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VRISTA – Voxel-based Retinal Imaging and Systemic-risk Translation with AI across UK and Japanese Cohorts

Project description

AI-driven retinal imaging for early detection of vascular disease

Cardiovascular and cerebrovascular diseases often progress silently until advanced stages when treatment options are limited. Supported by the Marie Skłodowska-Curie Actions programme, the VRISTA project will develop a multimodal, explainable AI framework that combines 3D OCT-derived voxel-based morphometry, colour fundus imaging, and a retinal ageing biomarker to enable early and interpretable prediction of vascular risk across diverse populations and clinical settings. The system will integrate advanced deep learning, self-supervised pretraining, and knowledge distillation to ensure high performance even in low-resource environments while using large UK and Japanese datasets for robust validation and fairness analysis across key demographic groups. Overall, the project supports healthier ageing and improved preventive care.

Objective

Retinal imaging offers a non-invasive window on the body's vascular and neural health. This fellowship will develop and validate a multimodal AI framework. At its core is voxel-based morphometry applied to three-dimensional OCT to map subtle, layer-specific structural deviations. These maps will be combined with features from colour fundus photographs and a biological ageing biomarker, the retinal age gap. The objective is early, interpretable prediction of cardiovascular and cerebrovascular risk with performance that is robust across devices, ethnicities, and clinical settings. We will adapt VBM, a well established technique in brain imaging, to OCT volumes to produce anatomically aligned deviation maps that quantify where the retina differs from expected patterns. These OCT features will be fused with macro-scale fundus cues within a deep learning model that estimates continuous, calibrated risk and time-to-event outcomes. To enable screening in settings without OCT, we will use knowledge distillation so that a lightweight fundus-only model inherits performance from the full multimodal system. Self-supervised pretraining and foundation-model backbones will support generalisability and data efficiency. The work leverages harmonised UK and Japanese cohorts totalling more than 200,000 images, enabling rigorous external validation and fairness analysis by sex, refractive status, and ethnicity. Transparency will be promoted through saliency visualisation, concept-based probes, and counterfactual testing. By delivering an accurate, explainable, and deployable tool that works with existing eye-care infrastructure, the project addresses European priorities on healthy ageing and prevention, strengthens EU-Japan collaboration, and lays the groundwork for scalable, equitable detection of silent vascular disease in ageing populations.

Fields of science (EuroSciVoc)

Keywords

Programme(s)

Topic(s)

Funding Scheme

HORIZON-TMA-MSCA-PF-EF - HORIZON TMA MSCA Postdoctoral Fellowships - European Fellowships

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Call for proposal

(opens in new window) HORIZON-MSCA-2025-PF

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Coordinator

UNIVERSITY COLLEGE LONDON
Net EU contribution
€ 276 187,92
Address
GOWER STREET
WC1E 6BT London
United Kingdom
Region
London Inner London — West Camden and City of London
Activity type
Higher or Secondary Education Establishments
Links
Total cost
No data