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Radiomics in ophthalmology: a systematic review
Haiyang Zhang1,2, Huijie Zhang1,2, Mengda Jiang3
1Department of Ophthalmology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Radiomics shows promise in ophthalmology for diagnosing and screening eye diseases. However, most current studies are retrospective, highlighting the need for more robust, multi-center research to improve clinical application.
Area of Science:
- Ophthalmic imaging analysis
- Radiomics in medicine
- Artificial intelligence in healthcare
Background:
- Radiomics offers significant potential for analyzing medical images in various ophthalmic diseases.
- This systematic review comprehensively assesses the strengths and limitations of radiomics applications in ophthalmology.
Approach:
- Systematic review adhering to PRISMA guidelines, with a pre-registered protocol (PROSPERO).
- Searched PubMed, Embase, and Cochrane databases for original studies.
- Included studies underwent quality assessment using the radiomics quality score (RQS).
Key Points:
- 41 articles were selected, covering five ophthalmic disease categories and seven imaging modalities.
- Radiomics models demonstrated strong performance with AUC values mostly between 0.7-1.0.
- Moderate RQS scores indicate a prevalence of retrospective, single-center studies lacking external validation.
Conclusions:
- Radiomics is a valuable tool for generating novel imaging biomarkers in ophthalmology.
- It enhances diagnostic efficiency, aids in early screening, and predicts treatment response, improving patient outcomes.
- Future research should focus on prospective, multi-center studies to enhance the quality and generalizability of radiomics findings.
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