arXiv AI

Deep learning of longitudinal visual fields predicts glaucoma progression rate and identifies fast progressors

Deep learning framework GLAM predicts glaucoma progression rates from longitudinal Humphrey 24‑2 visual field data and five clinical features, achieving a mean absolute error of 0.139 dB yr⁻¹ and an AUC of 0.990 for fast‑progressor detection. Using attention‑based fusion and aleatoric uncertainty, GLAM outperforms a ridge regression baseline by 73.5% in MD‑rate prediction. The model demonstrates that visual field data alone can match multimodal pipelines for progression prognostication.

arXiv AI
Aug 20

OptiModNet: A UNet-Transformer Hybrid with Grouped-Query and Channel Attention for Optic Disc and Cup Segmentation

OptiModNet is a lightweight UNet‑Transformer hybrid designed for optic disc and cup segmentation. It incorporates grouped‑query and channel attention across multiple stages, along with an Aggregated Pyramid Loss to improve gradient flow and structural consistency. Evaluated on the REFUGE2 dataset, it surpasses existing methods by over 2.5 % while using only 3.73 GFLOPs and 1.93 M parameters.

By Soumili Ghosh, Debapriya Roy, Aryan Das, Bikash Santra
arXiv AI
Sep 21

Diagnostic-Guided Longitudinal Modeling for Forecasting Retinal Atrophy Progression

The study proposes a diagnostic-guided approach to choose between stochastic and deterministic longitudinal imaging models based on whether inter-visit changes are driven by disease progression or acquisition variability. Applied to a large, heterogeneous Optos fundus autofluorescence archive, the diagnostic revealed weak time-dependent changes and limited benefit from stochastic models, leading to the development of the deterministic Temporal Retinal U‑Net (TRU). TRU outperformed other classical and deep‑learning comparators on image‑level and eye‑specific progression metrics across held‑out and independent zero‑shot transfer cohorts, though with slightly lower precision in a smaller cross‑vendor cohort.

By Liyin Chen, Souvick Mukherjee, Ines Maria De Carvalho Lains, Nazlee Zebardast, Mengyu Wang, Tobias Elze, Jason I. Comander
arXiv AI
Sep 25

Detecting Glaucoma Across Multi-ethnic Myopic and Non-Myopic Populations Using an Uncertainty-Aware Vision Transformer: A Multicentre Model Development and Validation Study

The study developed a Vision Transformer-based deep learning model with uncertainty estimation to detect glaucoma from colour fundus photographs across multi‑ethnic populations, including those with high myopia. Using 56,483 images for training, the model achieved an internal AUROC of 98.7% and maintained high performance (AUROC 86.4–99.6%) on 16 external datasets from eight countries. In high‑myopia eyes, the model outperformed ophthalmologists and matched specialists when full clinical data were available.

By Raghavan Lavanya, Yangqin Feng, Ten Cheer Quek, Quan V. Hoang, Linda Yi-Chieh Poon, Jost B. Jonas, Ya Xing Wang, Vinay Nangia, Jin Wook Jeoung, Sehie Park, SoYeon Kim, Benjamin Y Xu, Sreenidhi Iyengar Munimadugu, Paul Mitchell, Gerald Liew, Yanin Suwan, Jirayu Hong-amata, Sahil Thakur, Monisha E Nongipur, Tina Wong, Rahat Husain, Ng Si Rui, Yamon Syn, Phey Feng Lo, Nicholas Tan Yi Qiang, Shaista Hussain, Xiaofeng Lei, Zhi Da Soh, Marco Yu, Haslina Hamzah, Zizhou Wang, Yan Wang, Liangli Zhen, Xinxing Xu, Tien-Yin Wong, Tin Aung, Rachel S Chong, Yong Liu, Ching-Yu Cheng
arXiv Machine Learning
Jul 7

GlaKG: A Biomarker-Centric Fundus Knowledge Graph for Explainable Glaucoma Diagnosis and Risk Assessment

arXiv:2607. 04673v1 Announce Type: cross Abstract: Glaucoma is a leading cause of irreversible blindness worldwide, yet most automated diagnosis systems rely on opaque deep-learning models that offer little clinical interpretability.

By Cheng Huang, Jia Zhang, Yi Jiang, Yang Liu, Karanjit Kooner, Yadi Liu, Tsengdar Lee, Yang Xie, Wenqi Shi, Guanghua Xiao
arXiv AI
Aug 11

An Agentic AI Framework Overcomes Fundamental Limitations of Large Language Models for Glaucoma Detection from Fundus Photography

arXiv:2608. 07651v1 Announce Type: new Abstract: Large language models (LLMs) show promise in medical image interpretation but suffer from hallucination, limited accuracy, and run-to-run inconsistency.

By Jalil Jalili, Hossein Taghizad, Anuwat Jiravarnsirikul, Christopher Bowd, Akram Belghith, Raheleh Kafieh, Christopher A. Girkin, Sally L. Baxter, Robert N. Weinreb, Linda M. Zangwill, Mark Christopher