Evidence map›Paper›PMID 41342626›Full record

ArticleTranslational vision science & technology2025

Evaluation of Deep Learning-Based OCTA Denoising in Retinal Vessel Assessment.

Zehua Jiang, Chenxi Zhang, Mohamed Sherif, Masahiro Akiba, Kelvin Yi Chong Teo, Chui Ming Gemmy Cheung

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Article in Translational vision science & technology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Zehua JiangMedical Retina Department, Singapore Eye Research Institute, Singapore National Eye Centre, Singapore, Singapore.
Chenxi ZhangMedical Retina Department, Singapore Eye Research Institute, Singapore National Eye Centre, Singapore, Singapore.
Mohamed SherifMedical Retina Department, Singapore Eye Research Institute, Singapore National Eye Centre, Singapore, Singapore.
Masahiro AkibaTopcon, Tokyo, Japan.
Kelvin Yi Chong TeoMedical Retina Department, Singapore Eye Research Institute, Singapore National Eye Centre, Singapore, Singapore.
Chui Ming Gemmy CheungMedical Retina Department, Singapore Eye Research Institute, Singapore National Eye Centre, Singapore, Singapore.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: To evaluate the performance of the N2V2 denoising algorithm on optical coherence tomography angiography (OCTA) retinal vasculature quantification. Methods: OCTA scans (3 × 3, 6 × 6, and 21 × 21 mm) were acquired from patients with diabetes using Topcon Triton before/after denoising. Perceived image quality was assessed by three ophthalmologists on a 5-point scale (capillary details in the superficial capillary plexus [SCP] and deep capillary plexus [DCP] of 3 × 3 and 6 × 6 mm scans, and vessel continuity and nonperfusion boundaries in 21 × 21 mm scans), and by objective metrics including contrast-to-noise ratio, peak signal-to-noise ratio, edge preservation index, and structural similarity index measurement. Diagnostic interpretability was evaluated through annotation of microaneurysm and vascular beading counts, foveal avascular zone margins, and peripheral nonperfusion borders. Quantitative reproducibility was assessed for vessel density, foveal avascular zone metrics (area, perimeter, circularity), and peripheral nonperfusion area delineations. Results: We included 145 eyes (mean patient age, 63.97 ± 9.25 years; 40.26% female) (35.17% no diabetic retinopathy, 33.10% nonproliferative diabetic retinopathy, and 31.72% proliferative diabetic retinopathy). Subjective vessel visualization improved in 3 × 3 (ΔSCP, 1.66 ± 0.39; ΔDCP, 1.90 ± 0.43), 6 × 6 (ΔSCP, 1.68 ± 0.36; ΔDCP, 2.11 ± 0.33), and 21 × 21 mm scans (Δvessels, 1.79 ± 0.37; Δnonperfusion, 1.61 ± 0.38) (all P < 0.001). Denoising objectively increased the contrast-to-noise ratio from poor (1.33-1.68) to moderate (2.90-3.97) (P < 0.001), and the peak signal-to-noise ratio (16.74-18.53 dB), structural similarity index measurement (0.60-0.72), and edge preservation index (0.71-0.79) reached moderate levels. Diagnostic interpretability showed most microaneurysms (64.17% SCP, 87.32% DCP) and venous beading (98.76%) remaining detectable. Vessel density decreased in 3 × 3 mm (ΔSCP, -5.81%; ΔDCP, -4.18%) and 6 × 6 mm scans (ΔSCP, -11.89%; ΔDCP, -5.23%; P < 0.001). The foveal avascular zone area increased slightly (Δ+0.01 mm²; P = 0.02), the perimeter expanded (Δ+0.53 mm; P < 0.001), and circularity decreased (Δ-0.16; P < 0.001), with similar peripheral nonperfusion area (Δ+4.84 mm²; P = 0.49). Conclusions: N2V2 enhances OCTA quality and visualization, which may support more accurate retinal change assessments. Translational Relevance: The N2V2 denoising algorithm can potentially advance the routine clinical use of OCTA by improving the visualization and features quantification.

Indexed as

Deep LearningDiabetic RetinopathyFluorescein AngiographyRetinal VesselsTomography, Optical CoherenceAgedAlgorithmsFemaleHumansMaleMiddle AgedReproducibility of ResultsSignal-To-Noise Ratio

Identifiers

PMID41342626
PMCPMC12697712

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.