“…There are two main types of automated image analysis approaches that have been utilized for CAD system development, which includes classical image analysis techniques and machine learning-based image informatics techniques [18,20,64,42,54,51]. Classical image informatics methodologies have several limitations such as threshold methods which struggle with discontinuities and intensity variations across different retinal layers, and they also cannot combine previously obtained information such as retinal layer thicknesses from previous OCT scans.…”