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Predicting Age From Optical Coherence Tomography Scans With Deep Learning.

Leonardo S Shigueoka1,2, Eduardo B Mariottoni1, Atalie C Thompson1

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Summary

Age can be accurately predicted from retinal images using deep learning (DL) analysis of spectral-domain optical coherence tomography (SD-OCT) B-scans. This technology highlights how aging impacts various posterior eye structures.

Keywords:
agingartificial intelligencedeep learningoptical tomography coherenceposterior eye segment

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Area of Science:

  • Ophthalmology
  • Artificial Intelligence
  • Medical Imaging

Background:

  • Aging affects ocular structures, but non-invasive biomarkers are needed.
  • Spectral-domain optical coherence tomography (SD-OCT) provides detailed cross-sectional retinal images.
  • Deep learning (DL) shows potential for analyzing complex medical image data.

Purpose of the Study:

  • To determine if chronological age can be predicted from peripapillary SD-OCT B-scans using DL.
  • To identify which retinal areas are most crucial for accurate age prediction.

Main Methods:

  • Developed DL convolutional neural networks to predict age from peripapillary SD-OCT B-scans.
  • Employed image ablation techniques to assess the importance of specific retinal regions.
  • Validated model performance using cross-validation, Mean Absolute Error (MAE), and correlation coefficients.

Main Results:

  • DL models accurately predicted age from whole B-scans (MAE = 5.82 years, r = 0.860).
  • The model achieved high discrimination between age tertiles (AUC = 0.962).
  • The choroid and vitreous showed the strongest correlation with age (r = 0.736), while the retinal nerve fiber layer had the lowest (r = 0.492).

Conclusions:

  • Deep learning algorithms can reliably predict age using peripapillary SD-OCT B-scans.
  • Aging impacts multiple posterior eye segment layers, as indicated by DL analysis.