Deep Learning to Predict Glaucoma Progression using Structural Changes in the Eye

Glaucoma is a chronic eye disease characterized by optic neuropathy, leading to irreversible vision loss. It progresses gradually, often remaining undiagnosed until advanced stages. Early detection is crucial to monitor atrophy and develop treatment strategies to prevent further vision impairment. Data-centric methods have enabled computer-aided algorithms for precise glaucoma diagnosis. In this study, we use deep learning models to identify complex disease traits and progression criteria, detecting subtle changes indicative of glaucoma. We explore the structure-function relationship in glaucoma progression and predict functional impairment from structural eye deterioration. We analyze statistical and machine learning methods, including deep learning techniques with optical coherence tomography (OCT) scans for accurate progression prediction. Addressing challenges like age variability, data imbalances, and noisy labels, we develop novel semi-supervised time-series algorithms: 1. Weakly-Supervised Time-Series Learning: We create a CNN-LSTM model to encode spatiotemporal features from OCT scans. This approach uses age-related progression and positive-unlabeled data to establish robust pseudo-progression criteria, bypassing gold-standard labels. 2. Semi-Supervised Time-Series Learning: Using labels from Guided Progression Analysis (GPA) in a contrastive learning scheme, the CNN-LSTM architecture learns from potentially mislabeled data to improve prediction accuracy. Our methods outperform conventional and state-of-the-art techniques.

Assessing glaucoma in retinal fundus photographs using Deep Feature Consistent Variational Autoencoders

One of the leading causes of blindness is glaucoma, which is challenging to detect since it remains asymptomatic until the symptoms are severe. Thus, diagnosis is usually possible until the markers are easy to identify, i.e., the damage has already occurred. Early identification of glaucoma is generally made based on functional, structural, and clinical assessments. However, due to the nature of the disease, researchers still debate which markers qualify as a consistent glaucoma metric. Deep learning methods have partially solved this dilemma by bypassing the marker identification stage and analyzing high-level information directly to classify the data. Although favorable, these methods make expert analysis difficult as they provide no insight into the model discrimination process. In this paper, we overcome this using deep generative networks, a deep learning model that learns complicated, high-dimensional probability distributions. We train a Deep Feature consistent Variational Autoencoder (DFC-VAE) to reconstruct optic disc images. We show that a small-sized latent space obtained from the DFC-VAE can learn the high-dimensional glaucoma data distribution and provide discriminatory evidence between normal and glaucoma eyes. Latent representations of size as low as 128 from our model got a 0.885 area under the receiver operating characteristic curve when trained with Support Vector Classifier.