Diagnosis of multiple sclerosis using multifocal ERG data feature fusion

The purpose of this paper is to implement a computer-aided diagnosis (CAD) system for multiple sclerosis (MS) based on analysing the outer retina as assessed by multifocal electroretinograms (mfERGs). MfERG recordings taken with the RETI?port/scan 21 (Roland Consult) device from 15 eyes of patients...

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Detalles Bibliográficos
Autores: López Dorado, Almudena|||0000-0001-8921-3886, Pérez Velilla, Javier, Rodrigo Sanjuán, María Jesús, Miguel Jiménez, Juan Manuel|||0000-0002-4641-5848, Ortiz del Castillo, Miguel, Santiago Rodrigo, Luis de|||0000-0002-0018-5805, López Guillén, María Elena, Blanco Velasco, Roman|||0000-0002-9668-4958, Cavaliere Ballesta, Carlo|||0000-0002-2144-6090, Sánchez Morla, Eva María, Boquete Vázquez, Luciano|||0000-0001-8591-6103, García Martín, Elena
Tipo de recurso: artículo
Fecha de publicación:2021
País:España
Institución:Universidad de Alcalá (UAH)
Repositorio:e_Buah Biblioteca Digital Universidad de Alcalá
Idioma:inglés
OAI Identifier:oai:ebuah.uah.es:10017/58448
Acceso en línea:http://hdl.handle.net/10017/58448
https://dx.doi.org/10.1016/j.inffus.2021.05.006
Access Level:acceso abierto
Palabra clave:Multiple sclerosis
Multifocal electroretinogram
Feature fusion
Continuous wavelet transform
Empirical Mode Decomposition
Support vector machine
Electrónica
Medicina
Electronics
Medicine
Descripción
Sumario:The purpose of this paper is to implement a computer-aided diagnosis (CAD) system for multiple sclerosis (MS) based on analysing the outer retina as assessed by multifocal electroretinograms (mfERGs). MfERG recordings taken with the RETI?port/scan 21 (Roland Consult) device from 15 eyes of patients diagnosed with incipient relapsing-remitting MS and without prior optic neuritis, and from 6 eyes of control subjects, are selected. The mfERG recordings are grouped (whole macular visual field, five rings, and four quadrants). For each group, the correlation with a normative database of adaptively filtered signals, based on empirical model decomposition (EMD) and three features from the continuous wavelet transform (CWT) domain, are obtained. Of the initial 40 features, the 4 most relevant are selected in two stages: a) using a filter method and b) using a wrapper-feature selection method. The Support Vector Machine (SVM) is used as a classifier. With the optimal CAD configuration, a Matthews correlation coefficient value of 0.89 (accuracy = 0.95, specificity = 1.0 and sensitivity = 0.93) is obtained. This study identified an outer retina dysfunction in patients with recent MS by analysing the outer retina responses in the mfERG and employing an SVM as a classifier. In conclusion, a promising new electrophysiological-biomarker method based on feature fusion for MS diagnosis was identified.