Abstract
Purpose :
Artificial intelligence (AI) and machine learning (ML) have been explored in the realm of diagnostics utilizing an array of ophthalmic imaging including fundus photography and optical coherence tomography. We investigated the utility of AI/ML in the diagnosis of health conditions by developing deep learning models to train on external eye photographs taken using a smartphone camera.
Methods :
A dataset of over 25,000 external eye images and corresponding clinical data points collected in various locations throughout India was utilized. The images and clinical data were used in the training and testing of deep learning models for the classification of gender and detection of systemic diseases including hypertension, diabetes, and COVID-19. External eye images were captured via smartphone camera by trained technicians. The collection of data complied with relevant research ethics regulations. Explainability techniques, including saliency maps, were employed in an effort to provide insight on the deep learning models.
Results :
The developed ML models had an 81.0% accuracy (75.0% sensitivity, 84.7% specificity) in classifying gender and an 80.2% accuracy (47.4% sensitivity, 84.0% specificity) in detecting hypertension. Models showed a 92.0% accuracy (18.7% sensitivity, 96.3% specificity) in detecting diabetes and 83.3% accuracy (52.9% sensitivity, 85.5% specificity) in detecting COVID-19. Explainability analysis demonstrated that the developed ML models made classifications based on relevant regions of external ocular anatomy.
Conclusions :
Deep learning models were developed for the diagnosis of health conditions using external eye images taken by a smartphone camera, exhibiting moderate accuracy. Our findings represent a novel diagnostic approach with the potential for development into a remote and highly-accessible diagnostic screening alternative for healthcare professionals and patients.
This abstract was presented at the 2024 ARVO Annual Meeting, held in Seattle, WA, May 5-9, 2024.