Corneal pachymetry by AS-OCT after Descemet’s membrane endothelial keratoplasty
Corneal thickness (pachymetry) maps can be used to monitor restoration of corneal endothelial function, for example after Descemet’s membrane endothelial keratoplasty (DMEK). Automated delineation of the corneal interfaces in anterior segment optical coherence tomography (AS-OCT) can be challenging...
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Published in: | Scientific reports Vol. 11; no. 1; p. 13976 |
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Abstract | Corneal thickness (pachymetry) maps can be used to monitor restoration of corneal endothelial function, for example after Descemet’s membrane endothelial keratoplasty (DMEK). Automated delineation of the corneal interfaces in anterior segment optical coherence tomography (AS-OCT) can be challenging for corneas that are irregularly shaped due to pathology, or as a consequence of surgery, leading to incorrect thickness measurements. In this research, deep learning is used to automatically delineate the corneal interfaces and measure corneal thickness with high accuracy in post-DMEK AS-OCT B-scans. Three different deep learning strategies were developed based on 960 B-scans from 50 patients. On an independent test set of 320 B-scans, corneal thickness could be measured with an error of 13.98 to 15.50 μm for the central 9 mm range, which is less than 3% of the average corneal thickness. The accurate thickness measurements were used to construct detailed pachymetry maps. Moreover, follow-up scans could be registered based on anatomical landmarks to obtain differential pachymetry maps. These maps may enable a more comprehensive understanding of the restoration of the endothelial function after DMEK, where thickness often varies throughout different regions of the cornea, and subsequently contribute to a standardized postoperative regime. |
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AbstractList | Corneal thickness (pachymetry) maps can be used to monitor restoration of corneal endothelial function, for example after Descemet’s membrane endothelial keratoplasty (DMEK). Automated delineation of the corneal interfaces in anterior segment optical coherence tomography (AS-OCT) can be challenging for corneas that are irregularly shaped due to pathology, or as a consequence of surgery, leading to incorrect thickness measurements. In this research, deep learning is used to automatically delineate the corneal interfaces and measure corneal thickness with high accuracy in post-DMEK AS-OCT B-scans. Three different deep learning strategies were developed based on 960 B-scans from 50 patients. On an independent test set of 320 B-scans, corneal thickness could be measured with an error of 13.98 to 15.50 μm for the central 9 mm range, which is less than 3% of the average corneal thickness. The accurate thickness measurements were used to construct detailed pachymetry maps. Moreover, follow-up scans could be registered based on anatomical landmarks to obtain differential pachymetry maps. These maps may enable a more comprehensive understanding of the restoration of the endothelial function after DMEK, where thickness often varies throughout different regions of the cornea, and subsequently contribute to a standardized postoperative regime. Abstract Corneal thickness (pachymetry) maps can be used to monitor restoration of corneal endothelial function, for example after Descemet’s membrane endothelial keratoplasty (DMEK). Automated delineation of the corneal interfaces in anterior segment optical coherence tomography (AS-OCT) can be challenging for corneas that are irregularly shaped due to pathology, or as a consequence of surgery, leading to incorrect thickness measurements. In this research, deep learning is used to automatically delineate the corneal interfaces and measure corneal thickness with high accuracy in post-DMEK AS-OCT B-scans. Three different deep learning strategies were developed based on 960 B-scans from 50 patients. On an independent test set of 320 B-scans, corneal thickness could be measured with an error of 13.98 to 15.50 μm for the central 9 mm range, which is less than 3% of the average corneal thickness. The accurate thickness measurements were used to construct detailed pachymetry maps. Moreover, follow-up scans could be registered based on anatomical landmarks to obtain differential pachymetry maps. These maps may enable a more comprehensive understanding of the restoration of the endothelial function after DMEK, where thickness often varies throughout different regions of the cornea, and subsequently contribute to a standardized postoperative regime. Corneal thickness (pachymetry) maps can be used to monitor restoration of corneal endothelial function, for example after Descemet’s membrane endothelial keratoplasty (DMEK). Automated delineation of the corneal interfaces in anterior segment optical coherence tomography (AS-OCT) can be challenging for corneas that are irregularly shaped due to pathology, or as a consequence of surgery, leading to incorrect thickness measurements. In this research, deep learning is used to automatically delineate the corneal interfaces and measure corneal thickness with high accuracy in post-DMEK AS-OCT B-scans. Three different deep learning strategies were developed based on 960 B-scans from 50 patients. On an independent test set of 320 B-scans, corneal thickness could be measured with an error of 13.98 to 15.50 μm for the central 9 mm range, which is less than 3% of the average corneal thickness. The accurate thickness measurements were used to construct detailed pachymetry maps. Moreover, follow-up scans could be registered based on anatomical landmarks to obtain differential pachymetry maps. These maps may enable a more comprehensive understanding of the restoration of the endothelial function after DMEK, where thickness often varies throughout different regions of the cornea, and subsequently contribute to a standardized postoperative regime. |
ArticleNumber | 13976 |
Author | van den Berg, Myrthe A. Veta, Mitko van der Hoek, Luuk Alberti, Mark Heslinga, Friso G. Pluim, Josien P. W. Cabrerizo, Javier Lucassen, Ruben T. |
Author_xml | – sequence: 1 givenname: Friso G. orcidid: 0000-0002-8383-307X surname: Heslinga fullname: Heslinga, Friso G. email: fgheslinga@gmail.com organization: Department of Biomedical Engineering, Eindhoven University of Technology – sequence: 2 givenname: Ruben T. surname: Lucassen fullname: Lucassen, Ruben T. organization: Department of Biomedical Engineering, Eindhoven University of Technology – sequence: 3 givenname: Myrthe A. surname: van den Berg fullname: van den Berg, Myrthe A. organization: Department of Biomedical Engineering, Eindhoven University of Technology – sequence: 4 givenname: Luuk surname: van der Hoek fullname: van der Hoek, Luuk organization: Department of Biomedical Engineering, Eindhoven University of Technology – sequence: 5 givenname: Josien P. W. surname: Pluim fullname: Pluim, Josien P. W. organization: Department of Biomedical Engineering, Eindhoven University of Technology – sequence: 6 givenname: Javier surname: Cabrerizo fullname: Cabrerizo, Javier organization: Ophthalmology Department, Rigshospitalet - Glostrup, Copenhagen Eye Foundation – sequence: 7 givenname: Mark surname: Alberti fullname: Alberti, Mark organization: Ophthalmology Department, Rigshospitalet - Glostrup – sequence: 8 givenname: Mitko surname: Veta fullname: Veta, Mitko organization: Department of Biomedical Engineering, Eindhoven University of Technology |
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Title | Corneal pachymetry by AS-OCT after Descemet’s membrane endothelial keratoplasty |
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