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.

Scientific Reports
|February 4, 2026
PubMed

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.

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