- Department of Ophthalmology, Nanjing University of Traditional Chinese Medicine, Nanjing 210029, China;
Diabetic retinopathy (DR) is a major cause of visual impairment among working-age populations. In recent years, artificial intelligence (AI) has demonstrated significant application value in DR diagnosis, leveraging core advantages such as high efficiency and low error rates. Currently, the technical system of AI in DR image diagnosis mainly includes links like image preprocessing, feature extraction, diverse algorithmic models, and dataset construction. In practical applications, AI models can achieve automated screening and grading diagnosis of DR images, enhance diagnostic efficiency by integrating multimodal technologies, and have been successfully applied to mobile devices; meanwhile, the development of explainable AI has further boosted the credibility of AI models. Currently, this field still faces challenges, including insufficient data quality and scale, limited model interpretability, inadequate clinical validation, ethical and privacy risks, and a lack of unified technical standards. In the future, with continuous technological breakthroughs and the establishment of standardized evaluation systems, the reliability and accessibility of AI in DR diagnosis will be further enhanced.
Copyright ? the editorial department of Chinese Journal of Ocular Fundus Diseases of West China Medical Publisher. All rights reserved
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- 4. Xu Y, Wang Y, Liu B, et al. The diagnostic accuracy of an intelligent and automated fundus disease image assessment system with lesion quantitative function (SmartEye) in diabetic patients[J/OL]. BMC Ophthalmol, 2019, 19(1): 184[2019-08-14]. https://pubmed.ncbi.nlm.nih.gov/31412800/. DOI: 10.1186/s12886-019-1196-9.
- 5. Van Craenendonck T, Elen B, Gerrits N, et al. Systematic comparison of heatmapping techniques in deep learning in the context of diabetic retinopathy lesion detection[J/OL]. Transl Vis Sci Technol, 2020, 9(2): 64[2020-12-29]. https://pubmed.ncbi.nlm.nih.gov/33403156/. DOI: 10.1167/tvst.9.2.64.
- 6. 《人工智能在OCTA圖像分析和眼部疾病診斷中的應用指南2024》專家組, 國際轉化醫學會眼科專業委員會, 中國醫藥教育協會眼科影像與智能醫療分會, 等. 人工智能在OCTA圖像分析和眼部疾病診斷中的應用指南(2024)[J]. 眼科新進展, 2024, 44(5): 337-345. DOI: 10.13389/j.cnki.rao.2024.0066.The expert group of "Guidelines for the Application of Artificial Intelligence in OCTA Image Analysis and Ocular Disease Diagnosis 2024", the Ophthalmology Professional Committee of the International Translational Medicine Society, the Ophthalmology Imaging and Intelligent Healthcare Branch of the China Medical Education Association, et al. Guidelines for the application of artificial intelligence in optical coherence tomography angiography image analysis and ocular disease diagnosis(2024)[J]. Rec Adv Ophthalmol, 2024, 44(5): 337-345. DOI: 10.13389/j.cnki.rao.2024.0066.
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