Department of Ophthalmology, Seirei Hamamatsu General Hospital, 2-12-12 Sumiyoshi, Naka-ku, Hamamatsu, Shizuoka, Japan.
Seirei Christopher University, Hamamatsu, Shizuoka, Japan.
Jpn J Ophthalmol. 2023 Sep;67(5):546-559. doi: 10.1007/s10384-023-01009-3. Epub 2023 Aug 4.
Timely treatment is essential in the management of glaucoma. However, subjective assessment of visual field (VF) progression is not recommended, because it can be unreliable. There are two types of artificial intelligence (AI) strong and weak (machine learning). Weak AIs can perform specific tasks. Linear regression is a method of weak AI. Using linear regression in the real-world clinic has enabled analyzing and predicting VF progression. However, caution is still required when interpreting the results, because whenever the number of VF data sets investigated is small, the predictions can be inaccurate. Several other non-ordinal, or modern AI methods have been constructed to improve prediction accuracy, such as clustering and more modern AI methods of Analysis with Non-Stationary Weibull Error Regression and Spatial Enhancement (ANSWERS), Variational Bayes Linear Regression (VBLR), Kalman Filter and sparse modeling (The least absolute shrinkage and selection operator regression: Lasso). It is also possible to improve the prediction performance using retinal thickness measured with optical coherence tomography by using machine learning methods, such as multitask learning.
及时治疗对视神经疾病的管理至关重要。然而,不建议对视野进展进行主观评估,因为其可能不可靠。人工智能有两种类型:强和弱(机器学习)。弱人工智能可以执行特定任务。线性回归是一种弱人工智能方法。在现实临床中使用线性回归,可以分析和预测视野进展。然而,在解释结果时仍需谨慎,因为每当调查的视野数据集数量较少时,预测结果可能会不准确。已经构建了几种其他非有序或现代人工智能方法来提高预测准确性,例如聚类和更现代的人工智能方法,如具有非平稳威布尔误差回归和空间增强(ANSWERS)的分析、变分贝叶斯线性回归(VBLR)、卡尔曼滤波和稀疏建模(最小绝对收缩和选择算子回归:Lasso)。还可以通过使用光学相干断层扫描测量视网膜厚度,使用机器学习方法,如多任务学习,来提高预测性能。