论文标题
deScemet膜内皮角膜成形术和深卷积神经网络后量化移植物脱离
Quantifying Graft Detachment after Descemet's Membrane Endothelial Keratoplasty with Deep Convolutional Neural Networks
论文作者
论文摘要
目的:我们开发了一种方法来自动定位和量化descemet膜内皮角化膜成形术(DMEK)在前节光学相干断层扫描(AS-OCT)扫描中。方法:1280 AS-OCT B扫描由DMEK专家注释。使用注释,开发了一条深度学习管道,以定位巩膜骨,将AS-OCT B扫描中心并分段分离的移植切片。通过比较(1)(1)分离长度和(2)分离部分的水平投影与专家注释,评估了分离分割模型的性能。水平投影用于构建移植脱离图。所有最终评估均在模型训练期间分开的测试集上进行。第二个DMEK专家注释了测试集,以确定评估者间的性能。结果:平均硬化刺激性定位误差为0.155 mm,而评估者间差为0.090 mm。估计的移植物脱离长度为69%的病例中,与地面真相相差10像素(〜150μm)(第二个DMEK专家为77%)。所有B型扫描的骰子得分分别为0.896和0.880,对于我们的模型和第二个DMEK专家分别为0.880。结论:我们的深度学习模型可用于自动并立即将移植物脱离在AS-OCT B扫描中。可以用与人类DMEK专家相同的精度来确定水平脱离预测,从而构建准确的移植脱离图。翻译相关性:自动定位和移植支队的定量可以支持DMEK研究并标准化临床决策。
Purpose: We developed a method to automatically locate and quantify graft detachment after Descemet's Membrane Endothelial Keratoplasty (DMEK) in Anterior Segment Optical Coherence Tomography (AS-OCT) scans. Methods: 1280 AS-OCT B-scans were annotated by a DMEK expert. Using the annotations, a deep learning pipeline was developed to localize scleral spur, center the AS-OCT B-scans and segment the detached graft sections. Detachment segmentation model performance was evaluated per B-scan by comparing (1) length of detachment and (2) horizontal projection of the detached sections with the expert annotations. Horizontal projections were used to construct graft detachment maps. All final evaluations were done on a test set that was set apart during training of the models. A second DMEK expert annotated the test set to determine inter-rater performance. Results: Mean scleral spur localization error was 0.155 mm, whereas the inter-rater difference was 0.090 mm. The estimated graft detachment lengths were in 69% of the cases within a 10-pixel (~150μm) difference from the ground truth (77% for the second DMEK expert). Dice scores for the horizontal projections of all B-scans with detachments were 0.896 and 0.880 for our model and the second DMEK expert respectively. Conclusion: Our deep learning model can be used to automatically and instantly localize graft detachment in AS-OCT B-scans. Horizontal detachment projections can be determined with the same accuracy as a human DMEK expert, allowing for the construction of accurate graft detachment maps. Translational Relevance: Automated localization and quantification of graft detachment can support DMEK research and standardize clinical decision making.