Automatic Diagnosis of Infectious Keratitis Based on Slit Lamp Images Analysis

Infectious keratitis (IK) is a common ophthalmic emergency that requires prompt and accurate treatment. This study aimed to propose a deep learning (DL) system based on slit lamp images to automatically screen and diagnose infectious keratitis. This study established a dataset of 2757 slit lamp imag...

Full description

Bibliographic Details
Main Authors: Shaodan Hu, Yiming Sun, Jinhao Li, Peifang Xu, Mingyu Xu, Yifan Zhou, Yaqi Wang, Shuai Wang, Juan Ye
Format: Article
Language:English
Published: MDPI AG 2023-03-01
Series:Journal of Personalized Medicine
Subjects:
Online Access:https://www.mdpi.com/2075-4426/13/3/519
_version_ 1797610775147184128
author Shaodan Hu
Yiming Sun
Jinhao Li
Peifang Xu
Mingyu Xu
Yifan Zhou
Yaqi Wang
Shuai Wang
Juan Ye
author_facet Shaodan Hu
Yiming Sun
Jinhao Li
Peifang Xu
Mingyu Xu
Yifan Zhou
Yaqi Wang
Shuai Wang
Juan Ye
author_sort Shaodan Hu
collection DOAJ
description Infectious keratitis (IK) is a common ophthalmic emergency that requires prompt and accurate treatment. This study aimed to propose a deep learning (DL) system based on slit lamp images to automatically screen and diagnose infectious keratitis. This study established a dataset of 2757 slit lamp images from 744 patients, including normal cornea, viral keratitis (VK), fungal keratitis (FK), and bacterial keratitis (BK). Six different DL algorithms were developed and evaluated for the classification of infectious keratitis. Among all the models, the EffecientNetV2-M showed the best classification ability, with an accuracy of 0.735, a recall of 0.680, and a specificity of 0.904, which was also superior to two ophthalmologists. The area under the receiver operating characteristics curve (AUC) of the EffecientNetV2-M was 0.85; correspondingly, 1.00 for normal cornea, 0.87 for VK, 0.87 for FK, and 0.64 for BK. The findings suggested that the proposed DL system could perform well in the classification of normal corneas and different types of infectious keratitis, based on slit lamp images. This study proves the potential of the DL model to help ophthalmologists to identify infectious keratitis and improve the accuracy and efficiency of diagnosis.
first_indexed 2024-03-11T06:18:53Z
format Article
id doaj.art-1ae8be3262534670a36e5fbe46fd363e
institution Directory Open Access Journal
issn 2075-4426
language English
last_indexed 2024-03-11T06:18:53Z
publishDate 2023-03-01
publisher MDPI AG
record_format Article
series Journal of Personalized Medicine
spelling doaj.art-1ae8be3262534670a36e5fbe46fd363e2023-11-17T12:03:29ZengMDPI AGJournal of Personalized Medicine2075-44262023-03-0113351910.3390/jpm13030519Automatic Diagnosis of Infectious Keratitis Based on Slit Lamp Images AnalysisShaodan Hu0Yiming Sun1Jinhao Li2Peifang Xu3Mingyu Xu4Yifan Zhou5Yaqi Wang6Shuai Wang7Juan Ye8Department of Ophthalmology, College of Medicine, The Second Affiliated Hospital of Zhejiang University, Hangzhou 310009, ChinaDepartment of Ophthalmology, College of Medicine, The Second Affiliated Hospital of Zhejiang University, Hangzhou 310009, ChinaSchool of Mechanical, Electrical and Information Engineering, Shandong University, Weihai 264209, ChinaDepartment of Ophthalmology, College of Medicine, The Second Affiliated Hospital of Zhejiang University, Hangzhou 310009, ChinaDepartment of Ophthalmology, College of Medicine, The Second Affiliated Hospital of Zhejiang University, Hangzhou 310009, ChinaDepartment of Ophthalmology, College of Medicine, The Second Affiliated Hospital of Zhejiang University, Hangzhou 310009, ChinaCollege of Media Engineering, Communication University of Zhejiang, Hangzhou 310018, ChinaSchool of Mechanical, Electrical and Information Engineering, Shandong University, Weihai 264209, ChinaDepartment of Ophthalmology, College of Medicine, The Second Affiliated Hospital of Zhejiang University, Hangzhou 310009, ChinaInfectious keratitis (IK) is a common ophthalmic emergency that requires prompt and accurate treatment. This study aimed to propose a deep learning (DL) system based on slit lamp images to automatically screen and diagnose infectious keratitis. This study established a dataset of 2757 slit lamp images from 744 patients, including normal cornea, viral keratitis (VK), fungal keratitis (FK), and bacterial keratitis (BK). Six different DL algorithms were developed and evaluated for the classification of infectious keratitis. Among all the models, the EffecientNetV2-M showed the best classification ability, with an accuracy of 0.735, a recall of 0.680, and a specificity of 0.904, which was also superior to two ophthalmologists. The area under the receiver operating characteristics curve (AUC) of the EffecientNetV2-M was 0.85; correspondingly, 1.00 for normal cornea, 0.87 for VK, 0.87 for FK, and 0.64 for BK. The findings suggested that the proposed DL system could perform well in the classification of normal corneas and different types of infectious keratitis, based on slit lamp images. This study proves the potential of the DL model to help ophthalmologists to identify infectious keratitis and improve the accuracy and efficiency of diagnosis.https://www.mdpi.com/2075-4426/13/3/519deep learninginfectious keratitisslit lamp imageautomatic classification
spellingShingle Shaodan Hu
Yiming Sun
Jinhao Li
Peifang Xu
Mingyu Xu
Yifan Zhou
Yaqi Wang
Shuai Wang
Juan Ye
Automatic Diagnosis of Infectious Keratitis Based on Slit Lamp Images Analysis
Journal of Personalized Medicine
deep learning
infectious keratitis
slit lamp image
automatic classification
title Automatic Diagnosis of Infectious Keratitis Based on Slit Lamp Images Analysis
title_full Automatic Diagnosis of Infectious Keratitis Based on Slit Lamp Images Analysis
title_fullStr Automatic Diagnosis of Infectious Keratitis Based on Slit Lamp Images Analysis
title_full_unstemmed Automatic Diagnosis of Infectious Keratitis Based on Slit Lamp Images Analysis
title_short Automatic Diagnosis of Infectious Keratitis Based on Slit Lamp Images Analysis
title_sort automatic diagnosis of infectious keratitis based on slit lamp images analysis
topic deep learning
infectious keratitis
slit lamp image
automatic classification
url https://www.mdpi.com/2075-4426/13/3/519
work_keys_str_mv AT shaodanhu automaticdiagnosisofinfectiouskeratitisbasedonslitlampimagesanalysis
AT yimingsun automaticdiagnosisofinfectiouskeratitisbasedonslitlampimagesanalysis
AT jinhaoli automaticdiagnosisofinfectiouskeratitisbasedonslitlampimagesanalysis
AT peifangxu automaticdiagnosisofinfectiouskeratitisbasedonslitlampimagesanalysis
AT mingyuxu automaticdiagnosisofinfectiouskeratitisbasedonslitlampimagesanalysis
AT yifanzhou automaticdiagnosisofinfectiouskeratitisbasedonslitlampimagesanalysis
AT yaqiwang automaticdiagnosisofinfectiouskeratitisbasedonslitlampimagesanalysis
AT shuaiwang automaticdiagnosisofinfectiouskeratitisbasedonslitlampimagesanalysis
AT juanye automaticdiagnosisofinfectiouskeratitisbasedonslitlampimagesanalysis