A Clinician-Friendly Platform for Ophthalmic Image Analysis Without Technical Barriers

Journal: arXiv
Published Date:

Abstract

Artificial intelligence (AI) shows remarkable potential in medical imaging diagnostics, yet most current models require retraining when applied across different clinical settings, limiting their scalability. We introduce GlobeReady, a clinician-friendly AI platform that enables fundus disease diagnosis that operates without retraining, fine-tuning, or the needs for technical expertise. GlobeReady demonstrates high accuracy across imaging modalities: 93.9-98.5% for 11 fundus diseases using color fundus photographs (CPFs) and 87.2-92.7% for 15 fundus diseases using optic coherence tomography (OCT) scans. By leveraging training-free local feature augmentation, GlobeReady platform effectively mitigates domain shifts across centers and populations, achieving accuracies of 88.9-97.4% across five centers on average in China, 86.3-96.9% in Vietnam, and 73.4-91.0% in Singapore, and 90.2-98.9% in the UK. Incorporating a bulit-in confidence-quantifiable diagnostic mechanism further enhances the platform's accuracy to 94.9-99.4% with CFPs and 88.2-96.2% with OCT, while enabling identification of out-of-distribution cases with 86.3% accuracy across 49 common and rare fundus diseases using CFPs, and 90.6% accuracy across 13 diseases using OCT. Clinicians from countries rated GlobeReady highly for usability and clinical relevance (average score 4.6/5). These findings demonstrate GlobeReady's robustness, generalizability and potential to support global ophthalmic care without technical barriers.

Authors

  • Meng Wang
  • Tian Lin
  • Qingshan Hou
  • Aidi Lin
  • Jingcheng Wang
  • Qingsheng Peng
  • Truong X. Nguyen
  • Danqi Fang
  • Ke Zou
  • Ting Xu
  • Cancan Xue
  • Ten Cheer Quek
  • Qinkai Yu
  • Minxin Liu
  • Hui Zhou
  • Zixuan Xiao
  • Guiqin He
  • Huiyu Liang
  • Tingkun Shi
  • Man Chen
  • Linna Liu
  • Yuanyuan Peng
  • Lianyu Wang
  • Qiuming Hu
  • Junhong Chen
  • Zhenhua Zhang
  • Cheng Chen
  • Yitian Zhao
  • Dianbo Liu
  • Jianhua Wu
  • Xinjian Chen
  • Changqing Zhang
  • Triet Thanh Nguyen
  • Yanda Meng
  • Yalin Zheng
  • Yih Chung Tham
  • Carol Y. Cheung
  • Huazhu Fu
  • Haoyu Chen
  • Ching-Yu Cheng