Sensitivity of Cross-Trained Deep CNNs for Retinal Vessel Extraction

In-depth analysis of research hotspots and emerging trends in AI for retinal diseases over the past decade

Background

The application of Artificial Intelligence (AI) in diagnosing retinal diseases represents a significant advancement in ophthalmological research, with the potential to reshape future practices in the field. This study explores the extensive applications and emerging research frontiers of AI in retinal diseases.

Objective

This study aims to uncover the developments and predict future directions of AI research in retinal disease over the past decade.

Methods

This study analyzes AI utilization in retinal disease research through articles, using citation data sourced from the Web of Science (WOS) Core Collection database, covering the period from January 1, 2014, to December 31, 2023. A combination of WOS analyzer, CiteSpace 6.2 R4, and VOSviewer 1.6.19 was used for a bibliometric analysis focusing on citation frequency, collaborations, and keyword trends from an expert perspective.

Results

A total of 2,861 articles across 93 countries or regions were cataloged, with notable growth in article numbers since 2017. China leads with 926 articles, constituting 32% of the total. The United States has the highest h-index at 66, while England has the most significant network centrality at 0.24. Notably, the University of London is the leading institution with 99 articles and shares the highest h-index (25) with University College London. The National University of Singapore stands out for its central role with a score of 0.16. Research primarily spans ophthalmology and computer science, with "network," "transfer learning," and "convolutional neural networks" being prominent burst keywords from 2021 to 2023.

Conclusion

China leads globally in article counts, while the United States has a significant research impact. The University of London and University College London have made significant contributions to the literature. Diabetic retinopathy is the retinal disease with the highest volume of research. AI applications have focused on developing algorithms for diagnosing retinal diseases and investigating abnormal physiological features of the eye. Future research should pivot toward more advanced diagnostic systems for ophthalmic diseases.

Ensemble of Deep Learning Cascades for Segmentation of Blood Vessels in Confocal Microscopy Images

Detection, segmentation, and quantification of microvascular structures are the main steps towards studying microvascular remodeling. Combined with appropriate staining, confocal microscopy imaging enables exploration of the full 3D anatomical characteristics of microvascular systems. Segmentation of confocal microscopy images is a challenging task due to complexity of anatomical structures, staining and imaging issues, and lack of annotated training data. In this paper, we propose a deep learning system for robust segmentation of cranial vasculature of mice in confocal microscopy images. The proposed system is an ensemble of two deep-learning cascades consisting of two coarse-to-fine subnetworks with skip connections in between. One cascade aims to improve sensitivity, while the other aims to improve precision of the segmentation results. Our experiments on mice cranial vasculature showed promising results achieving segmentation accuracy of 92.02% and dice score of 81.45% despite being trained on very limited confocal microscopy data.

Clustering-Based Dual Deep Learning Architecture for Detecting Red Blood Cells in Malaria Diagnostic Smears

Computer-assisted algorithms have become a mainstay of biomedical applications to improve accuracy and reproducibility of repetitive tasks like manual segmentation and annotation. We propose a novel pipeline for red blood cell detection and counting in thin blood smear microscopy images, named RBCNet, using a dual deep learning architecture. RBCNet consists of a U-Net first stage for cell-cluster or superpixel segmentation, followed by a second refinement stage Faster R-CNN for detecting small cell objects within the connected component clusters. RBCNet uses cell clustering instead of region proposals, which is robust to cell fragmentation, is highly scalable for detecting small objects or fine scale morphological structures in very large images, can be trained using non-overlapping tiles, and during inference is adaptive to the scale of cell-clusters with a low memory footprint. We tested our method on an archived collection of human malaria smears with nearly 200,000 labeled cells across 965 images from 193 patients, acquired in Bangladesh, with each patient contributing five images. Cell detection accuracy using RBCNet was higher than 97 %. The novel dual cascade RBCNet architecture provides more accurate cell detections because the foreground cell-cluster masks from U-Net adaptively guide the detection stage, resulting in a notably higher true positive and lower false alarm rates, compared to traditional and other deep learning methods. The RBCNet pipeline implements a crucial step towards automated malaria diagnosis.

Retinal Vessel Segmentation using Round-wise Features Aggregation on Bracket-shaped Convolutional Neural Networks

With the recent advent of deep learning in medical image processing, retinal blood vessel segmentation topic has been comprehensively handled by numerous research works. However, since the ratio between the number of vessel and background pixels is heavily imbalanced, many attempts utilized patches augmented from original fundus images along with fully convolutional networks for addressing such pixel-wise labeling problem, which significantly costs computational resources. In this paper, a method using Round-wise Features Aggregation on Bracket-shaped convolutional neural networks (RFA-BNet) is proposed to exclude the necessity of patches augmentation while efficiently handling the irregular and diverse representation of retinal vessels. Particularly, given raw fundus images, typical feature maps extracted from a pretrained backbone network are employed for a bracket-shaped decoder, wherein middle-scale features are continuously exploited round-by-round. Then, the decoded maps having highest resolution of each round are aggregated to enable the built model to flexibly learn various degrees of embedded semantic details while retaining proper annotations of thin and small vessels. Finally, the proposed approach showed its effectiveness in terms of sensitivity (0.7932), specificity (0.9741), accuracy (0.9511), and AUROC (0.9732) on DRIVE dataset.

Patch-Based Semantic Segmentation for Detecting Arterioles and Venules in Epifluorescence Imagery

Segmentation and quantification of microvasculature structures are the main steps toward studying microvasculature remodeling. The proposed patch based semantic architecture enables accurate segmentation for the challenging epifluorescence microscopy images. Our pixel-based fast semantic network trained on random patches from different epifluorescence images to learn how to discriminate between vessels versus nonvessels pixels. The proposed semantic vessel network (SVNet) relies on understanding the morphological structure of the thin vessels in the patches rather than considering the whole image as input to speed up the training process and to maintain the clarity of thin structures. Experimental results on our ovariectomized - ovary removed (OVX) - mice dura mater epifluorescence microscopy images shows promising results in both arteriole and venule part. We compared our results with different segmentation methods such as local, global thresholding, matched based filter approaches and related state of the art deep learning networks. Our overall accuracy (> 98%) outperforms all the methods including our previous work (VNet). [1].