OCT-based deep-learning models for the identification of retinal key signs.

Journal: Scientific reports
PMID:

Abstract

A new system based on binary Deep Learning (DL) convolutional neural networks has been developed to recognize specific retinal abnormality signs on Optical Coherence Tomography (OCT) images useful for clinical practice. Images from the local hospital database were retrospectively selected from 2017 to 2022. Images were labeled by two retinal specialists and included central fovea cross-section OCTs. Nine models were developed using the Visual Geometry Group 16 architecture to distinguish healthy versus abnormal retinas and to identify eight different retinal abnormality signs. A total of 21,500 OCT images were screened, and 10,770 central fovea cross-section OCTs were included in the study. The system achieved high accuracy in identifying healthy retinas and specific pathological signs, ranging from 93 to 99%. Accurately detecting abnormal retinal signs from OCT images is crucial for patient care. This study aimed to identify specific signs related to retinal pathologies, aiding ophthalmologists in diagnosis. The high-accuracy system identified healthy retinas and pathological signs, making it a useful diagnostic aid. Labelled OCT images remain a challenge, but our approach reduces dataset creation time and shows DL models' potential to improve ocular pathology diagnosis and clinical decision-making.

Authors

  • Inferrera Leandro
    Department of Medicine, Surgery and Health Sciences, Eye Clinic, Ophthalmology Clinic, University of Trieste, Piazza Dell'Ospitale 1, 34125, Trieste, Italy. leandro.inferrera@units.it.
  • Borsatti Lorenzo
    Department of Medicine, Surgery and Health Sciences, Eye Clinic, Ophthalmology Clinic, University of Trieste, Piazza Dell'Ospitale 1, 34125, Trieste, Italy.
  • Miladinovic Aleksandar
    Institute for Maternal and Child Health IRCCS "Burlo Garofolo", Trieste, Italy.
  • Marangoni Dario
    Department of Medicine, Surgery and Health Sciences, Eye Clinic, Ophthalmology Clinic, University of Trieste, Piazza Dell'Ospitale 1, 34125, Trieste, Italy.
  • Giglio Rosa
    Department of Medicine, Surgery and Health Sciences, Eye Clinic, Ophthalmology Clinic, University of Trieste, Piazza Dell'Ospitale 1, 34125, Trieste, Italy.
  • Accardo Agostino
    Department of Engineering and Architecture, University of Trieste, Trieste, Italy.
  • Tognetto Daniele
    Department of Medicine, Surgery and Health Sciences, Eye Clinic, Ophthalmology Clinic, University of Trieste, Piazza Dell'Ospitale 1, 34125, Trieste, Italy.