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人工智能视网膜筛查在一般人群中的可接受性。

Acceptability of artificial intelligence-based retina screening in general population.

机构信息

Department of Vitreoretinal Services, Sankara Eye Hospital, Bengaluru, Karnataka, India.

Sankara College of Optometry, Bengaluru, Karnataka, India.

出版信息

Indian J Ophthalmol. 2022 Apr;70(4):1140-1144. doi: 10.4103/ijo.IJO_1840_21.

Abstract

PURPOSE

A deep learning system (DLS) using artificial intelligence (AI) is emerging as a very promising technology in the future of healthcare diagnostics. While the concept of telehealth is emerging in every field of medicine, AI assistance in diagnosis can become a great tool for successful screening in telemedicine and teleophthalmology. The aim of our study was to assess the acceptability of AI-based retina screening.

METHODS

This was a prospective non-randomized study performed in the outpatient department of a tertiary eye care hospital. Patients older than 18 years who came for a regular eye check-up or a routine retina screening were recruited in the study. Fundus images of the posterior pole were captured on fundus on a phone camera (REMIDIO, India) with a built-in AI software (Netra.AI) that can identify normal versus abnormal retina. The patients were then given an 8-point questionnaire to assess their acceptance and willingness toward AI-based screening. We recruited 104 participants.

RESULTS

We found that 90.4% were willing for an AI-based fundus screening; 96.2% were satisfied with AI-based screening. Patients with diabetes (P = 0.03) and the male population (P = 0.029) were more satisfied with the AI-based screening. The majority (i.e., 97.1%) felt that AI-based screening gave them a better understanding of their eye condition and 37.5% felt that AI-based retina screening prior to a doctor's visit can help in routine screening.

CONCLUSION

Considering the current COVID-19 pandemic situation across the globe, this study highlights the importance of AI-based telescreening and positive patient approach toward this technology.

摘要

目的

人工智能(AI)深度学习系统作为医疗诊断未来的一种极具前景的技术正在兴起。虽然远程医疗的概念正在医学的各个领域兴起,但 AI 辅助诊断可以成为远程医疗和远程眼科成功筛查的重要工具。我们的研究目的是评估基于 AI 的视网膜筛查的可接受性。

方法

这是一项在三级眼科保健医院的门诊部进行的前瞻性非随机研究。研究招募了年龄在 18 岁以上、来进行常规眼科检查或常规视网膜筛查的患者。使用内置 AI 软件(Netra.AI)的手机摄像头(印度 REMIDIO)拍摄后极部眼底图像,该软件可以识别正常和异常的视网膜。然后,患者会收到一份 8 点问卷,评估他们对基于 AI 的筛查的接受程度和意愿。我们共招募了 104 名参与者。

结果

我们发现 90.4%的人愿意接受基于 AI 的眼底筛查;96.2%的人对基于 AI 的筛查感到满意。糖尿病患者(P = 0.03)和男性(P = 0.029)对基于 AI 的筛查更满意。大多数(即 97.1%)人认为基于 AI 的筛查使他们更好地了解了自己的眼部状况,37.5%的人认为在看医生之前进行基于 AI 的视网膜筛查有助于常规筛查。

结论

考虑到全球当前的 COVID-19 大流行情况,本研究强调了基于 AI 的远程筛查的重要性,以及患者对此技术的积极态度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d20/9240537/baa42774fba9/IJO-70-1140-g001.jpg

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