Multi-task deep learning-based survival analysis on the prognosis of late AMD using the longitudinal data in AREDS.

Journal: AMIA ... Annual Symposium proceedings. AMIA Symposium
Published Date:

Abstract

Age-related macular degeneration (AMD) is the leading cause of vision loss. Some patients experience vision loss over a delayed timeframe, others at a rapid pace. Physicians analyze time-of-visit fundus photographs to predict patient risk of developing late-AMD, the most severe form of AMD. Our study hypothesizes that 1) incorporating historical data improves predictive strength of developing late-AMD and 2) state-of-the-art deep-learning techniques extract more predictive image features than clinicians do. We incorporate longitudinal data from the Age-Related Eye Disease Studies and deep-learning extracted image features in survival settings to predict development of late- AMD. To extract image features, we used multi-task learning frameworks to train convolutional neural networks. Our findings show 1) incorporating longitudinal data improves prediction of late-AMD for clinical standard features, but only the current visit is informative when using complex features and 2) "deep-features" are more informative than clinician derived features. We make codes publicly available at https://github.com/bionlplab/AMD_prognosis_amia2021.

Authors

  • Gregory Ghahramani
    Department of Physiology, Biophysics, and Systems Biology, Weill Cornell Medicine, New York, NY USA.
  • Matthew Brendel
    Department of Physiology, Biophysics, and Systems Biology, Weill Cornell Medicine, New York, NY USA.
  • Mingquan Lin
    Department of Population Health Sciences, Weill Cornell Medicine, New York, USA.
  • Qingyu Chen
    Department of Biomedical Informatics and Data Science, Yale School of Medicine, Yale University, New Haven, CT, USA.
  • Tiarnan Keenan
    National Eye Institute (NEI), National Institutes of Health (NIH), Bethesda, MD USA.
  • Kun Chen
    Department of Anesthesiology, Yongchuan Hospital of Chongqing Medical University, Chongqing, China.
  • Emily Chew
    National Eye Institute (NEI), National Institutes of Health (NIH), Bethesda, MD USA.
  • Zhiyong Lu
    National Center for Biotechnology Information, Bethesda, MD 20894 USA.
  • Yifan Peng
    Department of Population Health Sciences, Weill Cornell Medicine, New York, USA.
  • Fei Wang
    Department of Population Health Sciences, Weill Cornell Medicine, Cornell University, New York, NY, United States.