用于青光眼筛查的人工智能和远程医疗新技术。

IF 2 4区 医学 Q2 OPHTHALMOLOGY Journal of Glaucoma Pub Date : 2024-08-01 Epub Date: 2024-03-20 DOI:10.1097/IJG.0000000000002367
Mark Christopher, Shahin Hallaj, Anuwat Jiravarnsirikul, Sally L Baxter, Linda M Zangwill
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引用次数: 0

摘要

目的:概述远程医疗的新技术和人工智能(AI)方法,以实现具有成本效益的青光眼筛查:通过总结研究成果、青光眼检测和护理的最新进展以及与青光眼筛查中的远程医疗和人工智能相关的注意事项,进行了叙述性综述。远程医疗和人工智能方法为初级保健、验光配镜、便携式和居家环境中的新型青光眼筛查项目提供了机会。这些方法为青光眼筛查提供了多种优势,包括增加获得护理的机会、降低成本、识别需要紧急治疗的患者以及实现及时诊断和早期干预。然而,在实施这些系统的过程中仍然存在挑战,包括与现有临床工作流程的整合、确保患者的公平性以及满足伦理和监管要求。利用最近在标准化数据采集方面所做的工作以及为糖尿病视网膜病变自动筛查项目开发的工具和技术,可以为青光眼筛查提供一个具有成本效益的模式:利用远程医疗和基于人工智能的青光眼检测新技术和新进展,有望提高我们在初级保健环境中检测中度和晚期青光眼的能力,并将目标锁定在患病风险较高的人群。
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Novel Technologies in Artificial Intelligence and Telemedicine for Glaucoma Screening.

Purpose: To provide an overview of novel technologies in telemedicine and artificial intelligence (AI) approaches for cost-effective glaucoma screening.

Methods/results: A narrative review was performed by summarizing research results, recent developments in glaucoma detection and care, and considerations related to telemedicine and AI in glaucoma screening. Telemedicine and AI approaches provide the opportunity for novel glaucoma screening programs in primary care, optometry, portable, and home-based settings. These approaches offer several advantages for glaucoma screening, including increasing access to care, lowering costs, identifying patients in need of urgent treatment, and enabling timely diagnosis and early intervention. However, challenges remain in implementing these systems, including integration into existing clinical workflows, ensuring equity for patients, and meeting ethical and regulatory requirements. Leveraging recent work towards standardized data acquisition as well as tools and techniques developed for automated diabetic retinopathy screening programs may provide a model for a cost-effective approach to glaucoma screening.

Conclusion: Leveraging novel technologies and advances in telemedicine and AI-based approaches to glaucoma detection show promise for improving our ability to detect moderate and advanced glaucoma in primary care settings and target higher individuals at high risk for having the disease.

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来源期刊
Journal of Glaucoma
Journal of Glaucoma 医学-眼科学
CiteScore
4.20
自引率
10.00%
发文量
330
审稿时长
4-8 weeks
期刊介绍: The Journal of Glaucoma is a peer reviewed journal addressing the spectrum of issues affecting definition, diagnosis, and management of glaucoma and providing a forum for lively and stimulating discussion of clinical, scientific, and socioeconomic factors affecting care of glaucoma patients.
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