Automated detection of myopic maculopathy using five-category models based on vision outlooker for visual recognition

PurposeTo propose a five-category model for the automatic detection of myopic macular lesions to help grassroots medical institutions conduct preliminary screening of myopic macular lesions from limited number of color fundus images.MethodsFirst, 1,750 fundus images of non-myopic retinal lesions and...

Full description

Bibliographic Details
Main Authors: Cheng Wan, Jiyi Fang, Xiao Hua, Lu Chen, Shaochong Zhang, Weihua Yang
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-04-01
Series:Frontiers in Computational Neuroscience
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fncom.2023.1169464/full
_version_ 1797843758033666048
author Cheng Wan
Jiyi Fang
Xiao Hua
Lu Chen
Lu Chen
Shaochong Zhang
Shaochong Zhang
Weihua Yang
Weihua Yang
author_facet Cheng Wan
Jiyi Fang
Xiao Hua
Lu Chen
Lu Chen
Shaochong Zhang
Shaochong Zhang
Weihua Yang
Weihua Yang
author_sort Cheng Wan
collection DOAJ
description PurposeTo propose a five-category model for the automatic detection of myopic macular lesions to help grassroots medical institutions conduct preliminary screening of myopic macular lesions from limited number of color fundus images.MethodsFirst, 1,750 fundus images of non-myopic retinal lesions and four categories of pathological myopic maculopathy were collected, graded, and labeled. Subsequently, three five-classification models based on Vision Outlooker for Visual Recognition (VOLO), EfficientNetV2, and ResNet50 for detecting myopic maculopathy were trained with data-augmented images, and the diagnostic results of the different trained models were compared and analyzed. The main evaluation metrics were sensitivity, specificity, negative predictive value (NPV), positive predictive value (PPV), area under the curve (AUC), kappa and accuracy, and receiver operating characteristic curve (ROC).ResultsThe diagnostic accuracy of the VOLO-D2 model was 96.60% with a kappa value of 95.60%. All indicators used for the diagnosis of myopia-free macular degeneration were 100%. The sensitivity, NPV, specificity, and PPV for diagnosis of leopard fundus were 96.43, 98.33, 100, and 100%, respectively. The sensitivity, specificity, PPV, and NPV for the diagnosis of diffuse chorioretinal atrophy were 96.88, 98.59, 93.94, and 99.29%, respectively. The sensitivity, specificity, PPV, and NPV for the diagnosis of patchy chorioretinal atrophy were 92.31, 99.26, 97.30, and 97.81%, respectively. The sensitivity, specificity, PPV, and NPV for the diagnosis of macular atrophy were 100, 98.10, 84.21, and 100%, respectively.ConclusionThe VOLO-D2 model accurately identified myopia-free macular lesions and four pathological myopia-related macular lesions with high sensitivity and specificity. It can be used in screening pathological myopic macular lesions and can help ophthalmologists and primary medical institution providers complete the initial screening diagnosis of patients.
first_indexed 2024-04-09T17:11:10Z
format Article
id doaj.art-25cd088d10d842c49312584ba6a11ea1
institution Directory Open Access Journal
issn 1662-5188
language English
last_indexed 2024-04-09T17:11:10Z
publishDate 2023-04-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Computational Neuroscience
spelling doaj.art-25cd088d10d842c49312584ba6a11ea12023-04-20T05:52:44ZengFrontiers Media S.A.Frontiers in Computational Neuroscience1662-51882023-04-011710.3389/fncom.2023.11694641169464Automated detection of myopic maculopathy using five-category models based on vision outlooker for visual recognitionCheng Wan0Jiyi Fang1Xiao Hua2Lu Chen3Lu Chen4Shaochong Zhang5Shaochong Zhang6Weihua Yang7Weihua Yang8College of Electronic Information Engineering, Nanjing University of Aeronautics and Astronautics, Nanjing, ChinaCollege of Electronic Information Engineering, Nanjing University of Aeronautics and Astronautics, Nanjing, ChinaNanjing Star-mile Technology Co., Ltd., Nanjing, ChinaShenzhen Eye Hospital, Jinan University, Shenzhen, ChinaShenzhen Eye Institute, Shenzhen, ChinaShenzhen Eye Hospital, Jinan University, Shenzhen, ChinaShenzhen Eye Institute, Shenzhen, ChinaShenzhen Eye Hospital, Jinan University, Shenzhen, ChinaShenzhen Eye Institute, Shenzhen, ChinaPurposeTo propose a five-category model for the automatic detection of myopic macular lesions to help grassroots medical