Vascular changes precede tomographic changes in diabetic eyes without retinopathy and improve artificial intelligence diagnostics.


Journal

Journal of biophotonics
ISSN: 1864-0648
Titre abrégé: J Biophotonics
Pays: Germany
ID NLM: 101318567

Informations de publication

Date de publication:
09 2020
Historique:
received: 24 03 2020
revised: 30 04 2020
accepted: 06 05 2020
pubmed: 12 5 2020
medline: 24 6 2021
entrez: 12 5 2020
Statut: ppublish

Résumé

The purpose of this study was to evaluate early vascular and tomographic changes in the retina of diabetic patients using artificial intelligence (AI). The study included 74 age-matched normal eyes, 171 diabetic eyes without retinopathy (DWR) eyes and 69 mild non-proliferative diabetic retinopathy (NPDR) eyes. All patients underwent optical coherence tomography angiography (OCTA) imaging. Tomographic features (thickness and volume) were derived from the OCTA B-scans. These features were used in AI models. Both OCT and OCTA features showed significant differences between the groups (P < .05). However, the OCTA features indicated early retinal changes in DWR eyes better than OCT (P < .05). In the AI model using both OCT and OCTA features simultaneously, the best area under the curve of 0.91 ± 0.02 was obtained (P < .05). Thus, the combined use of AI, OCT and OCTA significantly improved the early diagnosis of diabetic changes in the retina.

Identifiants

pubmed: 32392370
doi: 10.1002/jbio.202000107
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

e202000107

Informations de copyright

© 2020 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

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Auteurs

Nivedhitha Govindaswamy (N)

Imaging, Biomechanics and Mathematical Modeling solutions Lab, Narayana Nethralaya Foundation, Bangalore, India.

Dhanashree Ratra (D)

Department of Vitreoretinal Diseases, Sankara Nethralaya, Chennai, India.

Daleena Dalan (D)

Department of Vitreoretinal Diseases, Sankara Nethralaya, Chennai, India.

Subashchandra Doralli (S)

Department of Vitreoretinal Diseases, Narayana Nethralaya, Bangalore, India.

Anirudha A Tirumalai (AA)

Department of Vitreoretinal Diseases, Narayana Nethralaya, Bangalore, India.

Rajesh Nagarajan (R)

Department of Vitreoretinal Diseases, Sankara Nethralaya, Chennai, India.

Thirumalesh Mochi (T)

Department of Vitreoretinal Diseases, Narayana Nethralaya, Bangalore, India.

Naren Shetty (N)

Department of Refractive and Cataract surgery, Narayana Nethralaya, Bangalore, India.

Abhijit Sinha Roy (A)

Imaging, Biomechanics and Mathematical Modeling solutions Lab, Narayana Nethralaya Foundation, Bangalore, India.

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