Macular Ganglion Cell-Inner Plexiform Layer Thickness Prediction from Red-free Fundus Photography using Hybrid Deep Learning Model

Sci Rep. 2020 Feb 24;10(1):3280. doi: 10.1038/s41598-020-60277-y.

Abstract

We developed a hybrid deep learning model (HDLM) algorithm that quantitatively predicts macular ganglion cell-inner plexiform layer (mGCIPL) thickness from red-free retinal nerve fiber layer photographs (RNFLPs). A total of 789 pairs of RNFLPs and spectral domain-optical coherence tomography (SD-OCT) scans for 431 eyes of 259 participants (183 eyes of 114 healthy controls, 68 eyes of 46 glaucoma suspects, and 180 eyes of 99 glaucoma patients) were enrolled. An HDLM was built by combining a pre-trained deep learning network and support vector machine. The correlation coefficient and mean absolute error (MAE) between the predicted and measured mGCIPL thicknesses were calculated. The measured (OCT-based) and predicted (HDLM-based) average mGCIPL thicknesses were 73.96 ± 8.81 µm and 73.92 ± 7.36 µm, respectively (P = 0.844). The predicted mGCIPL thickness showed a strong correlation and good agreement with the measured mGCIPL thickness (Correlation coefficient r = 0.739; P < 0.001; MAE = 4.76 µm). Even when the peripapillary area (diameter: 1.5 disc diameters) was masked, the correlation (r = 0.713; P < 0.001) and agreement (MAE = 4.87 µm) were not changed significantly (P = 0.378 and 0.724, respectively). The trained HDLM algorithm showed a great capability for mGCIPL thickness prediction from RNFLPs.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Algorithms
  • Case-Control Studies
  • Deep Learning*
  • Diagnosis, Computer-Assisted
  • Diagnostic Techniques, Ophthalmological
  • Female
  • Fundus Oculi*
  • Glaucoma / diagnostic imaging*
  • Humans
  • Intraocular Pressure
  • Male
  • Middle Aged
  • Optic Nerve / diagnostic imaging*
  • ROC Curve
  • Refractometry
  • Regression Analysis
  • Retinal Ganglion Cells / cytology*
  • Retrospective Studies
  • Sensitivity and Specificity
  • Support Vector Machine
  • Tomography, Optical Coherence
  • Translational Research, Biomedical
  • Young Adult