Testing a Deep Learning Algorithm for Detection of Diabetic Retinopathy in a Spanish Diabetic Population and with MESSIDOR Database

Background: The aim of the present study was to test our deep learning algorithm (DLA) by reading the retinographies. Methods: We tested our DLA built on convolutional neural networks in 14,186 retinographies from our population and 1200 images extracted from MESSIDOR. The retinal images were graded...

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Main Authors: Marc Baget-Bernaldiz, Romero-Aroca Pedro, Esther Santos-Blanco, Raul Navarro-Gil, Aida Valls, Antonio Moreno, Hatem A. Rashwan, Domenec Puig
Format: Article
Language:English
Published: MDPI AG 2021-07-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/11/8/1385
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author Marc Baget-Bernaldiz
Romero-Aroca Pedro
Esther Santos-Blanco
Raul Navarro-Gil
Aida Valls
Antonio Moreno
Hatem A. Rashwan
Domenec Puig
author_facet Marc Baget-Bernaldiz
Romero-Aroca Pedro
Esther Santos-Blanco
Raul Navarro-Gil
Aida Valls
Antonio Moreno
Hatem A. Rashwan
Domenec Puig
author_sort Marc Baget-Bernaldiz
collection DOAJ
description Background: The aim of the present study was to test our deep learning algorithm (DLA) by reading the retinographies. Methods: We tested our DLA built on convolutional neural networks in 14,186 retinographies from our population and 1200 images extracted from MESSIDOR. The retinal images were graded both by the DLA and independently by four retina specialists. Results of the DLA were compared according to accuracy (ACC), sensitivity (S), specificity (SP), positive predictive value (PPV), negative predictive value (NPV), and area under the receiver operating characteristic curve (AUC), distinguishing between identification of any type of DR (any DR) and referable DR (RDR). Results: The results of testing the DLA for identifying any DR in our population were: ACC = 99.75, S = 97.92, SP = 99.91, PPV = 98.92, NPV = 99.82, and AUC = 0.983. When detecting RDR, the results were: ACC = 99.66, S = 96.7, SP = 99.92, PPV = 99.07, NPV = 99.71, and AUC = 0.988. The results of testing the DLA for identifying any DR with MESSIDOR were: ACC = 94.79, S = 97.32, SP = 94.57, PPV = 60.93, NPV = 99.75, and AUC = 0.959. When detecting RDR, the results were: ACC = 98.78, S = 94.64, SP = 99.14, PPV = 90.54, NPV = 99.53, and AUC = 0.968. Conclusions: Our DLA performed well, both in detecting any DR and in classifying those eyes with RDR in a sample of retinographies of type 2 DM patients in our population and the MESSIDOR database.
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spelling doaj.art-4e1cd713bdf34b6aaaaa576caceed3322023-11-22T07:19:45ZengMDPI AGDiagnostics2075-44182021-07-01118138510.3390/diagnostics11081385Testing a Deep Learning Algorithm for Detection of Diabetic Retinopathy in a Spanish Diabetic Population and with MESSIDOR DatabaseMarc Baget-Bernaldiz0Romero-Aroca Pedro1Esther Santos-Blanco2Raul Navarro-Gil3Aida Valls4Antonio Moreno5Hatem A. Rashwan6Domenec Puig7Ophthalmology Service, Hospital Universitat Sant Joan, Institut de Investigació Sanitària Pere Virgili [IISPV], Universitat Rovira & Virgili, 43204 Reus, SpainOphthalmology Service, Hospital Universitat Sant Joan, Institut de Investigació Sanitària Pere Virgili [IISPV], Universitat Rovira & Virgili, 43204 Reus, SpainOphthalmology Service, Hospital Universitat Sant Joan, Institut de Investigació Sanitària Pere Virgili [IISPV], Universitat Rovira & Virgili, 43204 Reus, SpainOphthalmology Service, Hospital Universitat Sant Joan, Institut de Investigació Sanitària Pere Virgili [IISPV], Universitat Rovira & Virgili, 43204 Reus, SpainDepartment of Computer Engineering and Mathematics, Universitat Rovira & Virgili, 43204 Reus, SpainDepartment of Computer Engineering and Mathematics, Universitat Rovira & Virgili, 43204 Reus, SpainDepartment of Computer Engineering and Mathematics, Universitat Rovira & Virgili, 43204 Reus, SpainDepartment of Computer Engineering and Mathematics, Universitat Rovira & Virgili, 43204 Reus, SpainBackground: The aim of the present study was to test our deep learning algorithm (DLA) by reading the retinographies. Methods: We tested our DLA built on convolutional neural networks in 14,186 retinographies from our population and 1200 images extracted from MESSIDOR. The retinal images were graded both by the DLA and independently by four retina specialists. Results of the DLA were compared according to accuracy (ACC), sensitivity (S), specificity (SP), positive predictive value (PPV), negative predictive value (NPV), and area under the receiver operating characteristic curve (AUC), distinguishing between identification of any type of DR (any DR) and referable DR (RDR). Results: The results of testing the DLA for identifying any DR in our population were: ACC = 99.75, S = 97.92, SP = 99.91, PPV = 98.92, NPV = 99.82, and AUC = 0.983. When detecting RDR, the results were: ACC = 99.66, S = 96.7, SP = 99.92, PPV = 99.07, NPV = 99.71, and AUC = 0.988. The results of testing the DLA for identifying any DR with MESSIDOR were: ACC = 94.79, S = 97.32, SP = 94.57, PPV = 60.93, NPV = 99.75, and AUC = 0.959. When detecting RDR, the results were: ACC = 98.78, S = 94.64, SP = 99.14, PPV = 90.54, NPV = 99.53, and AUC = 0.968. Conclusions: Our DLA performed well, both in detecting any DR and in classifying those eyes with RDR in a sample of retinographies of type 2 DM patients in our population and the MESSIDOR database.https://www.mdpi.com/2075-4418/11/8/1385diabetic retinopathydeep learning algorithmconvolutional neural networksdiabetic retinopathy screening
spellingShingle Marc Baget-Bernaldiz
Romero-Aroca Pedro
Esther Santos-Blanco
Raul Navarro-Gil
Aida Valls
Antonio Moreno
Hatem A. Rashwan
Domenec Puig
Testing a Deep Learning Algorithm for Detection of Diabetic Retinopathy in a Spanish Diabetic Population and with MESSIDOR Database
Diagnostics
diabetic retinopathy
deep learning algorithm
convolutional neural networks
diabetic retinopathy screening
title Testing a Deep Learning Algorithm for Detection of Diabetic Retinopathy in a Spanish Diabetic Population and with MESSIDOR Database
title_full Testing a Deep Learning Algorithm for Detection of Diabetic Retinopathy in a Spanish Diabetic Population and with MESSIDOR Database
title_fullStr Testing a Deep Learning Algorithm for Detection of Diabetic Retinopathy in a Spanish Diabetic Population and with MESSIDOR Database
title_full_unstemmed Testing a Deep Learning Algorithm for Detection of Diabetic Retinopathy in a Spanish Diabetic Population and with MESSIDOR Database
title_short Testing a Deep Learning Algorithm for Detection of Diabetic Retinopathy in a Spanish Diabetic Population and with MESSIDOR Database
title_sort testing a deep learning algorithm for detection of diabetic retinopathy in a spanish diabetic population and with messidor database
topic diabetic retinopathy
deep learning algorithm
convolutional neural networks
diabetic retinopathy screening
url https://www.mdpi.com/2075-4418/11/8/1385
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