An Interpretable Fundus Diseases Report Generating System Based On Weakly Labelings

Trial statusNot yet recruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
AgeNot listed
SponsorZhongshan Ophthalmic Center, Sun Yat-sen University

About this trial

To establish a multimodal fundus image report generation model to realize an interpretable system for multiple fundus diseases, multimodal image analysis, diagnosis, and treatment decision automatic reporting based on weakly labeled training data. Construct an interpretable feature fusion network for the clinical and imaging features of fundus lesions, and we hope to extract new imaging markers that can predict the occurrence and progression of various fundus lesions at an early stage, and ultimately verify them in real clinical data, further providing possible directions for exploring the molecular mechanisms of refractory fundus lesions, and may also provide new ideas for the precise prevention and treatment of fundus lesions.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Disease group: All multimodal fundus examination images containing fundus lesions, examined from January 2011 to December 2023, including fundus photography, as well as OCT, OCTA, FFA, ICGA, B-ultrasound and corresponding imaging reports. Images could be either clear or unclear, reports are either complete or incomplete.

Normal group: All multimodal fundus examination images without fundus lesions, examined from January 2011 to December 2023, including fundus photography, as well as OCT, OCTA, FFA, ICGA, B-ultrasound and corresponding imaging reports. Images could be either clear or unclear, reports are either complete or incomplete.

Disqualifiers

Disease group: 1. The image has serious quality problems; 2. The diagnostic report lacks key information.

Normal group: 1. The image has serious quality problems; 2. The diagnostic report lacks key information.

Trial population

The clinically collected fundus examination images and corresponding reports, including various categories of fundus lesions or normal findings, obtained from examinations conducted at the Zhongshan Ophthalmic Center.

Trial design

Design model

Cohort

Time perspective

Retrospective

Treatments tested in this trial

  • With fundus diseases

    Other intervention

    With fundus diseases

  • Without fundus diseases

    Other intervention

    Without fundus diseases

Treatment groups

9,999 Participants
are divided into 2 treatment groups
Group A: Disease group1 intervention
Group B: Normal group1 intervention

Trial outcomes

Primary outcomes

1

Fundus Fluorescein Angiography (FFA) images with corresponding report

Fundus Fluorescein Angiography(FFA) images with corresponding report were collected. FFA allows dynamic observation of changes in retinal blood vessels and lesions.

Time frame
Baseline
2

Indocyanine Green Angiography (ICGA) images with report

Indocyanine Green Angiography (ICGA) images with corresponding report were collected. ICGA allows dynamic observation of changes in choroidal blood vessels and lesions.

Time frame
Baseline
3

Fundus photography with corresponding report

Fundus photography images with corresponding report were collected. Fundus photography provides observation of morphological manifestations of the retina, the retinal blood vessels, the optic nerve, as well as lesions on the retina.

Time frame
Baseline
4

Optical coherence tomography (OCT) images with corresponding report

Optical coherence tomography (OCT) images with corresponding report were collected. OCT images provides observation of changes in retinal thickness, morphology and manifestations of lesions in each retinal or choroidal layer, as well as lesions in the macular area and optic nerve

Time frame
Baseline

Secondary outcomes

1

Bilingual Evaluation Understudy (BLEU) analysis

Bilingual Evaluation Understudy (BLEU) measures how closely a machine-generated text matches the reference texts to quantify the similarity between the generated text and reference texts.

Time frame
Through study completion, an average of 1 year
2

Metric for Evaluation of Translation with Explicit Ordering (METEOR) analysis

Metric for Evaluation of Translation with Explicit Ordering (METEOR) considers precision, recall, alignment, and includes stemming and synonymy to quantify the similarity between the generated text and reference texts.

Time frame
Through study completion, an average of 1 year
3

Recall-Oriented Understudy for Gisting Evaluation (ROUGE) analysis

Recall-Oriented Understudy for Gisting Evaluation (ROUGE) focuses on recall and measures the overlap of n-grams, contiguous sequences of n items (words, characters, or symbols) extracted from a given sample of text, between the generated and reference texts to quantify the similarity between the generated text and reference texts.

Time frame
Through study completion, an average of 1 year
4

Pearson correlation analysis

To determine the degree of linear relationship between human evaluations and automated assessments.

Time frame
Through study completion, an average of 1 year

Other outcomes

Sponsors and contacts

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