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Multimodality analysis of Hyper-reflective Foci and Hard Exudates in Patients with Diabetic Retinopathy

机译:糖尿病性视网膜病变患者高反射灶和硬性渗出物的多模态分析

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摘要

To investigate the correlations between hyper-reflective foci and hard exudates in patients with non-proliferative diabetic retinopathy (NPDR) and proliferative diabetic retinopathy (PDR) by spectral-domain optical coherence tomography (SD OCT) images. Hyper-reflective foci in retinal SD OCT images were automatically detected by the developed algorithm. Then, the cropped CFP images generated by the semi-automatic registration method were automatically segmented for the hard exudates and corrected by the experienced clinical ophthalmologist. Finally, a set of 5 quantitative imaging features were automatically extracted from SD OCT images, which were used for investigating the correlations of hyper-reflective foci and hard exudates and predicting the severity of diabetic retinopathy. Experimental results demonstrated the positive correlations in area and amount between hard exudates and hyper-reflective foci at different stages of diabetic retinopathy, with statistical significance (all p < 0.05). In addition, the area and amount can be taken as potential discriminant indicators of the severity of diabetic retinopathy.
机译:通过光谱域光学相干断层扫描(SD OCT)图像研究非增生性糖尿病视网膜病变(NPDR)和增生性糖尿病视网膜病变(PDR)患者的高反射灶与硬性渗出液之间的相关性。所开发的算法可自动检测视网膜SD OCT图像中的超反射焦点。然后,将由半自动套准方法生成的裁剪后的CFP图像自动分割为硬性渗出液,并由经验丰富的临床眼科医生进行校正。最后,从SD OCT图像中自动提取了5个定量成像特征,用于研究高反射灶和硬性渗出液的相关性,并预测糖尿病性视网膜病变的严重程度。实验结果表明,在糖尿病性视网膜病变的不同阶段,硬性渗出物与高反射灶之间的面积和数量呈正相关,具有统计学意义(均p <0.05)。此外,面积和数量可以作为糖尿病性视网膜病变严重程度的潜在判别指标。

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