Non-invasive and accurate risk evaluation of cerebrovascular disease using retinal fundus photo based on deep

Lin An1, Jia Qin1, Weili Jiang2

  • 1Guangdong Weiren Meditech Co., Ltd, Foshan, Guangdong, China.

Frontiers in Neurology
|September 25, 2023
PubMed

Insights

This study introduces an Efficient Attention model using retinal fundus photos for noninvasive cerebrovascular disease (CeVD) risk prediction. The model accurately assesses CeVD risk, offering a convenient, low-cost screening solution.

Area of Science:

  • Ophthalmology
  • Neurology
  • Medical Imaging

Background:

  • Cerebrovascular disease (CeVD) is a leading cause of death and disability globally.
  • Retinal microvascular changes are linked to CeVD.
  • Manual analysis of retinal images for CeVD risk is inefficient.

Purpose of the Study:

  • To develop a noninvasive risk prediction model for cerebrovascular disease (CeVD).
  • To utilize retinal fundus photography for accurate CeVD risk assessment.
  • To improve upon existing methods for detecting cerebrovascular risks.

Main Methods:

  • Proposed a novel Efficient Attention model integrating convolutional neural networks and attention mechanisms.
  • Applied the model to analyze retinal fundus images for cerebrovascular risk factors.
  • Compared the model's performance against conventional architectures like ResNet and Efficient-Net.

Main Results:

  • The Efficient Attention model achieved an accuracy (ACC) of 0.834 ± 0.03, outperforming Efficient-Net by 3.6%.
  • The model demonstrated an improved area under the receiver operating characteristic curve (AUC) of 0.904 ± 0.02, surpassing other methods by 2.2%.
  • The model effectively reinforced salient features in fundus photos for enhanced risk assessment.

Conclusions:

  • Efficient-Attention methods provide an accurate and effective tool for cerebrovascular risk assessment.
  • Retinal fundus photography shows significant potential for predicting CeVD.
  • This approach offers a noninvasive, convenient, and low-cost method for large-scale CeVD screening.
Abstract

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