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Automated diagnosis of plus form and early stages of ROP using deep learning models
Mahdi Vahidmoghadam1, Parisa Ghorbani1, Mohammad Javad Ahmadi1
1Applied Robotics and AI Solutions (ARAS), Faculties of Electrical and Computer Engineering, K.N. Toosi University of Technology, Tehran, Iran.
Insights
An automated system accurately detects Plus disease and Retinopathy of Prematurity (ROP) stages in premature infants. This AI tool aids in early diagnosis, potentially preventing vision loss in vulnerable newborns.
Area of Science:
- Ophthalmology
- Medical Imaging
- Artificial Intelligence
Background:
- Retinopathy of Prematurity (ROP) is a significant cause of vision loss in premature infants.
- Lower birth weight (BW) and gestational age (GA) are associated with increased ROP severity.
- Early detection and intervention are crucial for managing ROP and preventing irreversible vision impairment.
Purpose of the Study:
- To develop and evaluate an automated diagnostic system for classifying Plus disease and ROP stages.
- To assess the system's accuracy in identifying abnormal retinal vascularity and disease progression.
- To explore the potential of AI in supporting clinical screening for ROP.
Main Methods:
- Utilized a curated dataset of retinal fundus images.
- Developed a model for binary classification of Plus disease (Plus/Normal).
- Implemented a model for multi-class classification of ROP stages (Stage 0-3).
Main Results:
- Achieved high diagnostic accuracy: 0.996 for Plus disease detection.
- Demonstrated strong performance in ROP stage classification with 0.98 accuracy.
- The model shows significant potential for automated ROP screening.
Conclusions:
- The automated system shows high accuracy in classifying Plus disease and ROP stages.
- This AI-driven approach may enhance early diagnosis and timely intervention for ROP.
- Further multi-center validation is recommended to confirm clinical utility in reducing vision impairment in preterm infants.
Abstract:
Retinopathy of Prematurity (ROP) represents a critical ophthalmological pathology affecting premature infants, with established associations to low birth weight (BW) and early gestational age (GA). Elevated risk of severe ROP, which can result in irreversible vision loss, is observed in infants exhibiting lower BW and GA. This research investigates the development of an automated diagnostic system designed to classify Plus disease, a marker of abnormal retinal vascularity, and ROP staging, a determinant of disease progression. Specifically, the model facilitates binary classification of Plus disease (Plus/Normal) and multi-class classification of ROP stage (Stage 0, 1, 2, 3) using a meticulously curated dataset of retinal fundus images. The proposed model demonstrates high diagnostic accuracy, achieving 0.996 for Plus disease detection and 0.98 for ROP stage classification. These results suggest potential clinical utility for automated ROP screening methodologies in supporting timely diagnosis and intervention in similar settings, pending multi-center validation, which could help reduce the incidence of vision impairment in preterm populations.
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