Forecasting Disease Progression with Parallel Hyperplanes in Longitudinal Retinal OCT

Fuente: arXiv
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Autores principales: Chakravarty, Arunava, Emre, Taha, Lachinov, Dmitrii, Rivail, Antoine, Scholl, Hendrik, Fritsche, Lars, Sivaprasad, Sobha, Rueckert, Daniel, Lotery, Andrew, Schmidt-Erfurth, Ursula, Bogunović, Hrvoje
Formato: Preprint
Publicado: 2024
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author Chakravarty, Arunava
Emre, Taha
Lachinov, Dmitrii
Rivail, Antoine
Scholl, Hendrik
Fritsche, Lars
Sivaprasad, Sobha
Rueckert, Daniel
Lotery, Andrew
Schmidt-Erfurth, Ursula
Bogunović, Hrvoje
author_facet Chakravarty, Arunava
Emre, Taha
Lachinov, Dmitrii
Rivail, Antoine
Scholl, Hendrik
Fritsche, Lars
Sivaprasad, Sobha
Rueckert, Daniel
Lotery, Andrew
Schmidt-Erfurth, Ursula
Bogunović, Hrvoje
contents Predicting future disease progression risk from medical images is challenging due to patient heterogeneity, and subtle or unknown imaging biomarkers. Moreover, deep learning (DL) methods for survival analysis are susceptible to image domain shifts across scanners. We tackle these issues in the task of predicting late dry Age-related Macular Degeneration (dAMD) onset from retinal OCT scans. We propose a novel DL method for survival prediction to jointly predict from the current scan a risk score, inversely related to time-to-conversion, and the probability of conversion within a time interval $t$. It uses a family of parallel hyperplanes generated by parameterizing the bias term as a function of $t$. In addition, we develop unsupervised losses based on intra-subject image pairs to ensure that risk scores increase over time and that future conversion predictions are consistent with AMD stage prediction using actual scans of future visits. Such losses enable data-efficient fine-tuning of the trained model on new unlabeled datasets acquired with a different scanner. Extensive evaluation on two large datasets acquired with different scanners resulted in a mean AUROCs of 0.82 for Dataset-1 and 0.83 for Dataset-2, across prediction intervals of 6,12 and 24 months.
format Preprint
id arxiv_https___arxiv_org_abs_2409_20195
institution arXiv
publishDate 2024
record_format arxiv
spellingShingle Forecasting Disease Progression with Parallel Hyperplanes in Longitudinal Retinal OCT
Chakravarty, Arunava
Emre, Taha
Lachinov, Dmitrii
Rivail, Antoine
Scholl, Hendrik
Fritsche, Lars
Sivaprasad, Sobha
Rueckert, Daniel
Lotery, Andrew
Schmidt-Erfurth, Ursula
Bogunović, Hrvoje
Computer Vision and Pattern Recognition
Artificial Intelligence
Machine Learning
Predicting future disease progression risk from medical images is challenging due to patient heterogeneity, and subtle or unknown imaging biomarkers. Moreover, deep learning (DL) methods for survival analysis are susceptible to image domain shifts across scanners. We tackle these issues in the task of predicting late dry Age-related Macular Degeneration (dAMD) onset from retinal OCT scans. We propose a novel DL method for survival prediction to jointly predict from the current scan a risk score, inversely related to time-to-conversion, and the probability of conversion within a time interval $t$. It uses a family of parallel hyperplanes generated by parameterizing the bias term as a function of $t$. In addition, we develop unsupervised losses based on intra-subject image pairs to ensure that risk scores increase over time and that future conversion predictions are consistent with AMD stage prediction using actual scans of future visits. Such losses enable data-efficient fine-tuning of the trained model on new unlabeled datasets acquired with a different scanner. Extensive evaluation on two large datasets acquired with different scanners resulted in a mean AUROCs of 0.82 for Dataset-1 and 0.83 for Dataset-2, across prediction intervals of 6,12 and 24 months.
title Forecasting Disease Progression with Parallel Hyperplanes in Longitudinal Retinal OCT
topic Computer Vision and Pattern Recognition
Artificial Intelligence
Machine Learning
url https://arxiv.org/abs/2409.20195