Deep learning for automated detection of neovascular leakage on ultra-widefield fluorescein angiography in diabetic retinopathy

Abstract Diabetic retinopathy is a leading cause of blindness in working-age adults worldwide. Neovascular leakage on fluorescein angiography indicates progression to the proliferative stage of diabetic retinopathy, which is an important distinction that requires timely ophthalmic intervention with...

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Main Authors: Peter Y. Zhao, Nikhil Bommakanti, Gina Yu, Michael T. Aaberg, Tapan P. Patel, Yannis M. Paulus
Format: Article
Language:English
Published: Nature Portfolio 2023-06-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-023-36327-6
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author Peter Y. Zhao
Nikhil Bommakanti
Gina Yu
Michael T. Aaberg
Tapan P. Patel
Yannis M. Paulus
author_facet Peter Y. Zhao
Nikhil Bommakanti
Gina Yu
Michael T. Aaberg
Tapan P. Patel
Yannis M. Paulus
author_sort Peter Y. Zhao
collection DOAJ
description Abstract Diabetic retinopathy is a leading cause of blindness in working-age adults worldwide. Neovascular leakage on fluorescein angiography indicates progression to the proliferative stage of diabetic retinopathy, which is an important distinction that requires timely ophthalmic intervention with laser or intravitreal injection treatment to reduce the risk of severe, permanent vision loss. In this study, we developed a deep learning algorithm to detect neovascular leakage on ultra-widefield fluorescein angiography images obtained from patients with diabetic retinopathy. The algorithm, an ensemble of three convolutional neural networks, was able to accurately classify neovascular leakage and distinguish this disease marker from other angiographic disease features. With additional real-world validation and testing, our algorithm could facilitate identification of neovascular leakage in the clinical setting, allowing timely intervention to reduce the burden of blinding diabetic eye disease.
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spelling doaj.art-c13d93c990f2484695c4bcbf00df8b262023-06-11T11:11:11ZengNature PortfolioScientific Reports2045-23222023-06-011311710.1038/s41598-023-36327-6Deep learning for automated detection of neovascular leakage on ultra-widefield fluorescein angiography in diabetic retinopathyPeter Y. Zhao0Nikhil Bommakanti1Gina Yu2Michael T. Aaberg3Tapan P. Patel4Yannis M. Paulus5Department of Ophthalmology and Visual Sciences, W.K. Kellogg Eye Center, University of MichiganDepartment of Ophthalmology and Visual Sciences, W.K. Kellogg Eye Center, University of MichiganDepartment of Ophthalmology and Visual Sciences, W.K. Kellogg Eye Center, University of MichiganDepartment of Ophthalmology and Visual Sciences, W.K. Kellogg Eye Center, University of MichiganDepartment of Ophthalmology and Visual Sciences, W.K. Kellogg Eye Center, University of MichiganDepartment of Ophthalmology and Visual Sciences, W.K. Kellogg Eye Center, University of MichiganAbstract Diabetic retinopathy is a leading cause of blindness in working-age adults worldwide. Neovascular leakage on fluorescein angiography indicates progression to the proliferative stage of diabetic retinopathy, which is an important distinction that requires timely ophthalmic intervention with laser or intravitreal injection treatment to reduce the risk of severe, permanent vision loss. In this study, we developed a deep learning algorithm to detect neovascular leakage on ultra-widefield fluorescein angiography images obtained from patients with diabetic retinopathy. The algorithm, an ensemble of three convolutional neural networks, was able to accurately classify neovascular leakage and distinguish this disease marker from other angiographic disease features. With additional real-world validation and testing, our algorithm could facilitate identification of neovascular leakage in the clinical setting, allowing timely intervention to reduce the burden of blinding diabetic eye disease.https://doi.org/10.1038/s41598-023-36327-6
spellingShingle Peter Y. Zhao
Nikhil Bommakanti
Gina Yu
Michael T. Aaberg
Tapan P. Patel
Yannis M. Paulus
Deep learning for automated detection of neovascular leakage on ultra-widefield fluorescein angiography in diabetic retinopathy
Scientific Reports
title Deep learning for automated detection of neovascular leakage on ultra-widefield fluorescein angiography in diabetic retinopathy
title_full Deep learning for automated detection of neovascular leakage on ultra-widefield fluorescein angiography in diabetic retinopathy
title_fullStr Deep learning for automated detection of neovascular leakage on ultra-widefield fluorescein angiography in diabetic retinopathy
title_full_unstemmed Deep learning for automated detection of neovascular leakage on ultra-widefield fluorescein angiography in diabetic retinopathy
title_short Deep learning for automated detection of neovascular leakage on ultra-widefield fluorescein angiography in diabetic retinopathy
title_sort deep learning for automated detection of neovascular leakage on ultra widefield fluorescein angiography in diabetic retinopathy
url https://doi.org/10.1038/s41598-023-36327-6
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