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Related Experiment Video

Updated: Sep 18, 2025

Author Spotlight: Ex Vivo OCT-Based Multimodal Imaging of Human Donor Eyes for Research into Age-Related Macular Degeneration
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Comparative Analysis of Automated vs. Expert-Designed Machine Learning Models in Age-Related Macular Degeneration

Ceren Durmaz Engin1,2, Ufuk Beşenk3, Denizcan Özizmirliler4

  • 1İzmir Democracy University Buca Seyfi Demirsoy Training and Research Hospital, Clinic of Ophthalmology, İzmir, Türkiye.

Turkish Journal of Ophthalmology
|June 25, 2025
PubMed
Summary

Expert-designed machine learning models significantly outperformed automated machine learning (AutoML) in classifying optical coherence tomography (OCT) images for age-related macular degeneration (AMD) detection, highlighting the need for AI expertise in medical diagnostics.

Keywords:
Age-related macular degenerationAutoMLEfficientNet V2convolutional neural networksoptical coherence tomography

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Area of Science:

  • Ophthalmology
  • Artificial Intelligence
  • Medical Imaging

Background:

  • Age-related macular degeneration (AMD) is a leading cause of vision loss.
  • Accurate classification of AMD from optical coherence tomography (OCT) images is crucial for timely treatment.
  • Machine learning offers potential for automated image analysis.

Purpose of the Study:

  • To compare the diagnostic performance of expert-designed machine learning models versus code-free automated machine learning (AutoML) models.
  • To evaluate the effectiveness in classifying normal OCT images, detecting AMD, and distinguishing between dry and wet AMD forms.

Main Methods:

  • Expert-designed models utilized EfficientNet V2 architecture.
  • AutoML models were developed using LobeAI with ResNet-50 V2 transfer learning.
  • Both models were trained and tested on 500 OCT images per diagnostic group with an 80:20 split.

Main Results:

  • Expert-designed models achieved 99.67% overall accuracy and F1 scores ≥0.99.
  • AutoML models achieved 89.00% overall accuracy and F1 scores ranging from 0.86 to 0.90.
  • AutoML models showed lower recall for identifying dry AMD.

Conclusions:

  • Expert-designed models significantly outperformed AutoML models in AMD classification.
  • The study emphasizes the necessity of expert involvement for high-precision medical image analysis.
  • Advanced architectures and optimization by AI experts yield superior diagnostic tools.