Early detection of dementia through retinal imaging and trustworthy AI

Autor: Jinkui Hao, William R. Kwapong, Ting Shen, Huazhu Fu, Yanwu Xu, Qinkang Lu, Shouyue Liu, Jiong Zhang, Yonghuai Liu, Yifan Zhao, Yalin Zheng, Alejandro F. Frangi, Shuting Zhang, Hong Qi, Yitian Zhao
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: npj Digital Medicine, Vol 7, Iss 1, Pp 1-15 (2024)
Druh dokumentu: article
ISSN: 2398-6352
DOI: 10.1038/s41746-024-01292-5
Popis: Abstract Alzheimer’s disease (AD) is a global healthcare challenge lacking a simple and affordable detection method. We propose a novel deep learning framework, Eye-AD, to detect Early-onset Alzheimer’s Disease (EOAD) and Mild Cognitive Impairment (MCI) using OCTA images of retinal microvasculature and choriocapillaris. Eye-AD employs a multilevel graph representation to analyze intra- and inter-instance relationships in retinal layers. Using 5751 OCTA images from 1671 participants in a multi-center study, our model demonstrated superior performance in EOAD (internal data: AUC = 0.9355, external data: AUC = 0.9007) and MCI detection (internal data: AUC = 0.8630, external data: AUC = 0.8037). Furthermore, we explored the associations between retinal structural biomarkers in OCTA images and EOAD/MCI, and the results align well with the conclusions drawn from our deep learning interpretability analysis. Our findings provide further evidence that retinal OCTA imaging, coupled with artificial intelligence, will serve as a rapid, noninvasive, and affordable dementia detection.
Databáze: Directory of Open Access Journals