Application of Improved U-Net Convolutional Neural Network for Automatic Quantification of the Foveal Avascular Zone in Diabetic Macular Ischemia

Objectives.The foveal avascular zone (FAZ) is a biomarker for quantifying diabetic macular ischemia (DMI), to automate the identification and quantification of the FAZ in DMI, using an improved U-Net convolutional neural network (CNN) and to establish a CNN model based on optical coherence tomograph...

Full description

Saved in:
Bibliographic Details
Main Authors: Yongan Meng, Hailei Lan, Yuqian Hu, Zailiang Chen, Pingbo Ouyang, Jing Luo
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Journal of Diabetes Research
Online Access:http://dx.doi.org/10.1155/2022/4612554
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849307174991298560
author Yongan Meng
Hailei Lan
Yuqian Hu
Zailiang Chen
Pingbo Ouyang
Jing Luo
author_facet Yongan Meng
Hailei Lan
Yuqian Hu
Zailiang Chen
Pingbo Ouyang
Jing Luo
author_sort Yongan Meng
collection DOAJ
description Objectives.The foveal avascular zone (FAZ) is a biomarker for quantifying diabetic macular ischemia (DMI), to automate the identification and quantification of the FAZ in DMI, using an improved U-Net convolutional neural network (CNN) and to establish a CNN model based on optical coherence tomography angiography (OCTA) images for the same purpose. Methods. The FAZ boundaries on the full-thickness retina of 6×6 mm en face OCTA images of DMI and normal eyes were manually marked. Seventy percent of OCTA images were used as the training set, and ten percent of these images were used as the validation set to train the improved U-Net CNN with two attention modules. Finally, twenty percent of the OCTA images were used as the test set to evaluate the accuracy of this model relative to that of the baseline U-Net model. This model was then applied to the public data set sFAZ to compare its effectiveness with existing models at identifying and quantifying the FAZ area. Results. This study included 110 OCTA images. The Dice score of the FAZ area predicted by the proposed method was 0.949, the Jaccard index was 0.912, and the area correlation coefficient was 0.996. The corresponding values for the baseline U-Net were 0.940, 0.898, and 0.995, respectively, and those based on the description data set sFAZ were 0.983, 0.968, and 0.950, respectively, which were better than those previously reported based on this data set. Conclusions. The improved U-Net CNN was more accurate at automatically measuring the FAZ area on the OCTA images than the traditional CNN. The present model may measure the DMI index more accurately, thereby assisting in the diagnosis and prognosis of retinal vascular diseases such as diabetic retinopathy.
format Article
id doaj-art-26bae033f94f4bacbeb01a1610dbe80f
institution Kabale University
issn 2314-6753
language English
publishDate 2022-01-01
publisher Wiley
record_format Article
series Journal of Diabetes Research
spelling doaj-art-26bae033f94f4bacbeb01a1610dbe80f2025-08-20T03:54:51ZengWileyJournal of Diabetes Research2314-67532022-01-01202210.1155/2022/4612554Application of Improved U-Net Convolutional Neural Network for Automatic Quantification of the Foveal Avascular Zone in Diabetic Macular IschemiaYongan Meng0Hailei Lan1Yuqian Hu2Zailiang Chen3Pingbo Ouyang4Jing Luo5Department of OphthalmologySchool of Computer Science and EngineeringDepartment of OphthalmologySchool of Computer Science and EngineeringDepartment of OphthalmologyDepartment of OphthalmologyObjectives.The foveal avascular zone (FAZ) is a biomarker for quantifying diabetic macular ischemia (DMI), to automate the identification and quantification of the FAZ in DMI, using an improved U-Net convolutional neural network (CNN) and to establish a CNN model based on optical coherence tomography angiography (OCTA) images for the same purpose. Methods. The FAZ boundaries on the full-thickness retina of 6×6 mm en face OCTA images of DMI and normal eyes were manually marked. Seventy percent of OCTA images were used as the training set, and ten percent of these images were used as the validation set to train the improved U-Net CNN with two attention modules. Finally, twenty percent of the OCTA images were used as the test set to evaluate the accuracy of this model relative to that of the baseline U-Net model. This model was then applied to the public data set sFAZ to compare its effectiveness with existing models at identifying and quantifying the FAZ area. Results. This study included 110 OCTA images. The Dice score of the FAZ area predicted by the proposed method was 0.949, the Jaccard index was 0.912, and the area correlation coefficient was 0.996. The corresponding values for the baseline U-Net were 0.940, 0.898, and 0.995, respectively, and those based on the description data set sFAZ were 0.983, 0.968, and 0.950, respectively, which were better than those previously reported based on this data set. Conclusions. The improved U-Net CNN was more accurate at automatically measuring the FAZ area on the OCTA images than the traditional CNN. The present model may measure the DMI index more accurately, thereby assisting in the diagnosis and prognosis of retinal vascular diseases such as diabetic retinopathy.http://dx.doi.org/10.1155/2022/4612554
spellingShingle Yongan Meng
Hailei Lan
Yuqian Hu
Zailiang Chen
Pingbo Ouyang
Jing Luo
Application of Improved U-Net Convolutional Neural Network for Automatic Quantification of the Foveal Avascular Zone in Diabetic Macular Ischemia
Journal of Diabetes Research
title Application of Improved U-Net Convolutional Neural Network for Automatic Quantification of the Foveal Avascular Zone in Diabetic Macular Ischemia
title_full Application of Improved U-Net Convolutional Neural Network for Automatic Quantification of the Foveal Avascular Zone in Diabetic Macular Ischemia
title_fullStr Application of Improved U-Net Convolutional Neural Network for Automatic Quantification of the Foveal Avascular Zone in Diabetic Macular Ischemia
title_full_unstemmed Application of Improved U-Net Convolutional Neural Network for Automatic Quantification of the Foveal Avascular Zone in Diabetic Macular Ischemia
title_short Application of Improved U-Net Convolutional Neural Network for Automatic Quantification of the Foveal Avascular Zone in Diabetic Macular Ischemia
title_sort application of improved u net convolutional neural network for automatic quantification of the foveal avascular zone in diabetic macular ischemia
url http://dx.doi.org/10.1155/2022/4612554
work_keys_str_mv AT yonganmeng applicationofimprovedunetconvolutionalneuralnetworkforautomaticquantificationofthefovealavascularzoneindiabeticmacularischemia
AT haileilan applicationofimprovedunetconvolutionalneuralnetworkforautomaticquantificationofthefovealavascularzoneindiabeticmacularischemia
AT yuqianhu applicationofimprovedunetconvolutionalneuralnetworkforautomaticquantificationofthefovealavascularzoneindiabeticmacularischemia
AT zailiangchen applicationofimprovedunetconvolutionalneuralnetworkforautomaticquantificationofthefovealavascularzoneindiabeticmacularischemia
AT pingboouyang applicationofimprovedunetconvolutionalneuralnetworkforautomaticquantificationofthefovealavascularzoneindiabeticmacularischemia
AT jingluo applicationofimprovedunetconvolutionalneuralnetworkforautomaticquantificationofthefovealavascularzoneindiabeticmacularischemia