Essentials of a Robust Deep Learning System for Diabetic Retinopathy Screening: A Systematic Literature Review.

This systematic review was performed to identify the specifics of an optimal diabetic retinopathy deep learning algorithm, by identifying the best exemplar research studies of the field, whilst highlighting potential barriers to clinical implementation of such an algorithm. Searching five electronic...

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Publicado en:Journal of Ophthalmology pp. 1 - 12
Autores principales: Chu, Aan, Squirrell, David, Phillips, Andelka M., Vaghefi, Ehsan
Formato: research systematic review tables/charts Journal Article
Publicado: Wiley-Blackwell 11/16/2020
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 11/16/2020
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1155/2020/8841927
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        atl: Essentials of a Robust Deep Learning System for Diabetic Retinopathy Screening: A Systematic Literature Review.
      aug:
        au:
          Chu, Aan
          Squirrell, David
          Phillips, Andelka M.
          Vaghefi, Ehsan
        affil: School of Optometry and Vision Science, The University of Auckland, Auckland, New Zealand
      sug:
        subj:
          Deep Learning
          Diabetic Retinopathy Prevention and Control
          Health Screening
          Human
          Systematic Review
          Algorithms
          Embase
          Medline
          PubMed
          Cochrane Library
      ab: This systematic review was performed to identify the specifics of an optimal diabetic retinopathy deep learning algorithm, by identifying the best exemplar research studies of the field, whilst highlighting potential barriers to clinical implementation of such an algorithm. Searching five electronic databases (Embase, MEDLINE, Scopus, PubMed, and the Cochrane Library) returned 747 unique records on 20 December 2019. Predetermined inclusion and exclusion criteria were applied to the search results, resulting in 15 highest-quality publications. A manual search through the reference lists of relevant review articles found from the database search was conducted, yielding no additional records. A validation dataset of the trained deep learning algorithms was used for creating a set of optimal properties for an ideal diabetic retinopathy classification algorithm. Potential limitations to the clinical implementation of such systems were identified as lack of generalizability, limited screening scope, and data sovereignty issues. It is concluded that deep learning algorithms in the context of diabetic retinopathy screening have reported impressive results. Despite this, the potential sources of limitations in such systems must be evaluated carefully. An ideal deep learning algorithm should be clinic-, clinician-, and camera-agnostic; complying with the local regulation for data sovereignty, storage, privacy, and reporting; whilst requiring minimum human input.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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