Abstract
Purpose
This article is a scoping review of published and peer-reviewed articles using deep-learning (DL) applied to ultra-widefield (UWF) imaging. This study provides an overview of the published uses of DL and UWF imaging for the detection of ophthalmic and systemic diseases, generative image synthesis, quality assessment of images, and segmentation and localization of ophthalmic image features.
Methods
A literature search was performed up to August 31st, 2021 using PubMed, Embase, Cochrane Library, and Google Scholar. The inclusion criteria were as follows: (1) deep learning, (2) ultra-widefield imaging. The exclusion criteria were as follows: (1) articles published in any language other than English, (2) articles not peer-reviewed (usually preprints), (3) no full-text availability, (4) articles using machine learning algorithms other than deep learning. No study design was excluded from consideration.
Results
A total of 36 studies were included. Twenty-three studies discussed ophthalmic disease detection and classification, 5 discussed segmentation and localization of ultra-widefield images (UWFIs), 3 discussed generative image synthesis, 3 discussed ophthalmic image quality assessment, and 2 discussed detecting systemic diseases via UWF imaging.
Conclusion
The application of DL to UWF imaging has demonstrated significant effectiveness in the diagnosis and detection of ophthalmic diseases including diabetic retinopathy, retinal detachment, and glaucoma. DL has also been applied in the generation of synthetic ophthalmic images. This scoping review highlights and discusses the current uses of DL with UWF imaging, and the future of DL applications in this field.
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Abbreviations
- 7SF:
-
7 Standard Field
- AMD:
-
Age-related macular degeneration
- AD:
-
Alzheimer’s Disease
- AUROC:
-
Area under ROC
- AUPRC:
-
Area under precision-recall
- ANN:
-
Artificial neural network
- AutoML:
-
Automated machine learning
- BCVA:
-
Best corrected visual acuity
- baPWV :
-
Brachial-Ankle Pulse-Wave Velocity
- BRVO :
-
Branch RVO
- CRVO:
-
Central RVO
- CNNs:
-
Convolutional neural networks
- DL:
-
Deep learning
- DNN:
-
Deep neural network
- DME:
-
Diabetic macular edema
- DR:
-
Diabetic retinopathy
- FA:
-
Fluorescein angiography
- FI:
-
Fundus image
- GC-IPL:
-
Ganglion cell-inner plexiform layer
- GANs:
-
Generative adversarial networks
- GON :
-
Glaucomatous optic neuropathy
- Grad-CAM:
-
Gradient-weighted class activation mapping
- HITL :
-
Human-in-the-loop
- IMH:
-
Idiopathic macular hole
- ML:
-
Machine learning
- MAE :
-
Mean absolute error
- MAPE:
-
Mean-absolute-percent error
- NPDR:
-
Non-proliferative DR
- NPRLs:
-
Notable peripheral retinal lesions
- OCTA:
-
OCT angiography
- OCT:
-
Optical coherence tomography
- PDR:
-
Proliferative diabetic retinopathy
- PSR:
-
Proliferative sickle cell retinopathy
- ROC:
-
Receiver operating characteristic
- RDR:
-
Referrable DR
- ROI:
-
Region of interest
- RD:
-
Retinal detachment
- RED:
-
Retinal exudates And/Or Drusen
- RH:
-
Retinal hemorrhage
- RVO:
-
Retinal vein occlusion
- RVA:
-
Retinal vessel areas
- RP:
-
Retinitis pigmentosa
- RMSE :
-
Root-mean-square error
- SLO:
-
Scanning laser ophthalmoscope
- SCR:
-
Sickle cell retinopathy
- SSIM:
-
Structural similarity
- UWF:
-
Ultra-widefield
- UWF-FA:
-
Ultra-widefield fluorescein angiography
- UWFI:
-
Ultra-widefield image
- UWF-FAF:
-
UWF fundus autofluorescence
- UWF-ICGA:
-
UWF indocyanine green angiography
- VTDR:
-
Vision-threatening DR
- VA:
-
Visual acuity
- WF:
-
Widefield
- WFIs:
-
Widefield images
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Fares Antaki reports research funding from Bayer and honoraria from Snell Medical Communication. Renaud Duval reports speaker honoraria from Bayer, Roche, Novartis and Alcon, a research grant and an unrestricted education grant from Bayer, and equity ownership in Optina Diagnostics. Nishaant Bhambra, Farida El-Malt, and AnQi Xu declare that they have no conflicts of interest.
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Bhambra, N., Antaki, F., Malt, F.E. et al. Deep learning for ultra-widefield imaging: a scoping review. Graefes Arch Clin Exp Ophthalmol 260, 3737–3778 (2022). https://doi.org/10.1007/s00417-022-05741-3
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DOI: https://doi.org/10.1007/s00417-022-05741-3