Identifying Peripheral Neuropathy in Colour Fundus Photographs Based on Deep Learning

The aim of this study was to develop and validate a deep learning-based system to detect peripheral neuropathy (DN) from retinal colour images in people with diabetes. Retinal images from 1561 people with diabetes were used to predictDN diagnosed on vibration perception threshold. A total of 189 had...

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Main Authors: Diego R. Cervera, Luke Smith, Luis Diaz-Santana, Meenakshi Kumar, Rajiv Raman, Sobha Sivaprasad
Format: Article
Language:English
Published: MDPI AG 2021-10-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/11/11/1943
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author Diego R. Cervera
Luke Smith
Luis Diaz-Santana
Meenakshi Kumar
Rajiv Raman
Sobha Sivaprasad
author_facet Diego R. Cervera
Luke Smith
Luis Diaz-Santana
Meenakshi Kumar
Rajiv Raman
Sobha Sivaprasad
author_sort Diego R. Cervera
collection DOAJ
description The aim of this study was to develop and validate a deep learning-based system to detect peripheral neuropathy (DN) from retinal colour images in people with diabetes. Retinal images from 1561 people with diabetes were used to predictDN diagnosed on vibration perception threshold. A total of 189 had diabetic retinopathy (DR), 276 had DN, and 43 had both DR and DN. 90% of the images were used for training and validation and 10% for testing. Deep neural networks, including Squeezenet, Inception, and Densenet were utilized, and the architectures were tested with and without pre-trained weights. Random transform of images was used during training. The algorithm was trained and tested using three sets of data: all retinal images, images without DR and images with DR. Area under the ROC curve (AUC) was used to evaluate performance. The AUC to predict DN on the whole cohort was 0.8013 (±0.0257) on the validation set and 0.7097 (±0.0031) on the test set. The AUC increased to 0.8673 (±0.0088) in the presence of DR. The retinal images can be used to identify individuals with DN and provides an opportunity to educate patients about their DN status when they attend DR screening.
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spelling doaj.art-ef0f54e0eb31403fae121aa4516d66682023-11-22T23:00:03ZengMDPI AGDiagnostics2075-44182021-10-011111194310.3390/diagnostics11111943Identifying Peripheral Neuropathy in Colour Fundus Photographs Based on Deep LearningDiego R. Cervera0Luke Smith1Luis Diaz-Santana2Meenakshi Kumar3Rajiv Raman4Sobha Sivaprasad5Cambridge Consultants, Science Park, Milton Road, Cambridge CB4 0DW, UKCambridge Consultants, Science Park, Milton Road, Cambridge CB4 0DW, UKCambridge Consultants, Science Park, Milton Road, Cambridge CB4 0DW, UKShri Bhagwan Mahavir Department of Vitreoretinal Services, Sankara Nethralaya, No. 41 (Old 18), College Road, Chennai 600 006, IndiaShri Bhagwan Mahavir Department of Vitreoretinal Services, Sankara Nethralaya, No. 41 (Old 18), College Road, Chennai 600 006, IndiaNIHR Moorfields Biomedical Research Centre, 162 City Road, London EC1V 2PD, UKThe aim of this study was to develop and validate a deep learning-based system to detect peripheral neuropathy (DN) from retinal colour images in people with diabetes. Retinal images from 1561 people with diabetes were used to predictDN diagnosed on vibration perception threshold. A total of 189 had diabetic retinopathy (DR), 276 had DN, and 43 had both DR and DN. 90% of the images were used for training and validation and 10% for testing. Deep neural networks, including Squeezenet, Inception, and Densenet were utilized, and the architectures were tested with and without pre-trained weights. Random transform of images was used during training. The algorithm was trained and tested using three sets of data: all retinal images, images without DR and images with DR. Area under the ROC curve (AUC) was used to evaluate performance. The AUC to predict DN on the whole cohort was 0.8013 (±0.0257) on the validation set and 0.7097 (±0.0031) on the test set. The AUC increased to 0.8673 (±0.0088) in the presence of DR. The retinal images can be used to identify individuals with DN and provides an opportunity to educate patients about their DN status when they attend DR screening.https://www.mdpi.com/2075-4418/11/11/1943diabetesdeep learningdiabetic neuropathydiabetic retinopathy
spellingShingle Diego R. Cervera
Luke Smith
Luis Diaz-Santana
Meenakshi Kumar
Rajiv Raman
Sobha Sivaprasad
Identifying Peripheral Neuropathy in Colour Fundus Photographs Based on Deep Learning
Diagnostics
diabetes
deep learning
diabetic neuropathy
diabetic retinopathy
title Identifying Peripheral Neuropathy in Colour Fundus Photographs Based on Deep Learning
title_full Identifying Peripheral Neuropathy in Colour Fundus Photographs Based on Deep Learning
title_fullStr Identifying Peripheral Neuropathy in Colour Fundus Photographs Based on Deep Learning
title_full_unstemmed Identifying Peripheral Neuropathy in Colour Fundus Photographs Based on Deep Learning
title_short Identifying Peripheral Neuropathy in Colour Fundus Photographs Based on Deep Learning
title_sort identifying peripheral neuropathy in colour fundus photographs based on deep learning
topic diabetes
deep learning
diabetic neuropathy
diabetic retinopathy
url https://www.mdpi.com/2075-4418/11/11/1943
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