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Artificial intelligence for improving sickle cell retinopathy diagnosis and management
Sophie Cai1, Ian C Han2, Adrienne W Scott3
1Retina Division, Duke Eye Center, Durham, NC, USA.
Eye (London, England)
|May 7, 2021
Summary
Artificial intelligence (AI) combined with retinal imaging offers a promising solution for screening sickle cell retinopathy (SCR). This approach aims to improve early detection and management of SCR, especially in underserved populations.
Area of Science:
- Ophthalmology
- Medical Imaging
- Artificial Intelligence
Background:
- Sickle cell retinopathy (SCR) often progresses asymptomatically, leading to vision loss from complications like vitreous hemorrhages and retinal detachments.
- Current screening methods face challenges in access and adherence, particularly in underserved areas disproportionately affected by sickle cell disease.
- There is a critical need for innovative screening approaches to detect vision-threatening SCR.
Purpose of the Study:
- To review current literature on using artificial intelligence (AI) with multimodal retinal imaging for automated SCR screening.
- To explore future research directions for AI-driven, imaging-based SCR screening.
- To discuss the development of machine learning models for quantitative tracking of SCR progression.
Main Methods:
- Literature review of existing studies on AI and multimodal retinal imaging in SCR screening.
- Analysis of recent advancements in machine learning for disease progression monitoring.
- Discussion of potential AI applications for clinical diagnosis and management.
Main Results:
- AI coupled with multimodal retinal imaging shows potential for automated, accurate screening of SCR.
- Machine learning models are being developed to quantitatively track SCR progression over time.
- AI applications can inform evidence-based and resource-efficient clinical diagnosis and management.
Conclusions:
- AI-powered, imaging-based screening can significantly expand access to early detection of SCR.
- Machine learning offers tools for objective monitoring of SCR, addressing variability in specialist practices.
- These AI applications hold great promise for improving the clinical diagnosis and management of SCR.

