Development of a deep learning system to detect glaucoma using macular vertical optical coherence tomography scans of myopic eyes

Abstract Myopia is one of the risk factors for glaucoma, making accurate diagnosis of glaucoma in myopic eyes particularly important. However, diagnosis of glaucoma in myopic eyes is challenging due to the frequent associations of distorted optic disc and distorted parapapillary and macular structur...

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Main Authors: Ji-Ah Kim, Hanbit Yoon, Dayun Lee, MoonHyun Kim, JoonHee Choi, Eun Ji Lee, Tae-Woo Kim
Format: Article
Language:English
Published: Nature Portfolio 2023-05-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-023-34794-5
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author Ji-Ah Kim
Hanbit Yoon
Dayun Lee
MoonHyun Kim
JoonHee Choi
Eun Ji Lee
Tae-Woo Kim
author_facet Ji-Ah Kim
Hanbit Yoon
Dayun Lee
MoonHyun Kim
JoonHee Choi
Eun Ji Lee
Tae-Woo Kim
author_sort Ji-Ah Kim
collection DOAJ
description Abstract Myopia is one of the risk factors for glaucoma, making accurate diagnosis of glaucoma in myopic eyes particularly important. However, diagnosis of glaucoma in myopic eyes is challenging due to the frequent associations of distorted optic disc and distorted parapapillary and macular structures. Macular vertical scan has been suggested as a useful tool to detect glaucomatous retinal nerve fiber layer loss even in highly myopic eyes. The present study was performed to develop and validate a deep learning (DL) system to detect glaucoma in myopic eyes using macular vertical optical coherence tomography (OCT) scans and compare its diagnostic power with that of circumpapillary OCT scans. The study included a training set of 1416 eyes, a validation set of 471 eyes, a test set of 471 eyes, and an external test set of 249 eyes. The ability to diagnose glaucoma in eyes with large myopic parapapillary atrophy was greater with the vertical than the circumpapillary OCT scans, with areas under the receiver operating characteristic curves of 0.976 and 0.914, respectively. These findings suggest that DL artificial intelligence based on macular vertical scans may be a promising tool for diagnosis of glaucoma in myopic eyes.
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spelling doaj.art-5532811954754fb094c94fa4ca033bec2023-05-21T11:15:58ZengNature PortfolioScientific Reports2045-23222023-05-0113111010.1038/s41598-023-34794-5Development of a deep learning system to detect glaucoma using macular vertical optical coherence tomography scans of myopic eyesJi-Ah Kim0Hanbit Yoon1Dayun Lee2MoonHyun Kim3JoonHee Choi4Eun Ji Lee5Tae-Woo Kim6Department of Ophthalmology, Ewha Womans University College of Medicine, Ewha Womans University Seoul HospitalDepartment of Machine Learning and Computer Vision, Sungkyunkwan UniversityDepartment of Computing, Sungkyunkwan University College of Computing and Informatics, Sungkyunkwan UniversityDepartment of Computing, Sungkyunkwan University College of Computing and Informatics, Sungkyunkwan UniversitySamsung Semiconductor Inc.Department of Ophthalmology, Seoul National University College of Medicine, Seoul National University Bundang HospitalDepartment of Ophthalmology, Seoul National University College of Medicine, Seoul National University Bundang HospitalAbstract Myopia is one of the risk factors for glaucoma, making accurate diagnosis of glaucoma in myopic eyes particularly important. However, diagnosis of glaucoma in myopic eyes is challenging due to the frequent associations of distorted optic disc and distorted parapapillary and macular structures. Macular vertical scan has been suggested as a useful tool to detect glaucomatous retinal nerve fiber layer loss even in highly myopic eyes. The present study was performed to develop and validate a deep learning (DL) system to detect glaucoma in myopic eyes using macular vertical optical coherence tomography (OCT) scans and compare its diagnostic power with that of circumpapillary OCT scans. The study included a training set of 1416 eyes, a validation set of 471 eyes, a test set of 471 eyes, and an external test set of 249 eyes. The ability to diagnose glaucoma in eyes with large myopic parapapillary atrophy was greater with the vertical than the circumpapillary OCT scans, with areas under the receiver operating characteristic curves of 0.976 and 0.914, respectively. These findings suggest that DL artificial intelligence based on macular vertical scans may be a promising tool for diagnosis of glaucoma in myopic eyes.https://doi.org/10.1038/s41598-023-34794-5
spellingShingle Ji-Ah Kim
Hanbit Yoon
Dayun Lee
MoonHyun Kim
JoonHee Choi
Eun Ji Lee
Tae-Woo Kim
Development of a deep learning system to detect glaucoma using macular vertical optical coherence tomography scans of myopic eyes
Scientific Reports
title Development of a deep learning system to detect glaucoma using macular vertical optical coherence tomography scans of myopic eyes
title_full Development of a deep learning system to detect glaucoma using macular vertical optical coherence tomography scans of myopic eyes
title_fullStr Development of a deep learning system to detect glaucoma using macular vertical optical coherence tomography scans of myopic eyes
title_full_unstemmed Development of a deep learning system to detect glaucoma using macular vertical optical coherence tomography scans of myopic eyes
title_short Development of a deep learning system to detect glaucoma using macular vertical optical coherence tomography scans of myopic eyes
title_sort development of a deep learning system to detect glaucoma using macular vertical optical coherence tomography scans of myopic eyes
url https://doi.org/10.1038/s41598-023-34794-5
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