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Glaucoma is one of the leading causes of irreversible blindness for many people around the world. Glaucoma is an umbrella term that refers to a group of eye diseases that damage the connection between the eye and the optic nerve in the brain, which in severe cases can lead to vision loss. According to a systematic review and in-depth analysis of the global causes of blindness and long-sightedness disorders by the Brian Holton Vision Institute, glaucoma has become the second leading cause of blindness in the world
In 2020, an estimated 76 million people worldwide are suffering from glaucoma. This number is expected to increase to 111.8 million in 2040. The increased prevalence of glaucoma will have a significant economic impact on the health care system and individual patients. Unfortunately, traditional glaucoma diagnosis and detection techniques have significant limitations in clinical practice. However, the use of artificial intelligence (AI) and deep learning (DL) algorithms in healthcare is expected to improve glaucoma diagnosis and screening
The research team of Nanjing Medical University in China explained and illustrated in detail the process of using artificial intelligence and deep learning-based algorithms to diagnose eye diseases in a recently published article
Flowchart describing the process of building and evaluating deep learning models.
Generally speaking, using AI technology to diagnose glaucoma requires careful processing of a variety of data, including optic disc photos, visual field and intraocular pressure. The algorithm eliminates noise, artifacts and irrelevant information to ensure accurate and reliable results, while training the model to learn the unique characteristics and patterns associated with glaucoma. It is rigorously tested during the validation phase to ensure its effectiveness. Once successful, the entire protocol will be further evaluated in subsequent tests to explore the feasibility of practical application in clinical diagnosis.
If this algorithm can eventually be used in clinical practice, future clinicians will collect indicators such as patients' optic disc photos, visual fields, and intraocular pressure readings, and use the algorithm to diagnose glaucoma lesions after preprocessing
An important role of deep learning in glaucoma diagnosis is to screen and distinguish eyes suffering from glaucoma from healthy eyes. A deep learning model trained using fundus photographs can identify fundus lesions consistent with glaucoma, including retinal nerve fiber layer abnormalities. This will help diagnose glaucoma earlier and reduce the risk of visual impairment.
In addition, optical coherence tomography (OCT) data can be used to train deep learning algorithms to detect and track the development of microstructural changes caused by glaucoma over time. Experiments have shown that streaming learning algorithms are more accurate than manual or automated segmentation methods in identifying glaucoma symptoms early, according to research from North Carolina's Wake Forest School of Medicine
A research team in Sydney, Australia It was also found in the study that deep learning technology can detect glaucoma lesions from fundus image areas other than the optic nerve head (ONH). In other words, deep learning has broad prospects for widespread clinical application in computer-assisted glaucoma screening and diagnosis. The technology also provides a comprehensive assessment of the retina, helping clinicians detect various early signs of glaucoma that may otherwise go unnoticed.
Duke Eye Center at Duke University reviews the advantages of using sophisticated deep learning algorithms for glaucoma diagnosis . They found that these algorithms can diagnose diseases far faster than traditional methods, greatly improving efficiency and speeding up treatment. In addition, these algorithms are more accurate than traditional methods, enabling early detection and intervention to effectively prevent the progression of the disease. All of this will improve patient outcomes and reduce the associated medical costs arising from subsequent treatments. Deep learning algorithms have great potential to expand the coverage of medical services, especially for those living in remote areas. For people who don’t have access to an ophthalmologist. These algorithms can help these patients obtain timely and accurate diagnostic services, improve diagnosis and treatment results, and narrow the gap in medical care. In other words, these algorithms will make eye care more equitable for people around the world
In addition, healthcare professionals can also use deep learning algorithms to maximize control over diagnostic fluctuations and provide more reliable and accurate assessment results. This helps increase confidence in the accuracy of medical diagnoses while improving patient care outcomes.
Although good results have been achieved in experiments, there are challenges when using deep learning algorithms to detect glaucoma in clinical practice. , also faces a series of practical challenges that need to be solved
After rewriting: One of the main core challenges is standardizing the data sets used for algorithm training. Since there are often huge differences in data collection techniques and formats used by different research institutions and medical institutions, it is necessary to establish a standardized data set specifically for training glaucoma diagnostic algorithms
For issues other than data standardization, another The big challenge is ensuring that healthcare providers can easily adopt these algorithms. Despite the great potential for glaucoma detection, the algorithms themselves are often complex to deploy and use and are not suitable for all healthcare professionals, especially those in remote or underserved areas. Therefore, user-friendly interfaces and tools must be developed to ensure that healthcare providers from different backgrounds and locations can effectively use deep learning algorithms to successfully detect target audiences with glaucoma
Glaucoma is an important disease causing blindness and disability worldwide. Its prevalence will further increase in the coming years, with a major impact on the healthcare system and individual patients. Correspondingly, the development and popularization of AI and deep learning algorithms in the medical care field is expected to greatly improve the diagnostic efficiency and detection accuracy of glaucoma. These algorithms can provide faster and more reliable diagnostic conclusions, improve access to diagnostic and treatment resources for underserved populations, and reduce large fluctuations in diagnostic results.
Before deep learning algorithms can be widely used in clinical glaucoma detection, we first need to solve a series of real-world challenges. One of the challenges is focusing on data standardization, and another is improving the accessibility of services. As long as we can properly address these challenges, we are expected to apply deep learning algorithms extensively and accurately in clinical practice, paving the way for early detection and treatment of glaucoma
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