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In the future, an AI may diagnose eye problems

Author: Maria Temming / Source: Science News

eye diagram
AI, M.D. New AI programs coming down the pipeline can examine eye images to diagnose blinding diseases and potentially other health problems.

The computer will see you now.

Artificial intelligence algorithms may soon bring the diagnostic know-how of an eye doctor to primary care offices and walk-in clinics, speeding up the detection of health problems and the start of treatment, especially in areas where specialized doctors are scarce.

The first such program — trained to spot symptoms of diabetes-related vision loss in eye images — is pending approval by the U.S. Food and Drug Administration.

While other already approved AI programs help doctors examine medical images, there’s “not a specialist looking over the shoulder of [this] algorithm,” says Michael Abràmoff, who founded and heads a company that developed the system under FDA review, dubbed IDx-DR. “It makes the clinical decision on its own.”

IDx-DR and similar AI programs, which are learning to predict everything from age-related sight loss to heart problems just by looking at eye images, don’t follow preprogrammed guidelines for how to diagnose a disease. They’re machine-learning algorithms that researchers teach to recognize symptoms of a particular condition, using example images labeled with whether or not that patient had that condition.

A new algorithm examines retinal fundus images of eyes (left) to predict cardiovascular health. A green heat map overlaid on one of these images (right) highlights the areas of the image — most notably the blood vessels — that factor most heavily into the algorithm’s prediction about that patient’s blood pressure. Higher blood pressure can put a patient at risk of heart arrhythmias or heart attack.

R. Poplin et al/Nature Biomedical Engineering 2018

IDx-DR studied over 1 million eye images to learn how to recognize symptoms of diabetic retinopathy, a condition that develops when high blood sugar damages retinal blood vessels (SN Online: 6/29/10). Between 12,000 and 24,000 people in the United States…

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