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Yayın Retinal disease classification using optical coherence tomography angiography images(Institute of Electrical and Electronics Engineers Inc., 2024) Aydın, Ömer Faruk; Nazlı, Muhammet Serdar; Tek, Faik Boray; Turkan, YaseminOptical Coherence Tomography Angiography (OCTA) is a non-invasive imaging modality widely used for the detailed visualization of retinal microvasculature, which is crucial for diagnosing and monitoring various retinal diseases. However, manual interpretation of OCTA images is labor-intensive and prone to variability, highlighting the need for automated classification methods. This study presents an aproach that utilizes transfer learning to classify OCTA images into different retinal disease categories, including age-related macular degeneration (AMD) and diapethic retinopathy (DR). We used the OCTA-500 dataset [1], the largest publicly available retinal dataset that contains images from 500 subjects with diverse retinal conditions. To address the class imbalance, we employed k-fold cross-validation and grouped various other conditions under the 'OTHERS' class. Additionally, we compared the performance of the ResNet50 model with OCTA inputs to that of the ResNet50 and RetFound (Vision Transformer) models with OCT inputs to assess the efficiency of OCTA in retinal condition classification. In the three-class (AMD, D R, Normal) classification, ResNet50-OCTA o utperformed ResNet50-OCT, but slightly underperformed compared to RetFound-OCT, which was pretrained on a large OCT dataset. In the four-class (AMD, DR, Normal, Others) classification, ResNet50-OCTA and RetFound-OCT achieved similar classification a ccuracies. This study establishes a baseline for retinal condition classification using the OCTA-500 dataset and provides a comparison between OCT and OCTA input modalities.Yayın Retinal disease diagnosis in OCT scans using a foundational model(Springer Science and Business Media Deutschland GmbH, 2025) Nazlı, Muhammet Serdar; Turkan, Yasemin; Tek, Faik Boray; Toslak, Devrim; Bulut, Mehmet; Arpacı, Fatih; Öcal, Mevlüt CelalThis study examines the feasibility and performance of using single OCT slices from the OCTA-500 dataset to classify DR (Diabetic Retinopathy) and AMD (Age-Related Macular Degeneration) with a pre-trained transformer-based model (RETFound). The experiments revealed the effective adaptation capability of the pretrained model to the retinal disease classification problem. We further explored the impact of using different slices from the OCT volume, assessing the sensitivity of the results to the choice of a single slice (e.g., “middle slice”) and whether analyzing both horizontal and vertical cross-sectional slices could improve outcomes. However, deep neural networks are complex systems that do not indicate directly whether they have learned and generalized the disease appearance as human experts do. The original dataset lacked disease localization annotations. Therefore, we collected new disease classification and localization annotations from independent experts for a subset of OCTA-500 images. We compared RETFound’s explainability-based localization outputs with these newly collected annotations and found that the region attributions aligned well with the expert annotations. Additionally, we assessed the agreement and variability between experts and RETFound in classifying disease conditions. The Kappa values, ranging from 0.35 to 0.69, indicated moderate agreement among experts and between the experts and the model. The transformer-based RETFound model using single or multiple OCT slices, is an efficient approach to diagnosing AMD and DR.Yayın Self-supervised learning of 3D structure from 2D OCT slices for retinal disease diagnosis on UK biobank scans(Institute of Electrical and Electronics Engineers Inc., 2025-09-21) Nazlı, Muhammet Serdar; Turkan, Yasemin; Tek, Faik BorayThis study presents a self-supervised learning framework for retinal disease classification using Optical Coherence Tomography (OCT) scans. To balance the contextual richness of 3D volumes with the computational efficiency of 2D architectures, we introduce a quasi-3D input generation strategy. Each input is constructed by stacking three OCT slices, sampled from channel-specific Gaussian distributions centered on the volume midplane, and arranged in a standard three-channel 2D format compatible with existing pre-trained models. These quasi-3D images are used to pre-train a Vision Transformer (ViT-Base) via a Masked Autoencoder (MAE) with a shared masking pattern, encouraging the model to reconstruct masked regions by encoding anatomical continuity across slices. Pre-training is conducted on 10,000 unlabeled OCT volumes from the UK Biobank. The encoder is then fine-tuned on the OCTA-500 dataset for three-class and four-class retinal disease classification tasks, including macular degeneration and diabetic retinopathy. The model achieves 92.57% accuracy on the three-class task, matching the performance of RETFound while using over 150 times less pre-training data and a smaller backbone.
