Purpose To establish and validate a universal artificial intelligence (AI) platform for collaborative management of cataracts involving multilevel clinical scenarios and explored an AI-based medical referral pattern to improve collaborative efficiency and resource coverage. Methods The training and validation datasets were derived from the Chinese Medical Alliance for Artificial Intelligence, covering multilevel healthcare facilities and capture modes. The datasets were labelled using a three-step strategy: (1) capture mode recognition; (2) cataract diagnosis as a normal lens, cataract or a postoperative eye and (3) detection of referable cataracts with respect to aetiology and severity. Moreover, we integrated the cataract AI agent with a real-world multilevel referral pattern involving self-monitoring at home, primary healthcare and specialised hospital services. Results The universal AI platform and multilevel collaborative pattern showed robust diagnostic performance in three-step tasks: (1) capture mode recognition (area under the curve (AUC) 99.28%–99.71%), (2) cataract diagnosis (normal lens, cataract or postoperative eye with AUCs of 99.82%, 99.96% and 99.93% for mydriatic-slit lamp mode and AUCs >99% for other capture modes) and (3) detection of referable cataracts (AUCs >91% in all tests). In the real-world tertiary referral pattern, the agent suggested 30.3% of people be ‘referred’, substantially increasing the ophthalmologist-to-population service ratio by 10.2-fold compared with the traditional pattern. Conclusions The universal AI platform and multilevel collaborative pattern showed robust diagnostic performance and effective service for cataracts. The context of our AI-based medical referral pattern will be extended to other common disease conditions and resource-intensive situations.
Universal artificial intelligence platform for collaborative management of cataracts
Xiaohang Wu,Yelin Huang,Zhenzhen Liu,Weiyi Lai,Erping Long,Kai Zhang,Jiewei Jiang,Duoru Lin,Kexin Chen,Tongyong Yu,Dongxuan Wu,Cong Li,Yanyi Chen,Minjie Zou,Chuan Chen,Yi Zhu,Chong Guo,Xiayin Zhang,Ruixin Wang,Yahan Yang,Yifan Xiang,Lijian Chen,Congxin Liu,J. Xiong,Z. Ge,Ding-ding Wang,Guihua Xu,Shao-lin Du,Chi Xiao,Ke Zhu,Dan-yao Nie,Fan Xu,Jian Lv,Weirong Chen,Yizhi Liu,Haotian Lin
Published 2019 in British Journal of Ophthalmology
ABSTRACT
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- Publication year
2019
- Venue
British Journal of Ophthalmology
- Publication date
2019-09-02
- Fields of study
Medicine, Computer Science
- Identifiers
- External record
- Source metadata
Semantic Scholar, PubMed
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