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Enhancing Readability and Detection of Age-Related Macular Degeneration Using Optical Coherence Tomography Imaging:
Ahmad Alenezi1, Hamad Alhamad2, Ajit Brindhaban1
1Radiologic Sciences Department, Kuwait University, Jabriya 31470, Kuwait.
Bioengineering (Basel, Switzerland)
|April 27, 2024
Summary
This study introduces a collective artificial intelligence (AI) model for diagnosing age-related macular degeneration (AMD) from optical coherence tomography (OCT) scans. The ensemble AI model significantly improved diagnostic accuracy compared to individual AI architectures.
Area of Science:
- Ophthalmology
- Medical Imaging
- Artificial Intelligence
Background:
- Artificial intelligence (AI) shows promise in medical diagnosis.
- Optical coherence tomography (OCT) is crucial for analyzing retinal conditions.
- Accurate diagnosis of age-related macular degeneration (AMD) is vital for patient outcomes.
Purpose of the Study:
- To evaluate a collective AI model for diagnosing AMD stages using OCT images.
- To compare the performance of an ensemble AI model against individual AI architectures (ResNet, EfficientNet, Attention).
- To demonstrate the effectiveness of weighted fusion in combining AI model predictions.
Main Methods:
- Utilized the Noor dataset (16,822 OCT images) for training and validation.
- Developed an ensemble AI model employing weighted fusion of predicted probabilities.
- Compared the ensemble model's performance against ResNet, EfficientNet, and Attention models using standard metrics (precision, recall, F1 score, ROC curves).
Main Results:
- The collective AI model achieved superior accuracy (91.88%) in classifying AMD stages compared to individual models.
- Ensemble model performance metrics included 92.54% precision, 92.01% recall, and 92.03% F1 score.
- Refinement of misclassified cases improved the model's accuracy to 97%.
Conclusions:
- Ensemble AI models with trainable weights offer enhanced accuracy for diagnosing retinal conditions like AMD.
- Model fusion is beneficial for complex medical image analysis in ophthalmology.
- AI presents a valuable tool for improving diagnostic capabilities in ophthalmology.

