人工智能和青光眼:机遇与挑战

摘要

人工智能(AI)的技术进步引领了许多领域的创新与革命.AI辅助下的医学影像判读与诊断取得了实质性的进步,其诊断准确性在一些疾病领域已媲美人类专家.青光眼是目前世界上首位不可逆致盲眼病,早诊早治将极大地提高患者的视力预后.然而,青光眼早期诊断十分困难,需要综合考虑眼压、眼底C/D形态、视野、光相干断层扫描(OCT)视网膜神经纤维层改变等多个因素,因此,研发AI诊疗青光眼,比其他眼科疾病具有更大的挑战和困难.储集大量具有准确标签的各种检查结果和资料、训练计算机将多模态检查结果综合考虑、开发AI算法,研发出可进行智能诊断青光眼的软件平台,必将带来巨大的社会经济效益,并对临床青光眼的诊疗带来革命性的影响.%Advances in artificial intelligence (AI) have led to innovation and revolution in many different research fields.AI-assisted diagnostic reading of medical images has achieved substantial progress,whose accuracy has been close to human experts.Glaucoma is the leading reason for irreversible blindness in the world.Early diagnosis and treatment of glaucoma would remarkably improve prognosis.However,early diagnosis of glaucoma is difficult because it depends on comprehensive assessment of intraocular pressure,visual field,changes of retinal nerve fiber layer,etc.Thus,development of AI which could assist diagnosis of glaucoma is faced with great challenges and difficulties.In the future,invention of AI-assisted diagnostic platform of glaucoma based on accumulation of labeled clinical data and training computers to read multimodule test results will create huge social economic benefit and revolutionize diagnosis of glaucoma.