Abnormality of the Fundus, Artificial Intelligence, Diagnostic Imaging, Diagnostic Screening Programs
Conditions
Keywords
Artificial Intelligence, Deep learning, Ultra-widefield Fundus Imaging, Ocular Fundus Lesions, Diagnostic Screening Programs
Brief summary
This prospective multicenter study will evaluate the efficacy of a real-time artificial intelligence system for detecting multiple ocular fundus lesions by ultra-widefield fundus imaging in real-world settings.
Detailed description
The ocular fundus can show signs of both ocular diseases (e.g., lattice degeneration, retinal detachment and glaucoma) and systemic diseases (e.g., hypertension, diabetes and leukemia). The routine fundus examination is conducive for early detection of these diseases. However, manual conducting fundus examination needs an experienced retina ophthalmologist, and is time-consuming and labor-intensive, which is difficult for its routine implementation on large scale. This study will develop an artificial intelligence system integrating with ultra-widefield fundus imaging to automatically screen for multiple ocular fundus lesions in real time and evaluate its performance in different real-world settings. The efficacy of the system will compare to the final diagnoses of each participant made by experienced ophthalmologists.
Interventions
The participant only needs to take an ultra-widefield fundus image as usual.
Sponsors
Study design
Eligibility
Inclusion criteria
All the participants who agree to take ultra-widefield fundus images.
Exclusion criteria
1. Patients who cannot cooperate with a photographer such as some paralytics, the patients with dementia and severe psychopaths. 2. Patients who do not agree to sign informed consent.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Accuracy | 8 months | Performance of artificial intelligence system for detecting multiple ocular fundus lesions based on ultra-widefield fundus imaging. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Specificity | 8 months | Performance of artificial intelligence system for detecting multiple ocular fundus lesions based on ultra-widefield fundus imaging. |
| Cohen's kappa coefficient | 8 months | The comparison between the performacne of AI system and ophthalmologists of three degrees of expertise. |
| Sensitivity | 8 months | Performance of artificial intelligence system for detecting multiple ocular fundus lesions based on ultra-widefield fundus imaging. |
| False-negative rate | 8 months | Features of Misclassification |
| Data processing time of AI system | 8 months | Data processing time of AI system. |
| False-positive rate | 8 months | Features of Misclassification |
Countries
China