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Prior optic neuritis detection on peripapillary ring scans using deep learning.

Seyedamirhosein Motamedi1, Sunil Kumar Yadav1,2, Rachel C Kenney3,4

  • 1Experimental and Clinical Research Center, a cooperation between the Max Delbrück Center for Molecular Medicine in the Helmholtz Association and Charité Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.

Annals of Clinical and Translational Neurology
|October 26, 2022
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Summary
This summary is machine-generated.

Deep learning models can effectively identify prior optic neuritis (ON) in multiple sclerosis (MS) patients using retinal scans. This AI approach shows promise in improving the diagnosis of demyelinating events.

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Area of Science:

  • Ophthalmology
  • Neurology
  • Artificial Intelligence

Background:

  • Multiple sclerosis diagnosis requires evidence of demyelination disseminated in time and space.
  • Peripapillary retinal nerve fiber layer (pRNFL) thickness via optical coherence tomography (OCT) may indicate prior acute optic neuritis (ON), a common MS symptom.

Purpose of the Study:

  • To evaluate a deep learning (DL) network's ability to differentiate eyes with a history of ON from healthy control (HC) eyes.
  • To compare the DL network's performance against pRNFL thickness measurements.

Main Methods:

  • A dilated residual convolutional neural network was trained and validated on 1033 OCT scans from HC eyes and 510 scans from eyes with prior ON.
  • An independent dataset from a second center was used for external validation.
  • Performance was assessed using receiver operating characteristic curve analyses and area under the curve (AUC).

Main Results:

  • The DL network achieved an AUC of 0.86 in recognizing ON eyes, outperforming pRNFL thickness (AUC 0.77).
  • On the independent dataset, the DL network achieved an AUC of 0.90, compared to pRNFL's AUC of 0.84.

Conclusions:

  • Deep learning-based classification of prior ON is feasible.
  • DL models have the potential to surpass traditional thickness-based methods for classifying eyes with and without a history of ON.