RT Journal Article SR Electronic T1 Deep-Learning Based, Automated Segmentation of Macular Edema in Optical Coherence Tomography JF bioRxiv FD Cold Spring Harbor Laboratory SP 135640 DO 10.1101/135640 A1 Cecilia S. Lee, MD MS A1 Ariel J. Tyring MD A1 Nicolaas P. Deruyter, BA A1 Yue Wu, PHD A1 Ariel Rokem, PHD A1 Aaron Y. Lee, MD MSCI YR 2017 UL http://biorxiv.org/content/early/2017/05/09/135640.abstract AB Evaluation of clinical images is essential for diagnosis in many specialties and the development of computer vision algorithms to analyze biomedical images will be important. In ophthalmology, optical coherence tomography (OCT) is critical for managing retinal conditions. We developed a convolutional neural network (CNN) that detects intraretinal fluid (IRF) on OCT in a manner indistinguishable from clinicians. Using 1,289 OCT images, the CNN segmented images with a 0.911 cross-validated Dice coefficient, compared with segmentations by experts. Additionally, the agreement between experts and between experts and CNN were similar. Our results reveal that CNN can be trained to perform automated segmentations.