Abstract
PurposeTo use a deep learning model to develop a fully automated method (fully semantic network and graph search [FS-GS]) of retinal segmentation for optical coherence tomography (OCT) images from patients with Stargardt disease.MethodsEighty-seven manually segmented (ground truth) OCT volume scan sets (5171 B-scans) from 22 patients with Stargardt disease were used for training, validation and testing of a novel retinal boundary detection approach (FS-GS) that combines a fully semantic deep learning segmentation method, which generates a per-pixel class prediction map with a graph-search method to extract retinal boundary positions. The performance was evaluated using the mean absolute boundary error and the differences in two clinical metrics (retinal thickness and volume) compared with the ground truth. The performance of a separate deep learning method and two publicly available software algorithms were also evaluated against the ground truth.ResultsFS-GS showed an excellent agreement with the ground truth, with a boundary mean absolute error of 0.23 and 1.12 pixels for the internal limiting membrane and the base of retinal pigment epithelium or Bruch's membrane, respectively. The mean difference in thickness and volume across the central 6 mm zone were 2.10 µm and 0.059 mm3. The performance of the proposed method was more accurate and consistent than the publicly available OCTExplorer and AURA tools.ConclusionsThe FS-GS method delivers good performance in segmentation of OCT images of pathologic retina in Stargardt disease.Translational RelevanceDeep learning models can provide a robust method for retinal segmentation and support a high-throughput analysis pipeline for measuring retinal thickness and volume in Stargardt disease.
Highlights
Retinal degeneration owing to inherited or agerelated diseases is the most common cause of visual loss in the Western countries.[1,2] The advent of optical coherence tomography (OCT) has provided a unique opportunity for detailed monitoring of the slow rate of retinal cell loss through measurements of retinal thicknesses in repeated volume scans over time
fully semantic network and graph search (FS-GS) showed an excellent agreement with the ground truth, with a boundary mean absolute error of 0.23 and 1.12 pixels for the internal limiting membrane and the base of retinal pigment epithelium or Bruch’s membrane, respectively
Translational Relevance: Deep learning models can provide a robust method for retinal segmentation and support a high-throughput analysis pipeline for measuring retinal thickness and volume in Stargardt disease
Summary
Retinal degeneration owing to inherited or agerelated diseases is the most common cause of visual loss in the Western countries.[1,2] The advent of optical coherence tomography (OCT) has provided a unique opportunity for detailed monitoring of the slow rate of retinal cell loss through measurements of retinal thicknesses in repeated volume scans over time. The accuracy of this measurement depends on the precise segmentation of the inner and outer retinal layer boundaries in large numbers of closely spaced slices from a set of OCT volume scans. There is an unmet clinical need to improve current OCT segmentation algorithms for each type of retinal pathology to allow accurate monitoring of the rate of retinal degeneration in this era of increasing therapeutic options to arrest disease progression.[7,8]
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