Deep learning in central serous chorioretinopathy.

IF 5.9 2区 医学 Q1 OPHTHALMOLOGY
Hosein Nouri, Nasiq Hasan, Seyed-Hossein Abtahi, Hamid Ahmadieh, Jay Chhablani
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引用次数: 0

Abstract

Less than a decade has passed since deep learning (DL) was first applied in ophthalmology. With tremendous growth in this field since then, DL is expected to transform and enhance the efficiency of traditional ophthalmology practice. Central serous chorioretinopathy (CSC) is a common chorioretinal disorder whose etiopathogenesis remains largely unknown. The diagnosis and management of CSC rely heavily on multimodal imaging data, detailed analysis of which may exceed the capacity of many practices. In this comprehensive review, we examine how DL can address such issues through automated analysis of CSC-related imaging biomarkers, including subretinal fluid, pigment epithelial detachment, subretinal hyperreflective material, hyperreflective foci, retinal pigment epithelium atrophy, ellipsoid zone loss, and choroidal layer, sublayers, vessels, and neovascularization. Their prognostic yield and therapeutic implications are covered as well. We describe how DL enables rapid, noninvasive visualization of choroidal vasculature, a primary source of pathology in CSC, in unprecedented detail. We also review the state-of-the-art DL models designed for automated CSC diagnosis, classification, prognostication, and treatment outcome prediction based on imaging data. We highlight the challenges and gaps in this field, discuss some recommended counter measures, and suggest future research directions.

中枢性浆液性脉络膜视网膜病变的深度学习。
深度学习(DL)首次应用于眼科至今还不到十年。从那时起,随着这一领域的巨大增长,深度学习有望改变和提高传统眼科实践的效率。中枢性浆液性脉络膜视网膜病变(CSC)是一种常见的脉络膜视网膜疾病,其发病机制在很大程度上仍然未知。CSC的诊断和管理在很大程度上依赖于多模态成像数据,对这些数据的详细分析可能超出许多实践的能力。在这篇全面的综述中,我们研究了DL如何通过自动分析csc相关的成像生物标志物来解决这些问题,包括视网膜下液、色素上皮脱离、视网膜下高反射物质、高反射病灶、视网膜色素上皮萎缩、椭球带丢失、脉络膜层、亚层、血管和新生血管。它们的预后率和治疗意义也被涵盖。我们以前所未有的细节描述DL如何实现脉络膜血管的快速、无创可视化,脉络膜血管是CSC病理的主要来源。我们还回顾了基于成像数据设计的用于自动CSC诊断、分类、预后和治疗结果预测的最先进的深度学习模型。我们强调了该领域面临的挑战和差距,讨论了一些建议的对策,并提出了未来的研究方向。
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来源期刊
Survey of ophthalmology
Survey of ophthalmology 医学-眼科学
CiteScore
10.30
自引率
2.00%
发文量
138
审稿时长
14.8 weeks
期刊介绍: Survey of Ophthalmology is a clinically oriented review journal designed to keep ophthalmologists up to date. Comprehensive major review articles, written by experts and stringently refereed, integrate the literature on subjects selected for their clinical importance. Survey also includes feature articles, section reviews, book reviews, and abstracts.
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