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Deep Learning

Dual-stage deep learning framework for pigment epithelium detachment segmentation in polypoidal choroidal vasculopathy.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5611923/



 2017 Aug 10;8(9):4061-4076. doi: 10.1364/BOE.8.004061. eCollection 2017 Sep 1.

Dual-stage deep learning framework for pigment epithelium detachment segmentation in polypoidal choroidal vasculopathy.

Xu Y1Yan K2Kim J2Wang X2Li C2Su L1Yu S1Xu X1Feng DD2.

Abstract

Worldwide, polypoidal choroidal vasculopathy (PCV) is a common vision-threatening exudative maculopathy, and pigment epithelium detachment (PED) is an important clinical characteristic. Thus, precise and efficient PED segmentation is necessary for PCV clinical diagnosis and treatment. We propose a dual-stage learning framework via deep neural networks (DNN) for automated PED segmentation in PCV patients to avoid issues associated with manual PED segmentation (subjectivity, manual segmentation errors, and high time consumption).The optical coherence tomography scans of fifty patients were quantitatively evaluated with different algorithms and clinicians. Dual-stage DNN outperformed existing PED segmentation methods for all segmentation accuracy parameters, including true positive volume fraction (85.74 ± 8.69%), dice similarity coefficient (85.69 ± 8.08%), positive predictive value (86.02 ± 8.99%) and false positive volume fraction (0.38 ± 0.18%). Dual-stage DNN achieves accurate PED quantitative information, works with multiple types of PEDs and agrees well with manual delineation, suggesting that it is a potential automated assistant for PCV management.

KEYWORDS:

(100.0100) Image processing; (100.4996) Pattern recognition, neural networks; (110.4500) Optical coherence tomography; (170.3880) Medical and biological imaging

PMID:
 
28966847
 
PMCID:
 
PMC5611923
 
DOI:
 
10.1364/BOE.8.004061