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Artificial intelligence-based decision-making for age-related macular degeneration

Year: 2018
Type: article
Abstract: Artificial intelligence (AI) based on convolutional neural networks (CNNs) has a great potential to enhance medical workflow and improve health care quality.Of particular interest is practical implementation of such AI-based software as a cloud-based tool aimed for telemedicine, the practice of providing medical care from a distance using electronic interfaces.Methods: In this study, we used a dataset of labeled 35,900 optical coherence tomography (OCT) images obtained from age-related macular degeneration (AMD) patients and used them to train three types of CNNs to perform AMD diagnosis.Results: Here, we present an AI-and cloud-based telemedicine interaction tool for diagnosis and proposed treatment of AMD.Through deep learning process based on the analysis of preprocessed optical coherence tomography (OCT) imaging data, our AI-based system achieved the same image discrimination rate as that of retinal specialists in our hospital.The AI platform's detection accuracy was generally higher than 90% and was significantly superior (p < 0.001) to that of medical students (69.4% and 68.9%) and equal (p = 0.99) to that of retinal specialists (92.73% and 91.90%).Furthermore, it provided appropriate treatment recommendations comparable to those of retinal specialists.Conclusions: We therefore developed a website for realistic cloud computing based on this AI platform, available at https://www.ym.edu.tw/~AI-OCT/.Patients can upload their OCT images to the website to verify whether they have AMD and require treatment.Using an AI-based cloud service represents a real solution for medical imaging diagnostics and telemedicine.
Source: Theranostics
Language: English
Field: Medicine
Open Access status: gold
Estimated APC paid: $1,671
OpenAlex ID: W2904843285
FWCI: 11.29
Cites: 20
Cited by: 189
Related to: 10