Title
Unsupervised Identification of Disease Marker Candidates in Retinal OCT Imaging Data.
Abstract
The identification and quantification of markers in medical images is critical for diagnosis, prognosis, and disease management. Supervised machine learning enables the detection and exploitation of findings that are known a priori after annotation of training examples by experts. However, supervision does not scale well, due to the amount of necessary training examples, and the limitation of the marker vocabulary to known entities. In this proof-of-concept study, we propose unsupervised identification of anomalies as candidates for markers in retinal Optical Coherence Tomography (OCT) imaging data without a constraint to a priori definitions. We identify and categorize marker candidates occurring frequently in the data, and demonstrate that these markers show predictive value in the task of detecting disease. A careful qualitative analysis of the identified data driven markers reveals how their quantifiable occurrence aligns with our current understanding of disease course, in early- and late age-related macular degeneration (AMD) patients. A multiscale deep denoising autoencoder is trained on healthy images, and a one-class support vector machine identifies anomalies in new data. Clustering in the anomalies identifies stable categories. Using these markers to classify healthy-, early AMD- and late AMD cases yields an accuracy of 81.40%. In a second binary classification experiment on a publicly available data set (healthy vs. intermediate AMD) the model achieves an AUC of 0.944.
Year
DOI
Venue
2018
10.1109/TMI.2018.2877080
IEEE transactions on medical imaging
Keywords
Field
DocType
Diseases,Retina,Biomedical imaging,Training,Anomaly detection,Task analysis
Anomaly detection,Computer vision,Categorization,Optical coherence tomography,Pattern recognition,Binary classification,Medical imaging,Support vector machine,A priori and a posteriori,Artificial intelligence,Cluster analysis,Mathematics
Journal
Volume
Issue
ISSN
abs/1810.13404
4
0278-0062
Citations 
PageRank 
References 
4
0.45
0
Authors
9
Name
Order
Citations
PageRank
Philipp Seeböck1554.05
Sebastian Waldstein2808.52
Sophie Klimscha3183.10
Hrvoje Bogunović420017.85
Thomas Schlegl5805.44
Bianca Gerendas6245.67
René Donner715211.92
Ursula Schmidt-Erfurth89011.43
Georg Langs964857.73