A human-in-the-loop deep learning paradigm for synergic visual evaluation in children.

Journal: Neural networks : the official journal of the International Neural Network Society
Published Date:

Abstract

Visual development during early childhood is a vital process. Examining the visual acuity of children is essential for early detection of visual abnormalities, but performing visual examination in children is challenging. Here, we developed a human-in-the-loop deep learning (DL) paradigm that combines traditional vision examination and DL with integration of software and hardware, thus facilitating the execution of vision examinations, offsetting the shortcomings of human doctors, and improving the abilities of both DL and doctors to evaluate the vision of children. Because this paradigm contains two rounds (a human round and DL round), doctors can learn from DL and the two can mutually supervise each other such that the precision of the DL system in evaluating the visual acuity of children is improved. Based on DL-based object localization and image identification, the experiences of doctors and the videos captured in the first round, the DL system in the second round can simulate doctors in evaluating the visual acuity of children with a final accuracy of 75.54%. For comparison, we also assessed an automatic deep learning method that did not consider the experiences of doctors, but its performance was not satisfactory. This entire paradigm can evaluate the visual acuity of children more accurately than humans alone. Furthermore, the paradigm facilitates automatic evaluation of the vision of children with a wearable device.

Authors

  • Kai Zhang
    Anhui Province Key Laboratory of Respiratory Tumor and Infectious Disease, First Affiliated Hospital of Bengbu Medical University, Bengbu, China.
  • Xiaoyan Li
    Shulan International Medical College, Zhejiang Shuren University, Hangzhou, Zhejiang, China.
  • Lin He
    College of Plant Protection, Southwest University, Chongqing, China.
  • Chong Guo
    State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, China.
  • Yahan Yang
    University of Pennsylvania, Philadelphia, PA.
  • Zhou Dong
    School of Computer Science, Northwestern Polytechnical University, Xi'an 710072, China.
  • Haoqing Yang
    3School of Computer Science and Technology, Xidian University, Xi'an, Shanxi China.
  • Yi Zhu
    2State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, Guangdong China.
  • Chuan Chen
    Information Security Center, State Key Laboratory of Networking and Switching Technology, Beijing University of Posts and Telecommunications, Beijing 100876, China.
  • Xiaojing Zhou
    School of Computer Science, Northwestern Polytechnical University, Xi'an 710072, China.
  • Wangting Li
    State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Xian Lie South Road 54#, Guangzhou, 510060, China.
  • Zhenzhen Liu
    Department of Functional Science, School of Medicine, Yangtze University, No.1 Nanhuan Road, Jingzhou City 434100, China.
  • Xiaohang Wu
    State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Xian Lie South Road 54#, Guangzhou, 510060, China.
  • Xiyang Liu
    School of Computer Science and Technology, Xidian University, No. 2 South Taibai Rd, Xi'an, 710071, China. xyliu@xidian.edu.cn.
  • Haotian Lin
    State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou.