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用于在光学相干断层扫描血管造影中区分无灌注区与信号衰减伪影的深度学习算法的开发与验证

Development and validation of a deep learning algorithm for distinguishing the nonperfusion area from signal reduction artifacts on OCT angiography.

作者信息

Guo Yukun, Hormel Tristan T, Xiong Honglian, Wang Bingjie, Camino Acner, Wang Jie, Huang David, Hwang Thomas S, Jia Yali

机构信息

Casey Eye Institute, Oregon Health & Science University, Portland, OR 97239, USA.

These authors contributed equally.

出版信息

Biomed Opt Express. 2019 Jun 12;10(7):3257-3268. doi: 10.1364/BOE.10.003257. eCollection 2019 Jul 1.

Abstract

The capillary nonperfusion area (NPA) is a key quantifiable biomarker in the evaluation of diabetic retinopathy (DR) using optical coherence tomography angiography (OCTA). However, signal reduction artifacts caused by vitreous floaters, pupil vignetting, or defocus present significant obstacles to accurate quantification. We have developed a convolutional neural network, MEDnet-V2, to distinguish NPA from signal reduction artifacts in 6×6 mm OCTA. The network achieves strong specificity and sensitivity for NPA detection across a wide range of DR severity and scan quality.

摘要

毛细血管无灌注区(NPA)是使用光学相干断层扫描血管造影(OCTA)评估糖尿病视网膜病变(DR)时的一个关键可量化生物标志物。然而,由玻璃体混浊、瞳孔渐晕或散焦引起的信号降低伪影对准确量化构成了重大障碍。我们开发了一种卷积神经网络MEDnet-V2,用于在6×6 mm的OCTA中区分NPA和信号降低伪影。该网络在广泛的DR严重程度和扫描质量范围内,对NPA检测具有很强的特异性和敏感性。

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