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Deep Learning Ensemble Method for Classifying Glaucoma Stages Using Fundus Photographs and Convolutional Neural Networksopen access

Authors
Cho, HyeonsungHwang, Young HoonChung, Jae KeunLee, Kwan BokPark, Ji SangKim, Hong-GeeJeong, Jae Hoon
Issue Date
2021
Publisher
TAYLOR & FRANCIS INC
Keywords
Artificial intelligence; deep learning; diagnostic imaging; glaucoma; neural networks models
Citation
CURRENT EYE RESEARCH, v.46, no.10, pp 1516 - 1524
Pages
9
Journal Title
CURRENT EYE RESEARCH
Volume
46
Number
10
Start Page
1516
End Page
1524
URI
https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/74314
DOI
10.1080/02713683.2021.1900268
ISSN
0271-3683
1460-2202
Abstract
Purpose: This study developed and evaluated a deep learning ensemble method to automatically grade the stages of glaucoma depending on its severity. Materials and Methods: After cross-validation of three glaucoma specialists, the final dataset comprised of 3,460 fundus photographs taken from 2,204 patients were divided into three classes: unaffected controls, early-stage glaucoma, and late-stage glaucoma. The mean deviation value of standard automated perimetry was used to classify the glaucoma cases. We modeled 56 convolutional neural networks (CNN) with different characteristics and developed an ensemble system to derive the best performance by combining several modeling results. Results: The proposed method with an accuracy of 88.1% and an average area under the receiver operating characteristic of 0.975 demonstrates significantly better performance to classify glaucoma stages compared to the best single CNN model that has an accuracy of 85.2% and an average area under the receiver operating characteristic of 0.950. The false negative is the least adjacent misprediction, and it is less in the proposed method than in the best single CNN model. Conclusions: The method of averaging multiple CNN models can better classify glaucoma stages by using fundus photographs than a single CNN model. The ensemble method would be useful as a clinical decision support system in glaucoma screening for primary care because it provides high and stable performance with a relatively small amount of data.
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