from the Age-Related Eye Disease Study 2 (AREDS2) Ancillary SD-OCT Study. Methods We semiautomatically delineated the retinal pigment epithelium (RPE) and RPE drusen complex (RPEDC, the axial distance from the apex of the drusen and RPE layer to Bruch's membrane) and total retina (TR, the axial distance between the inner limiting and Bruch's membranes) boundaries. We registered and averaged the thickness maps from control subjects to generate a map of "normal" non-AMD thickness. We considered RPEDC thicknesses larger or smaller than 3 standard deviations from the mean as abnormal, indicating drusen or geographic atrophy (GA), respectively. We measured TR volumes, RPEDC volumes, and abnormal RPEDC thickening and thinning volumes for each subject. By using different combinations of these 4 disease indicators, we designed 5 automated classifiers for the presence of AMD on the basis of the generalized linear model regression framework. We trained and evaluated the performance of these classifiers using the leave-one-out method. Main Outcome Measures The range and topographic distribution of the RPEDC and TR thicknesses in a 5-mm diameter cylinder centered at the fovea. Results The most efficient method for separating AMD and control eyes required all 4 disease indicators. The area under the curve (AUC) of the receiver operating characteristic (ROC) for this classifier was >0.99. Overall neurosensory retinal thickening in eyes with AMD versus control eyes in our study contrasts with previous smaller studies. Conclusions We identified and validated efficient biometrics to distinguish AMD from normal eyes by analyzing the topographic distribution of normal and abnormal RPEDC thicknesses across a large atlas of eyes. We created an online atlas to share the 38 400 SD-OCT images in this study, their corresponding segmentations, and quantitative measurements. Abstract Automatic segmentation of retinal vessels in fundus images plays an important role in the diagnosis of some diseases such as diabetes and hypertension. In this paper, we propose Deformable U-Net (DUNet), which exploits the retinal vessels’ local features with a U-shape architecture, in an end to end manner for retinal vessel segmentation. Inspired by the recently introduced deformable convolutional networks, we integrate the deformable convolution into the proposed network. The DUNet, with upsampling operators to increase the output resolution, is designed to extract context information and enable precise localization by combining low-level features with high-level ones. Furthermore, DUNet captures the retinal vessels at various shapes and scales by adaptively adjusting the receptive fields according to vessels’ scales and shapes. Public datasets: DRIVE, STARE, CHASE_DB1 and HRF are used to test our models. Detailed comparisons between the proposed network and the deformable neural network, U-Net are provided in our study. Results show that more detailed vessels can be extracted by DUNet and it exhibits state-of-the-art performance for retinal vessel segmentation with a global accuracy of 0.9566 0.9641 0.9610 0.9651 and AUC of 0.9802 0.9832 0.9804 0.9831 on DRIVE, STARE, CHASE_DB1 and HRF respectively. Moreover, to show the generalization ability of the DUNet, we use another two retinal vessel data sets, i.e., WIDE and SYNTHE, to qualitatively and quantitatively analyze and compare with other methods. Extensive cross-training evaluations are used to further assess the extendibility of DUNet. The proposed method has the potential to be applied to the early diagnosis of diseases. In this work, we propose a novel microaneurysm (MA) detection for early diabetic retinopathy screening using color fundus images. Since MA usually the first lesions to appear as an indicator of diabetic retinopathy, accurate detection of MA is necessary for treatment. Each pixel of the image is classified as either MA or non-MA using a deep neural network with dropout training procedure using maxout activation function. No preprocessing step or manual feature extraction is required. Substantial improvements over standard MA detection method based on the pipeline of preprocessing, feature extraction, classification followed by post processing is achieved. The presented method is evaluated in publicly available Retinopathy Online Challenge (ROC) and Diaretdb1v2 database and achieved state-of-the-art accuracy.