Monitoring the Progression of Clinically Suspected Microbial Keratitis Using Convolutional Neural Networks

Ming Tse Kuo*, Benny Wei Yun Hsu, Yi Sheng Lin, Po Chiung Fang, Hun Ju Yu, Yu Ting Hsiao, Vincent S. Tseng*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose: For this study, we aimed to determine whether a convolutional neural network (CNN)-based method (based on a feature extractor and an identifier) can be applied to monitor the progression of keratitis while managing suspected microbial keratitis (MK). Methods: This multicenter longitudinal cohort study included patients with suspected MK undergoing serial external eye photography at the 5 branches of Chang Gung Memorial Hospital from August 20, 2000, to August 19, 2020. Data were primarily analyzed from January 1 to March 25, 2022. The CNN-based model was evaluated via F1 score and accuracy. The area under the receiver operating characteristic curve (AUROC) was used to measure the precision-recall trade-off. Results: The model was trained using 1456 image pairs from 468 patients. In comparing models via only training the identifier, statistically significant higher accuracy (P < 0.05) in models via training both the identifier and feature extractor (full training) was verified, with 408 image pairs from 117 patients. The full training EfficientNet b3-based model showed 90.2% (getting better) and 82.1% (becoming worse) F1 scores, 87.3% accuracy, and 94.2% AUROC for 505 getting better and 272 becoming worse test image pairs from 452 patients. Conclusions: A CNN-based approach via deep learning applied in suspected MK can monitor the progress/regress during treatment by comparing external eye image pairs. Translational Relevance: The study bridges the gap between the investigation of the state-of-the-art CNN-based deep learning algorithm applied in ocular image analysis and the clinical care of suspected patients with MK.

Original languageEnglish
Article number1
JournalTranslational Vision Science and Technology
Volume12
Issue number11
DOIs
StatePublished - 1 Nov 2023

Keywords

  • convolutional neural network (CNN)
  • deep learning
  • microbial keratitis (MK)
  • monitoring
  • progression

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