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Accepted for/Published in: JMIR Research Protocols

Date Submitted: Oct 18, 2018
Open Peer Review Period: Oct 25, 2018 - Oct 28, 2018
Date Accepted: Nov 8, 2018
(closed for review but you can still tweet)

The final, peer-reviewed published version of this preprint can be found here:

Artificial Intelligence for the Detection of Diabetic Retinopathy in Primary Care: Protocol for Algorithm Development

Vidal-Alaball J, Royo Fibla D, Zapata MA, Marin-Gomez FX, Solans Fernandez O

Artificial Intelligence for the Detection of Diabetic Retinopathy in Primary Care: Protocol for Algorithm Development

JMIR Res Protoc 2019;8(2):e12539

DOI: 10.2196/12539

PMID: 30707105

PMCID: 6376335

Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.

Artificial Intelligence for the Detection of Diabetic Retinopathy in Primary Care: Protocol for Algorithm Development

  • Josep Vidal-Alaball; 
  • Dídac Royo Fibla; 
  • Miguel A Zapata; 
  • Francesc X Marin-Gomez; 
  • Oscar Solans Fernandez

Background:

Diabetic retinopathy (DR) is one of the most important causes of blindness worldwide, especially in developed countries. In diabetic patients, periodic examination of the back of the eye using a nonmydriatic camera has been widely demonstrated to be an effective system to control and prevent the onset of DR. Convolutional neural networks have been used to detect DR, achieving very high sensitivities and specificities.

Objective:

The objective of this is paper was to develop an artificial intelligence (AI) algorithm for the detection of signs of DR in diabetic patients and to scientifically validate the algorithm to be used as a screening tool in primary care.

Methods:

Under this project, 2 studies will be conducted in a concomitant way: (1) Development of an algorithm with AI to detect signs of DR in patients with diabetes and (2) A prospective study comparing the diagnostic capacity of the AI algorithm with respect to the actual system of family physicians evaluating the images. The standard reference to compare with will be a blinded double reading conducted by retina specialists. For the development of the AI algorithm, different iterations and workouts will be performed on the same set of data. Before starting each new workout, the strategy of dividing the set date into 2 groups will be used randomly. A group with 80% of the images will be used during the training (training dataset), and the remaining 20% images will be used to validate the results (validation dataset) of each cycle (epoch). During the prospective study, true-positive, true-negative, false-positive, and false-negative values will be calculated again. From here, we will obtain the resulting confusion matrix and other indicators to measure the performance of the algorithm.

Results:

Cession of the images began at the end of 2018. The development of the AI algorithm is calculated to last about 3 to 4 months. Inclusion of patients in the cohort will start in early 2019 and is expected to last 3 to 4 months. Preliminary results are expected to be published by the end of 2019.

Conclusions:

The study will allow the development of an algorithm based on AI that can demonstrate an equal or superior performance, and that constitutes a complement or an alternative, to the current screening of DR in diabetic patients.

International Registered Report:

PRR1-10.2196/12539


 Citation

Please cite as:

Vidal-Alaball J, Royo Fibla D, Zapata MA, Marin-Gomez FX, Solans Fernandez O

Artificial Intelligence for the Detection of Diabetic Retinopathy in Primary Care: Protocol for Algorithm Development

JMIR Res Protoc 2019;8(2):e12539

DOI: 10.2196/12539

PMID: 30707105

PMCID: 6376335

Per the author's request the PDF is not available.

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