# Treatment classification of posterior capsular opacification (PCO) using automated ground truths

arXiv: https://arxiv.org/abs/2211.06114 · HTML: https://mlsanity.com/paper/2211.06114/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 4 of its 26 references that are in the map.
- First posted on arXiv 11 Nov 2022.

## Builds on (most cited first, 4 of 4)

- [Adam: A Method for Stochastic Optimization](https://mlsanity.com/paper/1412.6980/) (2014)
- [U-Net: Convolutional Networks for Biomedical Image Segmentation](https://mlsanity.com/paper/1505.04597/) (2015)
- [DCAN: Deep Contour-Aware Networks for Accurate Gland Segmentation](https://mlsanity.com/paper/1604.02677/) (2016)
- [Deep Learning with Lung Segmentation and Bone Shadow Exclusion Techniques for Chest X-Ray Analysis of Lung Cancer](https://mlsanity.com/paper/1712.07632/) (2017)

## Abstract (arXiv)

Determination of treatment need of posterior capsular opacification (PCO)-- one of the most common complication of cataract surgery -- is a difficult process due to its local unavailability and the fact that treatment is provided only after PCO occurs in the central visual axis. In this paper we propose a deep learning (DL)-based method to first segment PCO images then classify the images into textittreatment required and textitnot yet required cases in order to reduce frequent hospital visits. To train the model, we prepare a training image set with ground truths (GT) obtained from two strategies: (i) manual and (ii) automated. So, we have two models: (i) Model 1 (trained with image set containing manual GT) (ii) Model 2 (trained with image set containing automated GT). Both models when evaluated on validation image set gave Dice coefficient value greater than 0.8 and intersection-over-union (IoU) score greater than 0.67 in our experiments. Comparison between gold standard GT and segmented results from our models gave a Dice coefficient value greater than 0.7 and IoU score greater than 0.6 for both the models showing that automated ground truths can also result in generation of an efficient model. Comparison between our classification result and clinical classification shows 0.98 F2-score for outputs from both the models.