Chatzimichail Eleftherios, Feltgen Nicolas, Motta Lorenzo, Empeslidis Theo, Konstas Anastasios G, Gatzioufas Zisis, Panos Georgios D
Department of Ophthalmology, University Hospital of Basel, Basel, Switzerland.
Department of Ophthalmology, School of Medicine, University of Padova, Padua, Italy.
Front Med (Lausanne). 2024 Jul 15;11:1434241. doi: 10.3389/fmed.2024.1434241. eCollection 2024.
Over the past decade, artificial intelligence (AI) and its subfields, deep learning and machine learning, have become integral parts of ophthalmology, particularly in the field of ophthalmic imaging. A diverse array of algorithms has emerged to facilitate the automated diagnosis of numerous medical and surgical retinal conditions. The development of these algorithms necessitates extensive training using large datasets of retinal images. This approach has demonstrated a promising impact, especially in increasing accuracy of diagnosis for unspecialized clinicians for various diseases and in the area of telemedicine, where access to ophthalmological care is restricted. In parallel, robotic technology has made significant inroads into the medical field, including ophthalmology. The vast majority of research in the field of robotic surgery has been focused on anterior segment and vitreoretinal surgery. These systems offer potential improvements in accuracy and address issues such as hand tremors. However, widespread adoption faces hurdles, including the substantial costs associated with these systems and the steep learning curve for surgeons. These challenges currently constrain the broader implementation of robotic surgical systems in ophthalmology. This mini review discusses the current research and challenges, underscoring the limited yet growing implementation of AI and robotic systems in the field of retinal conditions.
在过去十年中,人工智能(AI)及其子领域深度学习和机器学习已成为眼科不可或缺的一部分,尤其是在眼科成像领域。各种各样的算法应运而生,以促进对众多视网膜内科和外科疾病的自动诊断。这些算法的开发需要使用大量视网膜图像数据集进行广泛训练。这种方法已显示出可观的影响,特别是在提高非专科临床医生对各种疾病的诊断准确性方面,以及在远程医疗领域(在该领域,获得眼科护理受到限制)。与此同时,机器人技术已大举进入包括眼科在内的医疗领域。机器人手术领域的绝大多数研究都集中在前节手术和玻璃体视网膜手术。这些系统有望提高手术准确性,并解决诸如手部震颤等问题。然而,广泛应用面临障碍,包括与这些系统相关的高昂成本以及外科医生陡峭的学习曲线。这些挑战目前限制了机器人手术系统在眼科的更广泛应用。本综述讨论了当前的研究和挑战,强调了人工智能和机器人系统在视网膜疾病领域应用有限但不断增长的情况。