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A knowledge-enhanced transform-based multimodal classifier for microbial keratitis identification.

Jianfeng Wu1, Zhouhang Yuan2, Zhengqing Fang2

  • 1School of Medicine, Zhejiang University, Hangzhou, Zhejiang Province, 31002, China.

Scientific Reports
|June 2, 2023
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Summary

This study introduces a novel deep learning model for diagnosing bacterial keratitis (BK) and fungal keratitis (FK) using slit-lamp images and treatment texts. The model achieved high accuracy, outperforming benchmarks for improved infectious keratitis diagnosis.

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Area of Science:

  • Ophthalmology
  • Medical Imaging
  • Artificial Intelligence

Background:

  • Microbial keratitis is an urgent eye condition requiring prompt diagnosis to prevent vision loss.
  • Distinguishing between bacterial and fungal keratitis using only images is challenging due to similar visual characteristics.

Purpose of the Study:

  • To develop a deep learning model for differentiating bacterial keratitis (BK) and fungal keratitis (FK).
  • To leverage multimodal data, including slit-lamp images and treatment texts, for enhanced diagnostic accuracy.

Main Methods:

  • A knowledge-enhanced transform-based multimodal classifier was developed.
  • The model utilized 704 slit-lamp images from 352 patients, divided into training, validation, and testing sets.
  • Performance was evaluated using accuracy, specificity, sensitivity, and AUC.

Main Results:

  • The model achieved a top accuracy of 93% in the testing set.
  • Sensitivity was 0.97, specificity was 0.92, and AUC was 0.94, surpassing the benchmark accuracy of 0.86.
  • Diagnostic accuracies for BK ranged from 81-92%, and for FK from 89-97%.

Conclusions:

  • This study presents the first model integrating disease changes and medication interventions for infectious keratitis diagnosis.
  • The developed multimodal classifier demonstrates state-of-the-art performance, outperforming existing benchmark models.