Abstract
Accurate and efficient triaging to ophthalmology services is essential to patient care and appropriate resource allocation. Current triaging processes are both time consuming and prone to human error. The use of deep learning (DL) and natural language processing (NLP) in ophthalmology triaging is a novel application of artificial intelligence (AI) established at the South Australian Institute of Ophthalmology (SAIO), Australia. AI assisted triaging has demonstrated early promise in the ability to identify urgent referrals with potential sight-threatening pathologies, with accuracies of up to 81%. Technical challenges in AI assisted triaging include small dataset size, distant labels and the presence of specialized medical vocabulary. Future research relating to AI assisted triaging should endeavour to use larger sample sizes, specialist guided triage allocation, and data from multiple centres.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Central Adelaide Local Health Network. Ophthalmology outpatient service information, triage and referral guideline. In: Ophthalmology. Vol 0.1. SA Health; 2018.
The Royal Australian and New Zealand College of Ophthalmologists. Referral pathway for AMD management. In: RANZCO. 2020.
The Royal Australian and New Zealand College of Ophthalmologists. Referral pathway glaucoma management. In: RANZCO. 2019.
The Royal Australian and New Zealand College of Ophthalmologists. Patient screening and referral pathway guidelines for diabetic retinopathy (including diabetic maculopathy). In: RANZCO. 2019.
Optometrists Association Australia. Eye health referral guidelines. In: Optometry Australia. 2020.
Patel C, Rosen P, Hornby S, Mahalingham N, Hayles S, Stocker T. Referral guideline ophthalmology overview. In: NHS Oxfordshire Clinical Commisioning Group; 2018.
Raman R, Srinivasan S, Virmani S, Sivaprasad S, Rao C, Rajalakshmi R. Fundus photograph-based deep learning algorithms in detecting diabetic retinopathy. Eye (Lond). 2019;33(1):97–109.
Li F, Wang Z, Qu G, Song D, Yuan Y, Xu Y, Gao K, Luo G, Xiao Z, Lam DSC, Zhong H, Qiao Y, Zhang X. Automatic differentiation of Glaucoma visual field from non-glaucoma visual filed using deep convolutional neural network. BMC Med Imaging. 2018;18(1):35.
Yoon J, Han J, Park JI, Hwang JS, Han JM, Sohn J, Park KH, Hwang DD. Optical coherence tomography-based deep-learning model for detecting central serous chorioretinopathy. Sci Rep. 2020;10(1):18852.
Tan Y, Bacchi S, Casson RJ, Selva D, Chan W. Triaging ophthalmology outpatient referrals with machine learning: a pilot study. Clin Exp Ophthalmol. 2020;48(2):169–73.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2021 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Tan, Y., Bacchi, S., Chan, W.O. (2021). Artificial Intelligence in Ophthalmology Triaging. In: Grzybowski, A. (eds) Artificial Intelligence in Ophthalmology. Springer, Cham. https://doi.org/10.1007/978-3-030-78601-4_19
Download citation
DOI: https://doi.org/10.1007/978-3-030-78601-4_19
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-78600-7
Online ISBN: 978-3-030-78601-4
eBook Packages: MedicineMedicine (R0)