Generative artificial intelligence in ophthalmology.

Journal: Survey of ophthalmology
Published Date:

Abstract

Generative artificial intelligence (AI) has revolutionized medicine over the past several years. A generative adversarial network (GAN) is a deep learning framework that has become a powerful technique in medicine, particularly in ophthalmology for image analysis. In this paper we review the current ophthalmic literature involving GANs, and highlight key contributions in the field. We briefly touch on ChatGPT, another application of generative AI, and its potential in ophthalmology. We also explore the potential uses for GANs in ocular imaging, with a specific emphasis on 3 primary domains: image enhancement, disease identification, and generating of synthetic data. PubMed, Ovid MEDLINE, Google Scholar were searched from inception to October 30, 2022, to identify applications of GAN in ophthalmology. A total of 40 papers were included in this review. We cover various applications of GANs in ophthalmic-related imaging including optical coherence tomography, orbital magnetic resonance imaging, fundus photography, and ultrasound; however, we also highlight several challenges that resulted in the generation of inaccurate and atypical results during certain iterations. Finally, we examine future directions and considerations for generative AI in ophthalmology.

Authors

  • Ethan Waisberg
    University College Dublin School of Medicine, Belfield, Dublin, Ireland. Electronic address: ethan.waisberg@ucdconnect.ie.
  • Joshua Ong
  • Sharif Amit Kamran
    Department of Computer Science and Engineering, University of Nevada School of Medicine, Reno, NV 89557, USA.
  • Mouayad Masalkhi
    University College Dublin School of Medicine, Belfield, Dublin 4, Ireland.
  • Phani Paladugu
    Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, USA.
  • Nasif Zaman
    Human-Machine Perception Laboratory, Department of Computer Science and Engineering, University of Nevada, Reno, Reno, Nevada, United States.
  • Andrew G Lee
    Center for Space Medicine, Baylor College of Medicine, Houston, Texas, United States; Department of Ophthalmology, Blanton Eye Institute, Houston Methodist Hospital, Houston, Texas, United States; The Houston Methodist Research Institute, Houston Methodist Hospital, Houston, Texas, United States; Departments of Ophthalmology, Neurology, and Neurosurgery, Weill Cornell Medicine, New York, New York, United States; Department of Ophthalmology, University of Texas Medical Branch, Galveston, Texas, United States; University of Texas MD Anderson Cancer Center, Houston, Texas, United States; Texas A&M College of Medicine, Texas, United States; Department of Ophthalmology, The University of Iowa Hospitals and Clinics, Iowa City, Iowa, United States.
  • Alireza Tavakkoli
    Department of Computer Science and Engineering, University of Nevada School of Medicine, Reno, NV 89557, USA.