MedPath

Explainable Ocular Fundus Diseases Report Generation System

Recruiting
Conditions
Ophthalmological Disorder
Image, Body
Interventions
Diagnostic Test: Various modalities of ocular fundus imaging
Registration Number
NCT05622565
Lead Sponsor
Sun Yat-sen University
Brief Summary

To establish a deep learning system of various ocular fundus disease analytics based on the results of multimodal examination images. The system can analyze multimodal ocular fundus images, make diagnoses and generate corresponding reports.

Detailed Description

The ocular fundus is the only part of the human body that can directly see the blood vessel microcirculation and nerve tissue. Through various imaging tests, including Color Fundus Photograph (CFP), Optical Coherence Tomography (OCT), Fluorescein Fundus Angiography (FFA) and Indocyanine Green Angiography (ICGA), etc., it is possible to statically overview or dynamically observe the retina and choroid, the condition of blood vessels and nerves, and comprehensive diagnosis of the disease. The screening, interpreting and accurate diagnosis of ocular fundus diseases are crucial for disease prevention, control and precise treatment. However, due to the variety of fundus examination methods, and the complexity and professionalism of the examination, there is a lack of fundus specialists who have sufficient clinical experience and knowledge to interpret fundus examinations. With the continuous development of artificial intelligence (AI) in diagnosing fundus diseases, various modalities of imaging examination methods are gradually applied to the development of fundus disease diagnosis systems. Moreover, medical images often come with corresponding reports, which are mostly generated by clinicians' or radiologists' experience.

Here, we are establishing a fundus disease diagnosis and report-generating system based on cross-modal ocular fundus imaging examinations, and fundus lesions were visualized at the same time. Multi-center data verification will also be conducted. The results of the research will assist in fundus lesions diagnosis and imaging reports generation. We hope this could popularize more complex fundus imaging examination methods to society, and help improve the early diagnosis and treatment of fundus lesions that cause blindness.

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
15000
Inclusion Criteria
  • The quality of multimodal ocular fundus disease examination images and corresponding reports should be clinically acceptable.
Exclusion Criteria
  • Reports with key information missing.
  • Images with severe image resolution reductions, blur or artifacts were excluded from further analysis.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
External Test setVarious modalities of ocular fundus imagingMultimodal ocular fundus images and corresponding reports collected from multi-centers in China and around the world.
Primary Outcome Measures
NameTimeMethod
Area under the receiver operating characteristic curve of the deep learning systemBaseline

The investigators will calculate the area under the receiver operating characteristic curve of the deep learning system and compare this index with human ophthalmologists.

Secondary Outcome Measures
NameTimeMethod
Intersection-Over-Union of the models' explanation accuracyBaseline

The investigators will calculate the Intersection-Over-Union (IOU) (or Jaccard similarity) between the lesion-image attention mapping regions and ground truth regions of the deep learning system.

Sensitivity and Specificity of the deep learning systemBaseline

The investigators will calculate the sensitivity and specificity of the deep learning system.

Trial Locations

Locations (1)

Zhognshan Ophthalmic Center, Sun Yat-sen University

🇨🇳

Guangzhou, Guangdong, China

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