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Explainable Ocular Fundus Diseases Report Generation System

Explainable Multimodal Deep Neural Networks for Identifying Ocular Fundus Diseases and Report Generation

Status
UNKNOWN
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT05622565
Enrollment
15000
Registered
2022-11-18
Start date
2011-01-31
Completion date
2024-07-31
Last updated
2023-07-11

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Image, Body, Ophthalmological Disorder

Keywords

Retinal disease, Choroidal disease, Deep learning

Brief summary

To establish a deep learning system of various ocular fundus disease analytics based on the results of multimodal examination images. The system can analyze multimodal ocular fundus images, make diagnoses and generate corresponding reports.

Detailed description

The ocular fundus is the only part of the human body that can directly see the blood vessel microcirculation and nerve tissue. Through various imaging tests, including Color Fundus Photograph (CFP), Optical Coherence Tomography (OCT), Fluorescein Fundus Angiography (FFA) and Indocyanine Green Angiography (ICGA), etc., it is possible to statically overview or dynamically observe the retina and choroid, the condition of blood vessels and nerves, and comprehensive diagnosis of the disease. The screening, interpreting and accurate diagnosis of ocular fundus diseases are crucial for disease prevention, control and precise treatment. However, due to the variety of fundus examination methods, and the complexity and professionalism of the examination, there is a lack of fundus specialists who have sufficient clinical experience and knowledge to interpret fundus examinations. With the continuous development of artificial intelligence (AI) in diagnosing fundus diseases, various modalities of imaging examination methods are gradually applied to the development of fundus disease diagnosis systems. Moreover, medical images often come with corresponding reports, which are mostly generated by clinicians' or radiologists' experience. Here, we are establishing a fundus disease diagnosis and report-generating system based on cross-modal ocular fundus imaging examinations, and fundus lesions were visualized at the same time. Multi-center data verification will also be conducted. The results of the research will assist in fundus lesions diagnosis and imaging reports generation. We hope this could popularize more complex fundus imaging examination methods to society, and help improve the early diagnosis and treatment of fundus lesions that cause blindness.

Interventions

DIAGNOSTIC_TESTVarious modalities of ocular fundus imaging

Through various modalities of ocular fundus imaging, combining with clinical data and the experience of clinicians to diagnose different fundus diseases.

Sponsors

Sun Yat-sen University
Lead SponsorOTHER

Study design

Observational model
OTHER
Time perspective
OTHER

Eligibility

Sex/Gender
ALL
Healthy volunteers
Yes

Inclusion criteria

* The quality of multimodal ocular fundus disease examination images and corresponding reports should be clinically acceptable.

Exclusion criteria

* Reports with key information missing. * Images with severe image resolution reductions, blur or artifacts were excluded from further analysis.

Design outcomes

Primary

MeasureTime frameDescription
Area under the receiver operating characteristic curve of the deep learning systemBaselineThe investigators will calculate the area under the receiver operating characteristic curve of the deep learning system and compare this index with human ophthalmologists.

Secondary

MeasureTime frameDescription
Intersection-Over-Union of the models' explanation accuracyBaselineThe investigators will calculate the Intersection-Over-Union (IOU) (or Jaccard similarity) between the lesion-image attention mapping regions and ground truth regions of the deep learning system.
Sensitivity and Specificity of the deep learning systemBaselineThe investigators will calculate the sensitivity and specificity of the deep learning system.

Countries

China

Contacts

Primary ContactYingfeng Zheng, M.D. Ph.D
zhyfeng@mail.sysu.edu.cn+8613922286455
Backup ContactWenjia Cai, M.D. Ph.D
caiwenjia@gzzoc.com+8615017593912

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026