PMID- 21911579 OWN - NLM STAT- MEDLINE DCOM- 20111213 LR - 20220310 IS - 1552-5783 (Electronic) IS - 0146-0404 (Print) IS - 0146-0404 (Linking) VI - 52 IP - 11 DP - 2011 Oct 21 TI - Computerized macular pathology diagnosis in spectral domain optical coherence tomography scans based on multiscale texture and shape features. PG - 8316-22 LID - 10.1167/iovs.10-7012 [doi] AB - PURPOSE: To develop an automated method to identify the normal macula and three macular pathologies (macular hole [MH], macular edema [ME], and age-related macular degeneration [AMD]) from the fovea-centered cross sections in three-dimensional (3D) spectral-domain optical coherence tomography (SD-OCT) images. METHODS: A sample of SD-OCT macular scans (macular cube 200 x 200 or 512 x 128 scan protocol; Cirrus HD-OCT; Carl Zeiss Meditec, Inc., Dublin, CA) was obtained from healthy subjects and subjects with MH, ME, and/or AMD (dataset for development: 326 scans from 136 subjects [193 eyes], and dataset for testing: 131 scans from 37 subjects [58 eyes]). A fovea-centered cross-sectional slice for each of the SD-OCT images was encoded using spatially distributed multiscale texture and shape features. Three ophthalmologists labeled each fovea-centered slice independently, and the majority opinion for each pathology was used as the ground truth. Machine learning algorithms were used to identify the discriminative features automatically. Two-class support vector machine classifiers were trained to identify the presence of normal macula and each of the three pathologies separately. The area under the receiver operating characteristic curve (AUC) was calculated to assess the performance. RESULTS: The cross-validation AUC result on the development dataset was 0.976, 0.931, 0939, and 0.938, and the AUC result on the holdout testing set was 0.978, 0.969, 0.941, and 0.975, for identifying normal macula, MH, ME, and AMD, respectively. CONCLUSIONS: The proposed automated data-driven method successfully identified various macular pathologies (all AUC > 0.94). This method may effectively identify the discriminative features without relying on a potentially error-prone segmentation module. FAU - Liu, Yu-Ying AU - Liu YY AD - School of Interactive Computing, Georgia Institute of Technology, Atlanta, Georgia, USA. FAU - Ishikawa, Hiroshi AU - Ishikawa H FAU - Chen, Mei AU - Chen M FAU - Wollstein, Gadi AU - Wollstein G FAU - Duker, Jay S AU - Duker JS FAU - Fujimoto, James G AU - Fujimoto JG FAU - Schuman, Joel S AU - Schuman JS FAU - Rehg, James M AU - Rehg JM LA - eng GR - R01-EY011289/EY/NEI NIH HHS/United States GR - R01-EY013178/EY/NEI NIH HHS/United States GR - R01 EY013178/EY/NEI NIH HHS/United States GR - P30-EY008098/EY/NEI NIH HHS/United States GR - R01 EY011289/EY/NEI NIH HHS/United States GR - P30 EY008098/EY/NEI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20111021 PL - United States TA - Invest Ophthalmol Vis Sci JT - Investigative ophthalmology & visual science JID - 7703701 SB - IM MH - *Artificial Intelligence MH - Databases, Factual MH - Diagnosis, Computer-Assisted/*methods/standards/statistics & numerical data MH - Humans MH - Macula Lutea/*pathology MH - Macular Degeneration/pathology MH - Macular Edema/pathology MH - Observer Variation MH - ROC Curve MH - Reproducibility of Results MH - Retinal Diseases/*pathology MH - Retinal Perforations/pathology MH - Tomography, Optical Coherence/*methods/standards/statistics & numerical data PMC - PMC3208114 EDAT- 2011/09/14 06:00 MHDA- 2011/12/14 06:00 PMCR- 2012/04/01 CRDT- 2011/09/14 06:00 PHST- 2011/09/14 06:00 [entrez] PHST- 2011/09/14 06:00 [pubmed] PHST- 2011/12/14 06:00 [medline] PHST- 2012/04/01 00:00 [pmc-release] AID - iovs.10-7012 [pii] AID - 10-7012 [pii] AID - 10.1167/iovs.10-7012 [doi] PST - epublish SO - Invest Ophthalmol Vis Sci. 2011 Oct 21;52(11):8316-22. doi: 10.1167/iovs.10-7012.