Generating retinal flow maps from structural optical coherence tomography with artificial intelligence.

Journal: Scientific reports
Published Date:

Abstract

Despite advances in artificial intelligence (AI), its application in medical imaging has been burdened and limited by expert-generated labels. We used images from optical coherence tomography angiography (OCTA), a relatively new imaging modality that measures retinal blood flow, to train an AI algorithm to generate flow maps from standard optical coherence tomography (OCT) images, exceeding the ability and bypassing the need for expert labeling. Deep learning was able to infer flow from single structural OCT images with similar fidelity to OCTA and significantly better than expert clinicians (P < 0.00001). Our model allows generating flow maps from large volumes of previously collected OCT data in existing clinical trials and clinical practice. This finding demonstrates a novel application of AI to medical imaging, whereby subtle regularities between different modalities are used to image the same body part and AI is used to generate detailed inferences of tissue function from structure imaging.

Authors

  • Cecilia S Lee
    Department of Ophthalmology, University of Washington, Seattle, Washington, USA.
  • Ariel J Tyring
    Department of Ophthalmology, University of Washington, Seattle, WA, USA.
  • Yue Wu
    Key Laboratory of Luminescence and Real-Time Analytical Chemistry (Ministry of Education), College of Pharmaceutical Sciences, Southwest University, Chongqing 400716, China.
  • Sa Xiao
    Department of Ophthalmology, University of Washington, Seattle, Washington, USA.
  • Ariel S Rokem
    eScience Institute, University of Washington, Seattle, WA, United States of America.
  • Nicolaas P DeRuyter
    Department of Ophthalmology, University of Washington, Seattle, WA, USA.
  • Qinqin Zhang
    Department of Bioengineering, University of Washington, Seattle, Washington.
  • Adnan Tufail
    London, United Kingdom. Electronic address: Adnan.Tufail@moorfields.nhs.uk.
  • Ruikang K Wang
    Department of Ophthalmology, University of Washington, Seattle, Washington.
  • Aaron Y Lee
    Department of Ophthalmology, University of Washington, Seattle, Washington.