State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Vision Science, Guangdong Provincial Clinical Research Center for Ocular Diseases, Guangzhou, Guangdong, China.
State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Vision Science, Guangdong Provincial Clinical Research Center for Ocular Diseases, Guangzhou, Guangdong, China.
Cell Rep Med. 2023 Feb 21;4(2):100912. doi: 10.1016/j.xcrm.2022.100912. Epub 2023 Jan 19.
Medical artificial intelligence (AI) has been moving from the research phase to clinical implementation. However, most AI-based models are mainly built using high-quality images preprocessed in the laboratory, which is not representative of real-world settings. This dataset bias proves a major driver of AI system dysfunction. Inspired by the design of flow cytometry, DeepFundus, a deep-learning-based fundus image classifier, is developed to provide automated and multidimensional image sorting to address this data quality gap. DeepFundus achieves areas under the receiver operating characteristic curves (AUCs) over 0.9 in image classification concerning overall quality, clinical quality factors, and structural quality analysis on both the internal test and national validation datasets. Additionally, DeepFundus can be integrated into both model development and clinical application of AI diagnostics to significantly enhance model performance for detecting multiple retinopathies. DeepFundus can be used to construct a data-driven paradigm for improving the entire life cycle of medical AI practice.
医疗人工智能(AI)已经从研究阶段进入临床实施阶段。然而,大多数基于 AI 的模型主要是使用在实验室中预处理的高质量图像构建的,这些图像并不代表真实世界的环境。这种数据集偏差是导致 AI 系统功能失调的主要原因。受流式细胞术设计的启发,开发了一种基于深度学习的眼底图像分类器 DeepFundus,以提供自动化和多维图像分类,以解决数据质量差距问题。DeepFundus 在内部测试和全国验证数据集上的整体质量、临床质量因素和结构质量分析方面,在图像分类方面的受试者工作特征曲线(AUC)超过 0.9。此外,DeepFundus 可以集成到 AI 诊断模型的开发和临床应用中,以显著提高检测多种视网膜病变的模型性能。DeepFundus 可用于构建一个数据驱动的范例,以改善医疗 AI 实践的整个生命周期。