Automated Detection of Corneal Edema With Deep Learning-Assisted Second Harmonic Generation Microscopy

Second Harmonic Generation Microscopy (SHG) is widely acknowledged as a valuable non-linear optical imaging tool, its contrast mechanism providing the premises to non-invasively identify, characterize, and monitor changes in the collagen architecture of tissues. However, the interpretation of SHG data can pose difficulties even for experts histopathologists, which represents a bottleneck for the translation of SHG-based diagnostic frameworks to clinical settings. The use of artificial intelligence methods for automated SHG analysis is still in an early stage, with only few studies having been reported to date, none addressing ocular tissues yet. In this work we explore the use of three Deep Learning models, the highly popular InceptionV3 and ResNet50, alongside FLIMBA, a custom developed architecture, requiring no pre-training, to automatically detect corneal edema in SHG images of porcine cornea. We observe that Deep Learning models building on different architectures provide complementary results for the classification of cornea SHG images and demonstrate an AU-ROC = 0.98 for their joint use. These results have potential to be extrapolated to other diagnostics scenarios, such as automated extraction of hydration level of cornea, or identification of corneal edema causes, and thus pave the way for novel methods for precision diagnostics of the cornea with Deep-Learning assisted SHG imaging.