Imaging and artificial intelligence for progression of age-related macular degeneration

Exp Biol Med (Maywood). 2021 Oct;246(20):2159-2169. doi: 10.1177/15353702211031547. Epub 2021 Aug 18.

Abstract

Age-related macular degeneration (AMD) is a leading cause of severe vision loss. With our aging population, it may affect 288 million people globally by the year 2040. AMD progresses from an early and intermediate dry form to an advanced one, which manifests as choroidal neovascularization and geographic atrophy. Conversion to AMD-related exudation is known as progression to neovascular AMD, and presence of geographic atrophy is known as progression to advanced dry AMD. AMD progression predictions could enable timely monitoring, earlier detection and treatment, improving vision outcomes. Machine learning approaches, a subset of artificial intelligence applications, applied on imaging data are showing promising results in predicting progression. Extracted biomarkers, specifically from optical coherence tomography scans, are informative in predicting progression events. The purpose of this mini review is to provide an overview about current machine learning applications in artificial intelligence for predicting AMD progression, and describe the various methods, data-input types, and imaging modalities used to identify high-risk patients. With advances in computational capabilities, artificial intelligence applications are likely to transform patient care and management in AMD. External validation studies that improve generalizability to populations and devices, as well as evaluating systems in real-world clinical settings are needed to improve the clinical translations of artificial intelligence AMD applications.

Keywords: Artificial intelligence; age-related macular degeneration; deep learning; disease progression; imaging modalities; machine learning.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Aging / physiology
  • Algorithms
  • Biomarkers / analysis
  • Computational Biology / methods
  • Deep Learning*
  • Disease Progression
  • Female
  • Humans
  • Macular Degeneration / diagnosis*
  • Macular Degeneration / diagnostic imaging*
  • Macular Degeneration / pathology
  • Prognosis
  • Retinal Vessels / diagnostic imaging
  • Tomography, Optical Coherence / methods*
  • Visual Acuity / physiology

Substances

  • Biomarkers