AI Classifies Multi-Retinal Diseases

Study Overview
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Brief Summary
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The objective of this study is to establish deep learning (DL) algorithm to automatically classify multi-diseases from fundus photography and differentiate major vision-threatening conditions and other retinal abnormalities. The effectiveness and accuracy of the established algorithm will be evaluated in community derived dataset.

Detailed Description
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Retinal diseases seriously threaten vision and quality of life, but they often develop insidiously. To date, deep learning (DL) algorithms have shown high prospects in biomedical science, particularly in the diagnosis of ocular diseases, such as diabetic retinopathy, age-related macular degeneration, retinopathy of prematurity, glaucoma, and papilledema. However, there is still a lack of a single algorithm that can classify multi-diseases from fundus photography. This cross-sectional study will establish a DL algorithm to automatically classify multi-diseases from fundus photography and differentiate major vision-threatening conditions and other retinal abnormalities. We will use the receiver operating characteristic (ROC) curve to examine the ability of recognition and classification of diseases. Taken the results of the expert panel as the gold standard, we will use the evaluation indexes, such as sensitivity, specificity, accuracy, positive predictive value, negative predictive value, etc, to compare the diagnostic capacity between the AI recognition system and human ophthalmologist.

Official Title
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Deep Learning-Based Automated Classification of Multi-Retinal Disease From Fundus Photography

Conditions
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Deep Learning, Retinal Diseases

Intervention / Treatment
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* Device: Retinal multi-diseases diagnosed by DL algorithm
* Other: Retinal multi-diseases diagnosed by expert panel


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: fundus photography around 45° field which covers optic disc and macula complete patient identification information; Exclusion Criteria: incomplete patient identification information
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Retinal multi-diseases diagnosed by DL algorithm<br> | Device: Retinal multi-diseases diagnosed by DL algorithm<br>* DL algorithm automatically classify multi-diseases from fundus photography and differentiate major vision-threatening conditions and other retinal abnormalities.<br>|
| Retinal multi-diseases diagnosed by expert panel<br> | Other: Retinal multi-diseases diagnosed by expert panel<br>* Expert panel classifies multi-diseases from fundus photography and differentiate major vision-threatening conditions and other retinal abnormalities.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Area under curve | We will use the receiver operating characteristic (ROC) curve to examine the ability of recognition and classification of diseases. Taken the results of the expert panel as the gold standard, we will use the area under curve to compare the diagnostic capacity between the AI recognition system and human ophthalmologist. | 1 week | 
| Sensitivity and specificity | Taken the results of the expert panel as the gold standard, we will use sensitivity and specificity to compare the diagnostic capacity between the AI recognition system and human ophthalmologist. | 1 week | 
| Positive and negative predictive value | Taken the results of the expert panel as the gold standard, we will use positive and negative predictive value to compare the diagnostic capacity between the AI recognition system and human ophthalmologist. | 1 week | 
| Accuracy | Taken the results of the expert panel as the gold standard, we will use accuracy to compare the diagnostic capacity between the AI recognition system and human ophthalmologist. | 1 week |