Jie Yao, Joshua Lim, Gilbert Yong San Lim, Jasmine Chiat Ling Ong, Yuhe Ke, Ting Fang Tan, Tien-En Tan, Stela Vujosevic, Daniel Shu Wei Ting
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引用次数: 0
Abstract
Background: Diabetic retinopathy (DR) and diabetic macular edema (DME) are major causes of visual impairment that challenge global vision health. New strategies are needed to tackle these growing global health problems, and the integration of artificial intelligence (AI) into ophthalmology has the potential to revolutionize DR and DME management to meet these challenges.
Main text: This review discusses the latest AI-driven methodologies in the context of DR and DME in terms of disease identification, patient-specific disease profiling, and short-term and long-term management. This includes current screening and diagnostic systems and their real-world implementation, lesion detection and analysis, disease progression prediction, and treatment response models. It also highlights the technical advancements that have been made in these areas. Despite these advancements, there are obstacles to the widespread adoption of these technologies in clinical settings, including regulatory and privacy concerns, the need for extensive validation, and integration with existing healthcare systems. We also explore the disparity between the potential of AI models and their actual effectiveness in real-world applications.
Conclusion: AI has the potential to revolutionize the management of DR and DME, offering more efficient and precise tools for healthcare professionals. However, overcoming challenges in deployment, regulatory compliance, and patient privacy is essential for these technologies to realize their full potential. Future research should aim to bridge the gap between technological innovation and clinical application, ensuring AI tools integrate seamlessly into healthcare workflows to enhance patient outcomes.
背景:糖尿病视网膜病变(DR)和糖尿病黄斑水肿(DME)是视力损伤的主要原因,对全球视力健康构成挑战。要解决这些日益严重的全球健康问题,需要采取新的策略,而将人工智能(AI)融入眼科,有可能彻底改变 DR 和 DME 的管理,从而应对这些挑战:这篇综述从疾病识别、特定患者的疾病特征描述以及短期和长期管理等方面,讨论了针对 DR 和 DME 的最新人工智能驱动方法。其中包括当前的筛查和诊断系统及其在现实世界中的应用、病变检测和分析、疾病进展预测以及治疗反应模型。报告还重点介绍了这些领域取得的技术进步。尽管取得了这些进步,但在临床环境中广泛采用这些技术仍存在障碍,包括监管和隐私问题、广泛验证的需要以及与现有医疗系统的整合。我们还探讨了人工智能模型的潜力与实际应用效果之间的差距:人工智能有可能彻底改变 DR 和 DME 的管理,为医疗保健专业人员提供更高效、更精确的工具。然而,要充分发挥这些技术的潜力,克服部署、合规性和患者隐私方面的挑战至关重要。未来的研究应致力于弥合技术创新与临床应用之间的差距,确保人工智能工具与医疗保健工作流程无缝整合,从而提高患者的治疗效果。
期刊介绍:
Eye and Vision is an open access, peer-reviewed journal for ophthalmologists and visual science specialists. It welcomes research articles, reviews, methodologies, commentaries, case reports, perspectives and short reports encompassing all aspects of eye and vision. Topics of interest include but are not limited to: current developments of theoretical, experimental and clinical investigations in ophthalmology, optometry and vision science which focus on novel and high-impact findings on central issues pertaining to biology, pathophysiology and etiology of eye diseases as well as advances in diagnostic techniques, surgical treatment, instrument updates, the latest drug findings, results of clinical trials and research findings. It aims to provide ophthalmologists and visual science specialists with the latest developments in theoretical, experimental and clinical investigations in eye and vision.