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斜视的筛查和管理人工智能平台。

An artificial intelligence platform for the screening and managing of strabismus.

机构信息

Department of Ophthalmology, West China Hospital, Sichuan University, Chengdu, China.

Department of Optometry and Visual Science, West China Hospital, Sichuan University, Chengdu, 610041, China.

出版信息

Eye (Lond). 2024 Nov;38(16):3101-3107. doi: 10.1038/s41433-024-03228-5. Epub 2024 Jul 27.


DOI:10.1038/s41433-024-03228-5
PMID:39068250
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11543679/
Abstract

OBJECTIVES: Considering the escalating incidence of strabismus and its consequential jeopardy to binocular vision, there is an imperative demand for expeditious and precise screening methods. This study was to develop an artificial intelligence (AI) platform in the form of an applet that facilitates the screening and management of strabismus on any mobile device. METHODS: The Visual Transformer (VIT_16_224) was developed using primary gaze photos from two datasets covering different ages. The AI model was evaluated by 5-fold cross-validation set and tested on an independent test set. The diagnostic performance of the AI model was assessed by calculating the Accuracy, Precision, Specificity, Sensitivity, F1-Score and Area Under the Curve (AUC). RESULTS: A total of 6194 photos with corneal light-reflection (with 2938 Exotropia, 1415 Esotropia, 739 Vertical Deviation and 1562 Orthotropy) were included. In the internal validation set, the AI model achieved an Accuracy of 0.980, Precision of 0.941, Specificity of 0.979, Sensitivity of 0.958, F1-Score of 0.951 and AUC of 0.994. In the independent test set, the AI model achieved an Accuracy of 0.967, Precision of 0.980, Specificity of 0.970, Sensitivity of 0.960, F1-Score of 0.975 and AUC of 0.993. CONCLUSIONS: Our study presents an advanced AI model for strabismus screening which integrates electronic archives for comprehensive patient histories. Additionally, it includes a patient-physician interaction module for streamlined communication. This innovative platform offers a complete solution for strabismus care, from screening to long-term follow-up, advancing ophthalmology through AI technology for improved patient outcomes and eye care quality.

摘要

目的:鉴于斜视的发病率不断上升及其对视功能的潜在危害,我们迫切需要快速、准确的筛查方法。本研究旨在开发一种人工智能(AI)小程序平台,以便在任何移动设备上进行斜视筛查和管理。

方法:使用来自两个数据集的主视照片开发了视觉转换器(VIT_16_224),这些数据集涵盖了不同年龄段。通过 5 折交叉验证集评估 AI 模型,并在独立测试集上进行测试。通过计算准确率、精确率、特异性、敏感度、F1 分数和曲线下面积(AUC)来评估 AI 模型的诊断性能。

结果:共纳入 6194 张带有角膜光反射的照片(外斜视 2938 张,内斜视 1415 张,垂直斜视 739 张,正位眼 1562 张)。在内部验证集中,AI 模型的准确率为 0.980,精确率为 0.941,特异性为 0.979,敏感度为 0.958,F1 分数为 0.951,AUC 为 0.994。在独立测试集中,AI 模型的准确率为 0.967,精确率为 0.980,特异性为 0.970,敏感度为 0.960,F1 分数为 0.975,AUC 为 0.993。

结论:本研究提出了一种用于斜视筛查的先进 AI 模型,该模型集成了电子档案以全面记录患者病史。此外,它还包括一个医患互动模块,以实现流畅的沟通。这个创新平台为斜视治疗提供了一个完整的解决方案,从筛查到长期随访,通过人工智能技术为患者提供更好的治疗效果和眼科护理质量。

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引用本文的文献

[1]
Clinical research on the application of AI-assisted computing systems in the treatment of intermittent exotropia.

BMC Ophthalmol. 2025-7-28

[2]
Deep Learning-Based Precision Cropping of Eye Regions in Strabismus Photographs: Algorithm Development and Validation Study for Workflow Optimization.

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[3]
High-Accuracy Intermittent Strabismus Screening via Wearable Eye-Tracking and AI-Enhanced Ocular Feature Analysis.

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[4]
Integrated visual and text-based analysis of ophthalmology clinical cases using a large language model.

Sci Rep. 2025-2-10

[5]
Automated strabismus detection and classification using deep learning analysis of facial images.

Sci Rep. 2025-1-31

[6]
Integrating artificial intelligence in strabismus management: current research landscape and future directions.

Exp Biol Med (Maywood). 2024-11-25

本文引用的文献

[1]
Early detection of visual impairment in young children using a smartphone-based deep learning system.

Nat Med. 2023-2

[2]
An improved strabismus screening method with combination of meta-learning and image processing under data scarcity.

PLoS One. 2022

[3]
Artificial intelligence and corneal diseases.

Curr Opin Ophthalmol. 2022-9-1

[4]
Automated Mathematical Algorithm for Quantitative Measurement of Strabismus Based on Photographs of Nine Cardinal Gaze Positions.

Biomed Res Int. 2022

[5]
Interventions for intermittent exotropia.

Cochrane Database Syst Rev. 2021-9-13

[6]
A mhealth application for automated detection and diagnosis of strabismus.

Int J Med Inform. 2021-9

[7]
Strabismus and Artificial Intelligence App: Optimizing Diagnostic and Accuracy.

Transl Vis Sci Technol. 2021-6-1

[8]
An artificial intelligence platform for the diagnosis and surgical planning of strabismus using corneal light-reflection photos.

Ann Transl Med. 2021-3

[9]
A smartphone ocular alignment measurement app in school screening for strabismus.

BMC Ophthalmol. 2021-3-25

[10]
Detection of Referable Horizontal Strabismus in Children's Primary Gaze Photographs Using Deep Learning.

Transl Vis Sci Technol. 2021-1

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