Review of Visualization Approaches in Deep Learning Models of Glaucoma.

Journal: Asia-Pacific journal of ophthalmology (Philadelphia, Pa.)
Published Date:

Abstract

Glaucoma is a major cause of irreversible blindness worldwide. As glaucoma often presents without symptoms, early detection and intervention are important in delaying progression. Deep learning (DL) has emerged as a rapidly advancing tool to help achieve these objectives. In this narrative review, data types and visualization approaches for presenting model predictions, including models based on tabular data, functional data, and/or structural data, are summarized, and the importance of data source diversity for improving the utility and generalizability of DL models is explored. Examples of innovative approaches to understanding predictions of artificial intelligence (AI) models and alignment with clinicians are provided. In addition, methods to enhance the interpretability of clinical features from tabular data used to train AI models are investigated. Examples of published DL models that include interfaces to facilitate end-user engagement and minimize cognitive and time burdens are highlighted. The stages of integrating AI models into existing clinical workflows are reviewed, and challenges are discussed. Reviewing these approaches may help inform the generation of user-friendly interfaces that are successfully integrated into clinical information systems. This review details key principles regarding visualization approaches in DL models of glaucoma. The articles reviewed here focused on usability, explainability, and promotion of clinician trust to encourage wider adoption for clinical use. These studies demonstrate important progress in addressing visualization and explainability issues required for successful real-world implementation of DL models in glaucoma.

Authors

  • Byoungyoung Gu
    Division of Ophthalmology Informatics and Data Science and Hamilton Glaucoma Center, Viterbi Family Department of Ophthalmology and Shiley Eye Institute, University of California San Diego, La Jolla, CA, US.
  • Sophia Sidhu
    Division of Ophthalmology Informatics and Data Science and Hamilton Glaucoma Center, Viterbi Family Department of Ophthalmology and Shiley Eye Institute, University of California San Diego, La Jolla, CA, US.
  • Robert N Weinreb
    Hamilton Glaucoma Center, Viterbi Family Department of Ophthalmology and Shiley Eye Institute, University of California, San Diego, La Jolla, California.
  • Mark Christopher
    Department of Ophthalmology, Hamilton Glaucoma Center, Shiley Eye Institute, University of California San Diego, La Jolla, California, United States.
  • Linda M Zangwill
    Hamilton Glaucoma Center, Viterbi Family Department of Ophthalmology and Shiley Eye Institute, University of California, San Diego, La Jolla, California.
  • Sally L Baxter
    Viterbi Family Department of Ophthalmology, University of California, San Diego, La Jolla.