Automated analysis of vessel morphometry in retinal images from a Danish high street optician setting

<h4>Purpose</h4> To evaluate the test performance of the QUARTZ (QUantitative Analysis of Retinal vessel Topology and siZe) software in detecting retinal features from retinal images captured by health care professionals in a Danish high street optician chain, compared with test performa...

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Main Authors: Josefine Freiberg, Roshan A. Welikala, Jens Rovelt, Christopher G. Owen, Alicja R. Rudnicka, Miriam Kolko, Sarah A. Barman
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2023-01-01
Series:PLoS ONE
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10449151/?tool=EBI
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author Josefine Freiberg
Roshan A. Welikala
Jens Rovelt
Christopher G. Owen
Alicja R. Rudnicka
Miriam Kolko
Sarah A. Barman
author_facet Josefine Freiberg
Roshan A. Welikala
Jens Rovelt
Christopher G. Owen
Alicja R. Rudnicka
Miriam Kolko
Sarah A. Barman
author_sort Josefine Freiberg
collection DOAJ
description <h4>Purpose</h4> To evaluate the test performance of the QUARTZ (QUantitative Analysis of Retinal vessel Topology and siZe) software in detecting retinal features from retinal images captured by health care professionals in a Danish high street optician chain, compared with test performance from other large population studies (i.e., UK Biobank) where retinal images were captured by non-experts. <h4>Method</h4> The dataset FOREVERP (Finding Ophthalmic Risk and Evaluating the Value of Eye exams and their predictive Reliability, Pilot) contains retinal images obtained from a Danish high street optician chain. The QUARTZ algorithm utilizes both image processing and machine learning methods to determine retinal image quality, vessel segmentation, vessel width, vessel classification (arterioles or venules), and optic disc localization. Outcomes were evaluated by metrics including sensitivity, specificity, and accuracy and compared to human expert ground truths. <h4>Results</h4> QUARTZ’s performance was evaluated on a subset of 3,682 images from the FOREVERP database. 80.55% of the FOREVERP images were labelled as being of adequate quality compared to 71.53% of UK Biobank images, with a vessel segmentation sensitivity of 74.64% and specificity of 98.41% (FOREVERP) compared with a sensitivity of 69.12% and specificity of 98.88% (UK Biobank). The mean (± standard deviation) vessel width of the ground truth was 16.21 (4.73) pixels compared to that predicted by QUARTZ of 17.01 (4.49) pixels, resulting in a difference of -0.8 (1.96) pixels. The differences were stable across a range of vessels. The detection rate for optic disc localisation was similar for the two datasets. <h4>Conclusion</h4> QUARTZ showed high performance when evaluated on the FOREVERP dataset, and demonstrated robustness across datasets, providing validity to direct comparisons and pooling of retinal feature measures across data sources.
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spelling doaj.art-85575a6daad84bb89662caffeb899e1a2023-08-27T05:32:07ZengPublic Library of Science (PLoS)PLoS ONE1932-62032023-01-01188Automated analysis of vessel morphometry in retinal images from a Danish high street optician settingJosefine FreibergRoshan A. WelikalaJens RoveltChristopher G. OwenAlicja R. RudnickaMiriam KolkoSarah A. Barman<h4>Purpose</h4> To evaluate the test performance of the QUARTZ (QUantitative Analysis of Retinal vessel Topology and siZe) software in detecting retinal features from retinal images captured by health care professionals in a Danish high street optician chain, compared with test performance from other large population studies (i.e., UK Biobank) where retinal images were captured by non-experts. <h4>Method</h4> The dataset FOREVERP (Finding Ophthalmic Risk and Evaluating the Value of Eye exams and their predictive Reliability, Pilot) contains retinal images obtained from a Danish high street optician chain. The QUARTZ algorithm utilizes both image processing and machine learning methods to determine retinal image quality, vessel segmentation, vessel width, vessel classification (arterioles or venules), and optic disc localization. Outcomes were evaluated by metrics including sensitivity, specificity, and accuracy and compared to human expert ground truths. <h4>Results</h4> QUARTZ’s performance was evaluated on a subset of 3,682 images from the FOREVERP database. 80.55% of the FOREVERP images were labelled as being of adequate quality compared to 71.53% of UK Biobank images, with a vessel segmentation sensitivity of 74.64% and specificity of 98.41% (FOREVERP) compared with a sensitivity of 69.12% and specificity of 98.88% (UK Biobank). The mean (± standard deviation) vessel width of the ground truth was 16.21 (4.73) pixels compared to that predicted by QUARTZ of 17.01 (4.49) pixels, resulting in a difference of -0.8 (1.96) pixels. The differences were stable across a range of vessels. The detection rate for optic disc localisation was similar for the two datasets. <h4>Conclusion</h4> QUARTZ showed high performance when evaluated on the FOREVERP dataset, and demonstrated robustness across datasets, providing validity to direct comparisons and pooling of retinal feature measures across data sources.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10449151/?tool=EBI
spellingShingle Josefine Freiberg
Roshan A. Welikala
Jens Rovelt
Christopher G. Owen
Alicja R. Rudnicka
Miriam Kolko
Sarah A. Barman
Automated analysis of vessel morphometry in retinal images from a Danish high street optician setting
PLoS ONE
title Automated analysis of vessel morphometry in retinal images from a Danish high street optician setting
title_full Automated analysis of vessel morphometry in retinal images from a Danish high street optician setting
title_fullStr Automated analysis of vessel morphometry in retinal images from a Danish high street optician setting
title_full_unstemmed Automated analysis of vessel morphometry in retinal images from a Danish high street optician setting
title_short Automated analysis of vessel morphometry in retinal images from a Danish high street optician setting
title_sort automated analysis of vessel morphometry in retinal images from a danish high street optician setting
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10449151/?tool=EBI
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