Macular patterns of neuronal and visual field loss in recovered optic neuritis identified by machine learning

Abstract We used machine learning to investigate the residual visual field (VF) deficits and macula retinal ganglion cell (RGC) thickness loss patterns in recovered optic neuritis (ON). We applied archetypal analysis (AA) to 377 same-day pairings of 10-2 VF and optical coherence tomography (OCT) mac...

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Main Authors: David Szanto, Jui-Kai Wang, Brian Woods, Tobias Elze, Mona K. Garvin, Louis R. Pasquale, Randy H. Kardon, Joseph Branco, Mark J. Kupersmith
Format: Article
Language:English
Published: Nature Portfolio 2024-12-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-024-81835-8
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author David Szanto
Jui-Kai Wang
Brian Woods
Tobias Elze
Mona K. Garvin
Louis R. Pasquale
Randy H. Kardon
Joseph Branco
Mark J. Kupersmith
author_facet David Szanto
Jui-Kai Wang
Brian Woods
Tobias Elze
Mona K. Garvin
Louis R. Pasquale
Randy H. Kardon
Joseph Branco
Mark J. Kupersmith
author_sort David Szanto
collection DOAJ
description Abstract We used machine learning to investigate the residual visual field (VF) deficits and macula retinal ganglion cell (RGC) thickness loss patterns in recovered optic neuritis (ON). We applied archetypal analysis (AA) to 377 same-day pairings of 10-2 VF and optical coherence tomography (OCT) macula images from 93 ON eyes and 70 normal fellow eyes ≥ 90 days after acute ON. We correlated archetype (AT) weights (total weight = 100%) of VFs and total retinal thickness (TRT), inner retinal thickness (IRT), and macular ganglion cell-inner plexiform layer (GCIPL) thickness. AA showed most ON eyes had a 10-2 VF pattern like the normal fellow eye VF, despite having markedly thinner GCIPL patterns. AA identified 7 VF and 11 retinal thickness ATs for each OCT model. The normal VF AT constituted 80% of ON eyes and 90% of normal fellow eyes. The most common GCIPL AT consisted of diffuse thinning. We identified significant correlations for the normal AT weights using OCT AT weights of five GCIPL ATs (r = 0.45), four TRT ATs (0.53) and two IRT ATs (0.42). Following acute ON, most eyes had complete 10-2 VF recovery despite significant GCIPL thinning, suggesting compensatory mechanisms for vision.
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spelling doaj-art-9384c27f611144c9a87acdf8fe8a5f472024-12-29T12:23:03ZengNature PortfolioScientific Reports2045-23222024-12-0114111210.1038/s41598-024-81835-8Macular patterns of neuronal and visual field loss in recovered optic neuritis identified by machine learningDavid Szanto0Jui-Kai Wang1Brian Woods2Tobias Elze3Mona K. Garvin4Louis R. Pasquale5Randy H. Kardon6Joseph Branco7Mark J. Kupersmith8Neurology, Icahn School of Medicine at Mount SinaiCenter for the Prevention and Treatment of Visual Loss, Iowa City VA Health SystemIrish Clinical Academic Training Programme, Department of Ophthalmology, Cork University HospitalSchepens Eye Research Institute, Harvard Medical SchoolCenter for the Prevention and Treatment of Visual Loss, Iowa City VA Health SystemOphthalmology, Icahn School of Medicine at Mount SinaiCenter for the Prevention and Treatment of Visual Loss, Iowa City VA Health SystemNew York Medical CollegeNeurology, Icahn School of Medicine at Mount SinaiAbstract We used machine learning to investigate the residual visual field (VF) deficits and macula retinal ganglion cell (RGC) thickness loss patterns in recovered optic neuritis (ON). We applied archetypal analysis (AA) to 377 same-day pairings of 10-2 VF and optical coherence tomography (OCT) macula images from 93 ON eyes and 70 normal fellow eyes ≥ 90 days after acute ON. We correlated archetype (AT) weights (total weight = 100%) of VFs and total retinal thickness (TRT), inner retinal thickness (IRT), and macular ganglion cell-inner plexiform layer (GCIPL) thickness. AA showed most ON eyes had a 10-2 VF pattern like the normal fellow eye VF, despite having markedly thinner GCIPL patterns. AA identified 7 VF and 11 retinal thickness ATs for each OCT model. The normal VF AT constituted 80% of ON eyes and 90% of normal fellow eyes. The most common GCIPL AT consisted of diffuse thinning. We identified significant correlations for the normal AT weights using OCT AT weights of five GCIPL ATs (r = 0.45), four TRT ATs (0.53) and two IRT ATs (0.42). Following acute ON, most eyes had complete 10-2 VF recovery despite significant GCIPL thinning, suggesting compensatory mechanisms for vision.https://doi.org/10.1038/s41598-024-81835-8
spellingShingle David Szanto
Jui-Kai Wang
Brian Woods
Tobias Elze
Mona K. Garvin
Louis R. Pasquale
Randy H. Kardon
Joseph Branco
Mark J. Kupersmith
Macular patterns of neuronal and visual field loss in recovered optic neuritis identified by machine learning
Scientific Reports
title Macular patterns of neuronal and visual field loss in recovered optic neuritis identified by machine learning
title_full Macular patterns of neuronal and visual field loss in recovered optic neuritis identified by machine learning
title_fullStr Macular patterns of neuronal and visual field loss in recovered optic neuritis identified by machine learning
title_full_unstemmed Macular patterns of neuronal and visual field loss in recovered optic neuritis identified by machine learning
title_short Macular patterns of neuronal and visual field loss in recovered optic neuritis identified by machine learning
title_sort macular patterns of neuronal and visual field loss in recovered optic neuritis identified by machine learning
url https://doi.org/10.1038/s41598-024-81835-8
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