Key result
A deep learning model combining retinal fundus images and metadata explained 22.4% of the variance in global cognitive scores, whereas metadata alone explained 20.4% and fundus alone explained 9.3%.
Why the study?
Beta-amyloid accumulation and cognitive decline manifest in the retina, but whether deep learning can predict cognitive scores from retinal RGB images and metadata remained unproven.
Does a deep learning model using RGB retinal fundus images and metadata predict cognitive scores in aging individuals?
Cross-Sectional (n=14,711)
Yes
Does a deep learning model using RGB retinal fundus images and metadata predict cognitive scores in aging individuals?
Deep learning models using RGB fundus images provide limited additional value over metadata alone in predicting cognitive scores.
Fundus images add minimal value beyond metadata for cognitive prediction; leaves open retinal imaging utility in larger prospective cohorts.
Accumulation of beta-amyloid in the brain and cognitive decline are considered hallmarks of Alzheimer's disease. Knowing from previous studies that these two factors can manifest in the retina, the aim was to investigate whether a deep learning method was able to predict the cognition of an individual from a RGB image of his retina and metadata. A deep learning model, EfficientNet, was used to predict cognitive scores from the Canadian Longitudinal Study on Aging (CLSA) database. The proposed model explained 22.4% of the variance in cognitive scores on the test dataset using fundus images and metadata. Metadata alone proved to be more effective in explaining the variance in the sample (20.4%) versus fundus images (9.3%) alone. Attention maps highlighted the optic nerve head as the most influential feature in predicting cognitive scores. The results demonstrate that RGB fundus images are limited in predicting cognition.
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Corbin et al. (2022) conducted a cross-sectional in Cognitive decline (n=14,711). Deep learning model using retinal fundus images and metadata vs. Metadata alone or fundus images alone was evaluated on Variance explained (R2) in global cognitive scores (R2 0.224, 95% CI 0.204-0.251). A deep learning model combining retinal fundus images and metadata explained 22.4% of the variance in global cognitive scores, whereas metadata alone explained 20.4% and fundus alone explained 9.3%.
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