PURPOSE. To examine human performance and agreement on reticular pseudodrusen (RPD) detection and quantification by using single- and multimodality grading protocols and to describe and evaluate a machine learning system for the automatic detection and quantification of reticular pseudodrusen by using single- and multimodality information. METHODS. Color fundus, fundus autofluoresence, and near-infrared images of 278 eyes from 230 patients with or without presence of RPD were used in this study. All eyes were scored for presence of RPD during single- and multimodality setups by two experienced observers and a developed machine learning system. Furthermore, automatic quantification of RPD area was performed by the proposed system and compared with human delineations. RESULTS. Observers obtained a higher performance and better interobserver agreement for RPD detection with multimodality grading, achieving areas under the receiver operating characteristic (ROC) curve of 0.940 and 0.958, and a j agreement of 0.911. The proposed automatic system achieved an area under the ROC of 0.941 with a multimodality setup. Automatic RPD quantification resulted in an intraclass correlation (ICC) value of 0.704, which was comparable with ICC values obtained between single-modality manual delineations. CONCLUSIONS. Observer performance and agreement for RPD identification improved significantly by using a multimodality grading approach. The developed automatic system showed similar performance as observers, and automatic RPD area quantification was in concordance with manual delineations. The proposed automatic system allows for a fast and accurate identification and quantification of RPD, opening the way for efficient quantitative imaging biomarkers in large data set analysis.

Age-related macular degeneration, Automatic detection, Reticular pseudodrusen
dx.doi.org/10.1167/iovs.14-15019, hdl.handle.net/1765/81239
Investigative Ophthalmology & Visual Science
Department of Epidemiology

Van Grinsven, M.J.J.P, Buitendijk, G.H.S, Brussee, C, van Ginneken, B.T.J, Hoyng, C.B, Theelen, T, … Sánchez, C.I. (2015). Automatic identification of reticular pseudodrusen using multimodal retinal image analysis. Investigative Ophthalmology & Visual Science, 56(1), 633–639. doi:10.1167/iovs.14-15019