Application of Artificial Intelligence in the Early Detection of Retinopathy of Prematurity: Review of the Literature

Neonatology. 2023;120(5):558-565. doi: 10.1159/000531441. Epub 2023 Jul 25.

Abstract

Retinopathy of prematurity (ROP) is a potentially blinding disease in premature neonates that requires a skilled workforce for diagnosis, monitoring, and treatment. Artificial intelligence is a valuable tool that clinicians employ to reduce the screening burden on ophthalmologists and neonatologists and improve the detection of treatment-requiring ROP. Neural networks such as convolutional neural networks and deep learning (DL) systems are used to calculate a vascular severity score (VSS), an important component of various risk models. These DL systems have been validated in various studies, which are reviewed here. Most importantly, we discuss a promising study that validated a DL system that could predict the development of ROP despite a lack of clinical evidence of disease on the first retinal examination. Additionally, there is promise in utilizing these systems through telemedicine in more rural and resource-limited areas. This review highlights the value of these DL systems in early ROP diagnosis.

Keywords: Artificial intelligence; Retinopathy of prematurity.

Publication types

  • Review

MeSH terms

  • Artificial Intelligence*
  • Humans
  • Infant, Newborn
  • Infant, Premature
  • Retinopathy of Prematurity* / diagnosis