arXiv:2410.20309eess.IVcs.AI2024-10

用AI分析眼底照片,早期发现眼部疾病并提升筛查效率。

Enhancing Community Vision Screening -- AI Driven Retinal Photography for Early Disease Detection and Patient Trust

  • 基于眼底照片的四模型AI系统,自动评估图像质量与病变。
  • 在超8万张照片上实现90%以上准确率,病变定位精度达DICE 0.48。
  • 适合基层医疗团队使用,可快速部署于乡村视力筛查场景。

社区视力筛查在识别视力丧失及预防可避免失明方面至关重要,尤其在眼科服务匮乏的农村地区。当前亟需一种简单高效的方法,对存在严重眼病性视力损害的个体进行筛查和转诊。理想的解决方案应无缝融入现有流程,为服务提供者提供全面的初步筛查结果,以实现精准转诊和及时治疗。本文提出增强社区视力筛查(ECVS)方案,采用非侵入性眼底摄影结合深度学习技术,实现病理相关视力损伤的检测。研究使用四个深度学习模型:眼底图像质量评估(RETQA)、病理导致的视觉障碍检测(PVI)、眼病诊断(EDD)和眼内病变区域可视化(VLR)。在超过10个数据集、总计8万余张来自不同来源的眼底图像上进行实验,各模型表现优异:RETQA AUC达0.98,PVI为0.95,EDD为0.90,VLR的DICE系数为0.48。这些结果表明ECVS是一种简便且可扩展的社区级视力筛查方法。

原文摘要 · Abstract (English)

Community vision screening plays a crucial role in identifying individuals with vision loss and preventing avoidable blindness, particularly in rural communities where access to eye care services is limited. Currently, there is a pressing need for a simple and efficient process to screen and refer individuals with significant eye disease-related vision loss to tertiary eye care centers for further care. An ideal solution should seamlessly and readily integrate with existing workflows, providing comprehensive initial screening results to service providers, thereby enabling precise patient referrals for timely treatment. This paper introduces the Enhancing Community Vision Screening (ECVS) solution, which addresses the aforementioned concerns with a novel and feasible solution based on simple, non-invasive retinal photography for the detection of pathology-based visual impairment. Our study employs four distinct deep learning models: RETinal photo Quality Assessment (RETQA), Pathology Visual Impairment detection (PVI), Eye Disease Diagnosis (EDD) and Visualization of Lesion Regions of the eye (VLR). We conducted experiments on over 10 datasets, totaling more than 80,000 fundus photos collected from various sources. The models integrated into ECVS achieved impressive AUC scores of 0.98 for RETQA, 0.95 for PVI, and 0.90 for EDD, along with a DICE coefficient of 0.48 for VLR. These results underscore the promising capabilities of ECVS as a straightforward and scalable method for community-based vision screening.

眼底影像AI筛查社区医疗深度学习

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