Pub Date : 2023-12-20DOI: 10.1101/2023.12.19.23298260
Berkeley K Fahrenthold, Matthew R Cavanaugh, Madhura Tamhankar, Byron L Lam, Steven E Feldon, Brent A Johnson, Krystel R Huxlin
Purpose: Damage to the adult primary visual cortex (V1) causes vision loss in the contralateral hemifield, initiating a process of trans-synaptic retrograde degeneration (TRD). Here, we examined retinal correlates of TRD using a new metric to account for global changes in inner retinal thickness, and asked if perceptual training in the intact or blind field impacts its progression. Methods: We performed a meta-analysis of optical coherence tomography (OCT) data in 48 participants with unilateral V1 stroke and homonymous visual defects, who completed clinical trial NCT03350919. After measuring the thickness of the macular ganglion cell and inner plexiform layers (GCL-IPL), and the peripapillary retinal nerve fiber layer (RNFL), we computed individual laterality indices (LI) at baseline and after ~6 months of daily motion discrimination training in the intact- or blind-field. Increasingly positive LI denoted greater layer thinning in retinal regions affected versus unaffected by the cortical damage. Results: Pre-training, the affected GCL-IPL and RNFL were thinner than their unaffected counterparts, generating LI values positively correlated with time since stroke. Participants trained in their intact-field exhibited increased LIGCL-IPL. Those trained in their blind-field had no significant change in LIGCL-IPL. LIRNFL did not change in either group. Conclusions: Relative shrinkage of the affected versus unaffected macular GCL-IPL can be reliably measured at an individual level and increases with time post-V1 stroke. Relative thinning progressed during intact-field training, but appeared to be halted by training within the blind field, suggesting a potentially neuroprotective effect of this simple behavioral intervention.
{"title":"Training in cortically-blind fields confers patient-specific benefit against retinal thinning after occipital stroke","authors":"Berkeley K Fahrenthold, Matthew R Cavanaugh, Madhura Tamhankar, Byron L Lam, Steven E Feldon, Brent A Johnson, Krystel R Huxlin","doi":"10.1101/2023.12.19.23298260","DOIUrl":"https://doi.org/10.1101/2023.12.19.23298260","url":null,"abstract":"Purpose: Damage to the adult primary visual cortex (V1) causes vision loss in the contralateral hemifield, initiating a process of trans-synaptic retrograde degeneration (TRD). Here, we examined retinal correlates of TRD using a new metric to account for global changes in inner retinal thickness, and asked if perceptual training in the intact or blind field impacts its progression.\u0000Methods: We performed a meta-analysis of optical coherence tomography (OCT) data in 48 participants with unilateral V1 stroke and homonymous visual defects, who completed clinical trial NCT03350919. After measuring the thickness of the macular ganglion cell and inner plexiform layers (GCL-IPL), and the peripapillary retinal nerve fiber layer (RNFL), we computed individual laterality indices (LI) at baseline and after ~6 months of daily motion discrimination training in the intact- or blind-field. Increasingly positive LI denoted greater layer thinning in retinal regions affected versus unaffected by the cortical damage.\u0000Results: Pre-training, the affected GCL-IPL and RNFL were thinner than their unaffected counterparts, generating LI values positively correlated with time since stroke. Participants trained in their intact-field exhibited increased LIGCL-IPL. Those trained in their blind-field had no significant change in LIGCL-IPL. LIRNFL did not change in either group.\u0000Conclusions: Relative shrinkage of the affected versus unaffected macular GCL-IPL can be reliably measured at an individual level and increases with time post-V1 stroke. Relative thinning progressed during intact-field training, but appeared to be halted by training within the blind field, suggesting a potentially neuroprotective effect of this simple behavioral intervention.","PeriodicalId":501390,"journal":{"name":"medRxiv - Ophthalmology","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138826023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-14DOI: 10.1101/2023.12.13.23299931
Min Shi, Yan Luo, Yu Tian, Lucy Shen, Tobias Elze, Nazlee Zebardast, Mohammad Eslami, Saber Kazeminasab, Michael V. Boland, David S. Friedman, Louis R. Pasquale, Mengyu Wang
Objective To develop an equitable artificial intelligence model for glaucoma screening.
目标 为青光眼筛查开发一个公平的人工智能模型。
{"title":"Equitable Artificial Intelligence for Glaucoma Screening with Fair Identity Normalization","authors":"Min Shi, Yan Luo, Yu Tian, Lucy Shen, Tobias Elze, Nazlee Zebardast, Mohammad Eslami, Saber Kazeminasab, Michael V. Boland, David S. Friedman, Louis R. Pasquale, Mengyu Wang","doi":"10.1101/2023.12.13.23299931","DOIUrl":"https://doi.org/10.1101/2023.12.13.23299931","url":null,"abstract":"<strong>Objective</strong> To develop an equitable artificial intelligence model for glaucoma screening.","PeriodicalId":501390,"journal":{"name":"medRxiv - Ophthalmology","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138742009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-14DOI: 10.1101/2023.12.12.23299846
Asieh Soltanipour, Roya Arian, Ali Aghababaei, Raheleh Kafieh, Fereshteh Ashtari
Background Our purpose was to investigate the most relevant and discriminating clinical feature set of Scanning laser ophthalmoscopy (SLO) images, which could differentiate multiple sclerosis (MS) and healthy control (HC) patients.
{"title":"Analyzing morphological alternations of vessels in multiple Sclerosis using SLO images of the eyes","authors":"Asieh Soltanipour, Roya Arian, Ali Aghababaei, Raheleh Kafieh, Fereshteh Ashtari","doi":"10.1101/2023.12.12.23299846","DOIUrl":"https://doi.org/10.1101/2023.12.12.23299846","url":null,"abstract":"<strong>Background</strong> Our purpose was to investigate the most relevant and discriminating clinical feature set of Scanning laser ophthalmoscopy (SLO) images, which could differentiate multiple sclerosis (MS) and healthy control (HC) patients.","PeriodicalId":501390,"journal":{"name":"medRxiv - Ophthalmology","volume":"34 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138717430","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}