# Forecasting Disease Progression with Parallel Hyperplanes in Longitudinal Retinal OCT

arXiv: https://arxiv.org/abs/2409.20195 · HTML: https://mlsanity.com/paper/2409.20195/

## Key facts

- Cited by 1 papers in the map (data through 14 Oct 2026).
- Builds on 9 of its 24 references that are in the map.
- First posted on arXiv 30 Sep 2024.

## Builds on (most cited first, 9 of 9)

- [A ConvNet for the 2020s](https://mlsanity.com/paper/2201.03545/) (2022)
- [Cyclical Learning Rates for Training Neural Networks](https://mlsanity.com/paper/1506.01186/) (2015)
- [DeepSurv: Personalized Treatment Recommender System Using A Cox Proportional Hazards Deep Neural Network](https://mlsanity.com/paper/1606.00931/) (2016)
- [Deep learning-based survival prediction for multiple cancer types using histopathology images](https://mlsanity.com/paper/1912.07354/) (2019)
- [SODEN: A Scalable Continuous-Time Survival Model through Ordinary Differential Equation Networks](https://mlsanity.com/paper/2008.08637/) (2020)
- [Modeling Disease Progression In Retinal OCTs With Longitudinal Self-Supervised Learning](https://mlsanity.com/paper/1910.09420/) (2019)
- [Learning Spatio-Temporal Model of Disease Progression with NeuralODEs from Longitudinal Volumetric Data](https://mlsanity.com/paper/2211.04234/) (2022)
- [TINC: Temporally Informed Non-Contrastive Learning for Disease Progression Modeling in Retinal OCT Volumes](https://mlsanity.com/paper/2206.15282/) (2022)
- [LMT: Longitudinal Mixing Training, a Framework to Predict Disease Progression from a Single Image](https://mlsanity.com/paper/2310.10420/) (2023)

## Built on by (most cited first, 1 of 1)

- [Chronological Contrastive Learning: Few-Shot Progression Assessment in Irreversible Diseases](https://mlsanity.com/paper/2603.21935/) (2026)

## Abstract (arXiv)

Predicting future disease progression risk from medical images is challenging due to patient heterogeneity, and subtle or unknown imaging biomarkers. Moreover, deep learning (DL) methods for survival analysis are susceptible to image domain shifts across scanners. We tackle these issues in the task of predicting late dry Age-related Macular Degeneration (dAMD) onset from retinal OCT scans. We propose a novel DL method for survival prediction to jointly predict from the current scan a risk score, inversely related to time-to-conversion, and the probability of conversion within a time interval t. It uses a family of parallel hyperplanes generated by parameterizing the bias term as a function of t. In addition, we develop unsupervised losses based on intra-subject image pairs to ensure that risk scores increase over time and that future conversion predictions are consistent with AMD stage prediction using actual scans of future visits. Such losses enable data-efficient fine-tuning of the trained model on new unlabeled datasets acquired with a different scanner. Extensive evaluation on two large datasets acquired with different scanners resulted in a mean AUROCs of 0.82 for Dataset-1 and 0.83 for Dataset-2, across prediction intervals of 6,12 and 24 months.
