AI makes retinal imaging 100 times faster, compared to manual method

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Illustration of the eye showing the location of the retina and its retinal pigment epithelium (RPE).NEI

NIH scientists use artificial intelligence called ‘P-GAN’ to improve next-generation imaging of cells in the back of the eye.

Maryland, USA: Researchers at the National Institutes of Health applied artificial intelligence (AI) to a technique that produces high-resolution images of cells in the eye. They report that with AI, imaging is 100 times faster and improves image contrast 3.5-fold. The advance, they say, will provide researchers with a better tool to evaluate age-related macular degeneration (AMD) and other retinal diseases.

“Artificial intelligence helps overcome a key limitation of imaging cells in the retina, which is time,” said Johnny Tam, Ph.D., who leads the Clinical and Translational Imaging Section at NIH’s National Eye Institute.

Tam is developing a technology called adaptive optics (AO) to improve imaging devices based on optical coherence tomography (OCT). Like ultrasound, OCT is noninvasive, quick, painless, and standard equipment in most eye clinics.

“Adaptive optics takes OCT-based imaging to the next level,” said Tam. “It’s like moving from a balcony seat to a front row seat to image the retina. With AO, we can reveal 3D retinal structures at cellular-scale resolution.

Vineeta Das NEI Clinical and Translational Imaging Section explains how artificial intelligence improves imaging of the eyes light sensing retina

While adding AO to OCT provides a much better view of cells, processing AO-OCT images after they’ve been captured takes much longer than OCT without AO.

Tam and his team developed a novel AI-based method called parallel discriminator generative adverbial network (P-GAN)—a deep learning algorithm. By feeding the P-GAN network nearly 6,000 manually analyzed AO-OCT-acquired images of human RPE, each paired with its corresponding speckled original, the team trained the network to identify and recover speckle-obscured cellular features.

When tested on new images, P-GAN successfully de-speckled the RPE images, recovering cellular details. With one image capture, it generated results comparable to the manual method, which required the acquisition and averaging of 120 images. With a variety of objective performance metrics that assess things like cell shape and structure, P-GAN outperformed other AI techniques. Vineeta Das, Ph.D., a postdoctoral fellow in the Clinical and Translational Imaging Section at NEI, estimates that P-GAN reduced imaging acquisition and processing time by about 100-fold. P-GAN also yielded greater contrast, about 3.5 greater than before.

A top down view of lab grown RPE cells as seen with high resolution microscopy Unlike AO OCT which is performed in an awake person this image was created with preserved tissue NEI

By integrating AI with AO-OCT, Tam believes that a major obstacle for routine clinical imaging using AO-OCT has been overcome, especially for diseases that affect the RPE, which has traditionally been difficult to image.

“Our results suggest that AI can fundamentally change how images are captured,” said Tam. “Our P-GAN artificial intelligence will make AO imaging more accessible for routine clinical applications and for studies aimed at understanding the structure, function, and pathophysiology of blinding retinal diseases. Thinking about AI as a part of the overall imaging system, as opposed to a tool that is only applied after images have been captured, is a paradigm shift for the field of AI.”

-NIH news

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