Background: To develop and validate a deep transfer learning (DTL) algorithm for detecting abnormalities in fundus images from nonmydriatic fundus photography examinations.
Methods : A total of 1,295 fundus images from January 2017 to December 2018 at Yijishan Hospital of Wannan Medical College were collected for developing and validating the deep transfer learning algorithm in detecting abnormal fundus images. The DTL model was developed by using 929 (normal 254, abnormal 402) fundus images, including normal fundus images and abnormal fundus images, the latter including maculopathy, optic neuropathy, vascular lesion, choroidal lesions, vitreous disease, and cataracts. We tested our model using a subset of the publicly available Messidor dataset (using 366 images) and evaluated the testing performance of the DTL model for detecting abnormal fundus images.
Results : In the internal validation dataset (n=273 images), the AUC, sensitivity, accuracy, and specificity of the DTL for correctly classified fundus images were 0.997, 97.41%, 97.07%, and 96.82%, respectively. For the test dataset (n=273 images), the AUC, sensitivity, accuracy, and specificity of the DTL for correctly classifying fundus images were 0.926, 88.17%, 87.18%, and 86.67%, respectively.
Conclusion : In the evaluation, the DTL presented high sensitivity and specificity for detecting abnormal fundus-related diseases. Further research is necessary to improve this method and evaluate the applicability of the DTL in the community health care center.
Key words : Fundus images; Deep transfer learning; Developing and validation; Artificial intelligence.