MEDnet, a neural network for automated detection of avascular area in OCT angiography

Screening and assessing diabetic retinopathy (DR) are essential for reducing morbidity associated with diabetes. Macular ischemia is known to correlate with the severity of retinopathy. Recent studies have shown that optical coherence tomography angiography (OCTA), with intrinsic contrast from blood...

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Bibliographic Details
Published in:Biomedical optics express Vol. 9; no. 11; pp. 5147 - 5158
Main Authors: Guo, Yukun, Camino, Acner, Wang, Jie, Huang, David, Hwang, Thomas S., Jia, Yali
Format: Journal Article
Language:English
Published: United States Optical Society of America 01.11.2018
ISSN:2156-7085, 2156-7085
Online Access:Get full text
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Summary:Screening and assessing diabetic retinopathy (DR) are essential for reducing morbidity associated with diabetes. Macular ischemia is known to correlate with the severity of retinopathy. Recent studies have shown that optical coherence tomography angiography (OCTA), with intrinsic contrast from blood flow motion, is well suited for quantified analysis of the avascular area, which is potentially a useful biomarker in DR. In this study, we propose the first deep learning solution to segment the avascular area in OCTA of DR. The network design consists of a multi-scaled encoder-decoder neural network (MEDnet) to detect the non-perfusion area in 6 × 6 mm and in ultra-wide field retinal angiograms. Avascular areas were effectively detected in DR subjects of various disease stages as well as in the foveal avascular zone of healthy subjects.
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ISSN:2156-7085
2156-7085
DOI:10.1364/BOE.9.005147