institutions conduct preliminary screening of myopic macular lesions from limited number of color fundus images.MethodsFirst, 1,750 fundus images of non-myopic retinal lesions and four categories of pathological myopic maculopathy were collected, graded, and labeled. Subsequently, three five-classification models based on Vision Outlooker for Visual Recognition (VOLO), EfficientNetV2, and ResNet50 for detecting myopic maculopathy were trained with data-augmented images, and the diagnostic results of the different trained models were compared and analyzed. The main evaluation metrics were sensitivity, specificity, negative predictive value (NPV), positive predictive value (PPV), area under the curve (AUC), kappa and accuracy, and receiver operating characteristic curve (ROC).ResultsThe diagnostic accuracy of the VOLO-D2 model was 96.60% with a kappa value of 95.60%. All indicators used for the diagnosis of myopia-free macular degeneration were 100%. The sensitivity, NPV, specificity, and PPV for diagnosis of leopard fundus were 96.43, 98.33, 100, and 100%, respectively. The sensitivity, specificity, PPV, and NPV for the diagnosis of diffuse chorioretinal atrophy were 96.88, 98.59, 93.94, and 99.29%, respectively. The sensitivity, specificity, PPV, and NPV for the diagnosis of patchy chorioretinal atrophy were 92.31, 99.26, 97.30, and 97.81%, respectively. The sensitivity, specificity, PPV, and NPV for the diagnosis of macular atrophy were 100, 98.10, 84.21, and 100%, respectively.ConclusionThe VOLO-D2 model accurately identified myopia-free macular lesions and four pathological myopia-related macular lesions with high sensitivity and specificity. It can be used in screening pathological myopic macular lesions and can help ophthalmologists and primary medical institution providers complete the initial screening diagnosis of patients.https://www.frontiersin.org/articles/10.3389/fncom.2023.1169464/fullmyopic maculopathyvision outlookervisual recognitionartificial intelligencedata limitations
spellingShingle Cheng Wan
Jiyi Fang
Xiao Hua
Lu Chen
Lu Chen
Shaochong Zhang
Shaochong Zhang
Weihua Yang
Weihua Yang
Automated detection of myopic maculopathy using five-category models based on vision outlooker for visual recognition
Frontiers in Computational Neuroscience
myopic maculopathy
vision outlooker
visual recognition
artificial intelligence
data limitations
title Automated detection of myopic maculopathy using five-category models based on vision outlooker for visual recognition
title_full Automated detection of myopic maculopathy using five-category models based on vision outlooker for visual recognition
title_fullStr Automated detection of myopic maculopathy using five-category models based on vision outlooker for visual recognition
title_full_unstemmed Automated detection of myopic maculopathy using five-category models based on vision outlooker for visual recognition
title_short Automated detection of myopic maculopathy using five-category models based on vision outlooker for visual recognition
title_sort automated detection of myopic maculopathy using five category models based on vision outlooker for visual recognition
topic myopic maculopathy
vision outlooker
visual recognition
artificial intelligence
data limitations
url https://www.frontiersin.org/articles/10.3389/fncom.2023.1169464/full
work_keys_str_mv AT chengwan automateddetectionofmyopicmaculopathyusingfivecategorymodelsbasedonvisionoutlookerforvisualrecognition
AT jiyifang automateddetectionofmyopicmaculopathyusingfivecategorymodelsbasedonvisionoutlookerforvisualrecognition
AT xiaohua automateddetectionofmyopicmaculopathyusingfivecategorymodelsbasedonvisionoutlookerforvisualrecognition
AT luchen automateddetectionofmyopicmaculopathyusingfivecategorymodelsbasedonvisionoutlookerforvisualrecognition
AT luchen automateddetectionofmyopicmaculopathyusingfivecategorymodelsbasedonvisionoutlookerforvisualrecognition
AT shaochongzhang automateddetectionofmyopicmaculopathyusingfivecategorymodelsbasedonvisionoutlookerforvisualrecognition
AT shaochongzhang automateddetectionofmyopicmaculopathyusingfivecategorymodelsbasedonvisionoutlookerforvisualrecognition
AT weihuayang automateddetectionofmyopicmaculopathyusingfivecategorymodelsbasedonvisionoutlookerforvisualrecognition
AT weihuayang automateddetectionofmyopicmaculopathyusingfivecategorymodelsbasedonvisionoutlookerforvisualrecognition