PMID- 33279356 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20211008 LR - 20211008 IS - 2173-5794 (Electronic) IS - 2173-5794 (Linking) VI - 96 IP - 4 DP - 2021 Apr TI - Ganglion cell layer analysis with deep learning in glaucoma diagnosis. PG - 181-188 LID - S0365-6691(20)30385-3 [pii] LID - 10.1016/j.oftal.2020.09.010 [doi] AB - OBJECTIVE: To determine and compare the diagnostic precision in glaucoma of two deep learning models using infrared images of the optic nerve, eye fundus, and the ganglion cell layer (GCL). METHODS: We have selected a sample of normal and glaucoma patients. Three infrared images were registered with a spectral-domain optical coherence tomography (SD-OCT). The first corresponds to the confocal scan image of the fundus, the second is a cut-out of the first centered on the optic nerve, and the third was the SD-OCT image of the GCL. Our deep learning models are developed on the MatLab platform with the ResNet50 and VGG19 pre-trained neural networks. RESULTS: 498 eyes of 298 patients were collected. Of the 498 eyes, 312 are glaucoma and 186 are normal. In the test, the precision of the models was 96% (ResNet50) and 96% (VGG19) for the GCL images, 90% (ResNet50) and 90% (VGG19) for the optic nerve images and 82% (ResNet50) and 84% (VGG19) for the fundus images. The ROC area in the test was 0.96 (ResNet50) and 0.97 (VGG19) for the GCL images, 0.87 (ResNet50) and 0.88 (VGG19) for the optic nerve images, and 0.79 (ResNet50) and 0.81 (VGG19) for the fundus images. CONCLUSIONS: Both deep learning models, applied to the GCL images, achieve high diagnostic precision, sensitivity and specificity in the diagnosis of glaucoma. CI - Copyright (c) 2020 Sociedad Espanola de Oftalmologia. Publicado por Elsevier Espana, S.L.U. All rights reserved. FAU - Diaz-Aleman, Valentin Tinguaro AU - Diaz-Aleman VT AD - Unidad de Glaucoma. Servicio de Oftalmologia. Hospital Universitario de Canarias, Santa Cruz de Tenerife, Espana. Electronic address: vtdac@hotmail.com. FAU - Fumero Batista, Francisco Jose AU - Fumero Batista FJ AD - Departamento de Ingenieria Informatica y de Sistemas. Facultad de Fisica. Universidad de La Laguna, Santa Cruz de Tenerife, Espana. FAU - Alayon Miranda, Silvia AU - Alayon Miranda S AD - Departamento de Ingenieria Informatica y de Sistemas. Facultad de Fisica. Universidad de La Laguna, Santa Cruz de Tenerife, Espana. FAU - Angel-Pereira, Denisse AU - Angel-Pereira D AD - Unidad de Glaucoma. Servicio de Oftalmologia. Hospital Universitario de Canarias, Santa Cruz de Tenerife, Espana. FAU - Arteaga-Hernandez, Victor Javier AU - Arteaga-Hernandez VJ AD - Unidad de Glaucoma. Servicio de Oftalmologia. Hospital Universitario de Canarias, Santa Cruz de Tenerife, Espana. FAU - Sigut Saavedra, Jose Francisco AU - Sigut Saavedra JF AD - Departamento de Ingenieria Informatica y de Sistemas. Facultad de Fisica. Universidad de La Laguna, Santa Cruz de Tenerife, Espana. LA - eng LA - spa PT - Journal Article TT - Analisis de la capa de celulas ganglionares con deep learning en el diagnostico de glaucoma. DEP - 20201202 PL - Spain TA - Arch Soc Esp Oftalmol (Engl Ed) JT - Archivos de la Sociedad Espanola de Oftalmologia JID - 101715860 SB - IM OTO - NOTNLM OT - Aprendizaje profundo OT - Celulas ganglionares OT - Deep learning OT - Ganglion cells OT - Glaucoma OT - Tomografia OT - Tomography EDAT- 2020/12/07 06:00 MHDA- 2020/12/07 06:01 CRDT- 2020/12/06 20:41 PHST- 2020/05/25 00:00 [received] PHST- 2020/09/12 00:00 [revised] PHST- 2020/09/16 00:00 [accepted] PHST- 2020/12/07 06:00 [pubmed] PHST- 2020/12/07 06:01 [medline] PHST- 2020/12/06 20:41 [entrez] AID - S0365-6691(20)30385-3 [pii] AID - 10.1016/j.oftal.2020.09.010 [doi] PST - ppublish SO - Arch Soc Esp Oftalmol (Engl Ed). 2021 Apr;96(4):181-188. doi: 10.1016/j.oftal.2020.09.010. Epub 2020 Dec 2.