Purpose: To investigate whether and to what extent central serous chorioretinopathy (CSC) depicted on color fundus photographs can be assessed using deep learning technology. Methods: We collected a total of 2,504 fundus images acquired on different subjects. We verified the CSC status of these images using their corresponding optical coherence tomography images. A total of 1,329 images depicted CSC. These images were preprocessed and normalized. This resulting data set was randomly split into three parts in the ratio of 8:1:1, respectively, for training, validation, and testing purposes. We used the deep learning architecture termed Inception-V3 to train the classifier. We performed nonparametric receiver operating characteristic analyses to assess the capability of the developed algorithm to identify CSC. To study the inter-reader variability and compare the performance of the computerized scheme and human experts, we asked two ophthalmologists (i.e., Rater #1 and #2) to independently review the same testing data set in a blind manner. We assessed the performance difference between the computer algorithms and the two experts using the receiver operating characteristic curves and computed their pair-wise agreements using Cohen's Kappa coefficients. Results: The areas under the receiver operating characteristic curve for the computer, Rater #1, and Rater #2 were 0.934 (95% confidence interval = 0.905-0.963), 0.859 (95% confidence interval = 0.809-0.908), and 0.725 (95% confidence interval = 0.662-0.788). The Kappa coefficient between the two raters was 0.48 (P< 0.001), while the Kappa coefficients between the computer and the two raters were 0.59 (P< 0.001) and 0.33 (P< 0.05). Conclusion: Our experiments showed that the computer algorithm based on deep learning can assess CSC depicted on color fundus photographs in a relatively reliable and consistent way.
基金:
Grants R21-CA197493 and R01-
HL096613 from National Institutes of Health.
第一作者机构:[1]Capital Med Univ, Beijing Tongren Hosp, Natl Engn Res Ctr Ophthalmol, Beijing Inst Ophthalmol, Beijing, Peoples R China
通讯作者:
通讯机构:[3]Univ Pittsburgh, Dept Radiol, 3362 Fifth Ave, Pittsburgh, PA 15213 USA[4]Univ Pittsburgh, Dept Bioengn, 3362 Fifth Ave, Pittsburgh, PA 15213 USA[*1]Departments of Radiology and Bioengineering, University of Pittsburgh, 3362 Fifth Ave, Pittsburgh, PA 15213
推荐引用方式(GB/T 7714):
Zhen Yi,Chen Hang,Zhang Xu,et al.ASSESSMENT OF CENTRAL SEROUS CHORIORETINOPATHY DEPICTED ON COLOR FUNDUS PHOTOGRAPHS USING DEEP LEARNING[J].RETINA-THE JOURNAL OF RETINAL AND VITREOUS DISEASES.2020,40(8):1558-1564.doi:10.1097/IAE.0000000000002621.
APA:
Zhen, Yi,Chen, Hang,Zhang, Xu,Meng, Xin,Zhang, Jian&Pu, Jiantao.(2020).ASSESSMENT OF CENTRAL SEROUS CHORIORETINOPATHY DEPICTED ON COLOR FUNDUS PHOTOGRAPHS USING DEEP LEARNING.RETINA-THE JOURNAL OF RETINAL AND VITREOUS DISEASES,40,(8)
MLA:
Zhen, Yi,et al."ASSESSMENT OF CENTRAL SEROUS CHORIORETINOPATHY DEPICTED ON COLOR FUNDUS PHOTOGRAPHS USING DEEP LEARNING".RETINA-THE JOURNAL OF RETINAL AND VITREOUS DISEASES 40..8(2020):1558-1564