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RetFluidNet: Retinal Fluid Segmentation for SD-OCT Images Using Convolutional Neural Network.

Loza Bekalo Sappa1, Idowu Paul Okuwobi1, Mingchao Li1

  • 1School of Computer Science and Engineering, Nanjing University of Science and Technology, 200 Xiaolingwei, Nanjing, 210094, China.

Journal of Digital Imaging
|June 3, 2021
PubMed
Summary

A new AI model, RetFluidNet, accurately detects fluid abnormalities in age-related macular degeneration (AMD) using OCT scans. This automated tool aids in early AMD detection and patient monitoring.

Keywords:
Age-related macular degeneration (AMD)Intra-retinal fluid (IRF)Pigment epithelial detachment (PED)Retinal edemaSpectral-domain optical coherence tomography (SD-OCT)Subretinal fluid (SRF)

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Area of Science:

  • Ophthalmology
  • Medical Imaging
  • Artificial Intelligence

Background:

  • Age-related macular degeneration (AMD) is a primary cause of irreversible blindness.
  • Fluid accumulation (IRF, SRF, PED) characterizes AMD, but current OCT analysis lacks automated detection.
  • Spectral-domain optical coherence tomography (SD-OCT) is crucial for AMD diagnosis.

Purpose of the Study:

  • To develop an advanced AI model for segmenting and quantifying three key fluid abnormalities in SD-OCT images.
  • To improve the diagnostic capabilities for age-related macular degeneration (AMD).
  • To investigate optimal hyperparameters and network architectures for fluid segmentation.

Main Methods:

  • An improved convolutional neural network (CNN) architecture, RetFluidNet, was designed.
  • The model incorporates skip-connect operations and atrous spatial pyramid pooling (ASPP) for multi-scale feature integration.
  • RetFluidNet was trained and validated on SD-OCT images from 124 AMD patients.

Main Results:

  • RetFluidNet achieved high segmentation accuracy: 80.05% for intra-retinal fluid (IRF), 92.74% for pigment epithelial detachment (PED), and 95.53% for subretinal fluid (SRF).
  • The model demonstrated significant performance improvement over existing methods.
  • The developed architecture offers a balance of accuracy and computational efficiency.

Conclusions:

  • RetFluidNet provides a fully automated and accurate method for detecting fluid abnormalities in AMD.
  • This AI tool can significantly support the early detection and ongoing management of patients with AMD.
  • The findings offer a valuable starting point for future research in AMD fluid segmentation.