Comparative Analysis of Macular and Optic Disc Perfusion Pre and Post Silicone Oil Removal: A Machine Learning Approach

Stud Health Technol Inform. 2024 Aug 22:316:863-867. doi: 10.3233/SHTI240548.

Abstract

In the realm of ophthalmic surgeries, silicone oil is often utilized as a tamponade agent for repairing retinal detachments, but it necessitates subsequent removal. This study harnesses the power of machine learning to analyze the macular and optic disc perfusion changes pre and post-silicone oil removal, using Optical Coherence Tomography Angiography (OCTA) data. Building upon the foundational work of prior research, our investigation employs Gaussian Process Regression (GPR) and Long Short-Term Memory (LSTM) networks to create predictive models based on OCTA scans. We conducted a comparative analysis focusing on the flow in the outer retina and vessel density in the deep capillary plexus (superior-hemi and perifovea) to track perfusion changes across different time points. Our findings indicate that while machine learning models predict the flow in the outer retina with reasonable accuracy, predicting the vessel density in the deep capillary plexus (particularly in the superior-hemi and perifovea regions) remains challenging. These results underscore the potential of machine learning to contribute to personalized patient care in ophthalmology, despite the inherent complexities in predicting ocular perfusion changes.

Keywords: Gaussian Process Regression; Long Short-Term Memory Networks; Machine Learning; Ophthalmology; Optical Coherence Tomography Angiography.

Publication types

  • Comparative Study

MeSH terms

  • Humans
  • Machine Learning*
  • Macula Lutea / blood supply
  • Macula Lutea / diagnostic imaging
  • Optic Disk* / blood supply
  • Optic Disk* / diagnostic imaging
  • Retinal Detachment* / surgery
  • Silicone Oils*
  • Tomography, Optical Coherence*

Substances

  • Silicone Oils