Journal of Innovative Optical Health Sciences, Volume. 16, Issue 5, 2241003(2023)

Discrimination and quantification of scar tissue by Mueller matrix imaging with machine learning

Xi Liu1... Yanan Sun2, Weixi Gu3, Jianguo Sun4, Yi Wang2,* and Li Li1,** |Show fewer author(s)
Author Affiliations
  • 1Department of Ophthalmology, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s Health, Beijing 100045, P. R. China
  • 2Experimental Research Center, China Academy of Chinese Medical Sciences, Beijing 100700, P. R. China
  • 3China Academy of Industrial Internet, Beijing 100102, P. R. China
  • 4Department of Ophthalmology & Visual Science, Eye & ENT Hospital, Shanghai Medical College, Fudan University, Shanghai 200031, P. R. China
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    Scarring is one of the biggest areas of unmet need in the long-term success of glaucoma filtration surgery. Quantitative evaluation of the scar tissue and the post-operative structure with micron scale resolution facilitates development of anti-fibrosis techniques. However, the distinguishment of conjunctiva, sclera and the scar tissue in the surgical area still relies on pathologists’ experience. Since polarized light imaging is sensitive to anisotropic properties of the media, it is ideal for discrimination of scar in the subconjunctival and episcleral area by characterizing small differences between proportion, organization and the orientation of the fibers. In this paper, we defined the conjunctiva, sclera, and the scar tissue as three target tissues after glaucoma filtration surgery and obtained their polarization characteristics from the tissue sections by a Mueller matrix microscope. Discrimination score based on parameters derived from Mueller matrix and machine learning was calculated and tested as a diagnostic index. As a result, the discrimination score of three target tissues showed significant difference between each other (p<0.001). The visualization of the discrimination results showed significant contrast between target tissues. This study proved that Mueller matrix imaging is effective in ocular scar discrimination and paves the way for its application on other forms of ocular fibrosis as a substitute or supplementary for clinical practice.

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    Xi Liu, Yanan Sun, Weixi Gu, Jianguo Sun, Yi Wang, Li Li. Discrimination and quantification of scar tissue by Mueller matrix imaging with machine learning[J]. Journal of Innovative Optical Health Sciences, 2023, 16(5): 2241003

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    Paper Information

    Category: Research Articles

    Received: Jun. 16, 2022

    Accepted: Aug. 18, 2022

    Published Online: Sep. 26, 2023

    The Author Email: Wang Yi (wangyi02@tsinghua.org.cn), Li Li (liliyk1@163.com)

    DOI:10.1142/S1793545822410036

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