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Artificial intelligence extension of the OSCAR-IB criteria

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Item Type:Review
Title:Artificial intelligence extension of the OSCAR-IB criteria
Creators Name:Petzold, A. and Albrecht, P. and Balcer, L. and Bekkers, E. and Brandt, A.U. and Calabresi, P.A. and Deborah, O.G. and Graves, J.S. and Green, A. and Keane, P.A. and Nij Bijvank, J.A. and Sander, J.W. and Paul, F. and Saidha, S. and Villoslada, P. and Wagner, S.K. and Yeh, E.A.
Abstract:Artificial intelligence (AI)-based diagnostic algorithms have achieved ambitious aims through automated image pattern recognition. For neurological disorders, this includes neurodegeneration and inflammation. Scalable imaging technology for big data in neurology is optical coherence tomography (OCT). We highlight that OCT changes observed in the retina, as a window to the brain, are small, requiring rigorous quality control pipelines. There are existing tools for this purpose. Firstly, there are human-led validated consensus quality control criteria (OSCAR-IB) for OCT. Secondly, these criteria are embedded into OCT reporting guidelines (APOSTEL). The use of the described annotation of failed OCT scans advances machine learning. This is illustrated through the present review of the advantages and disadvantages of AI-based applications to OCT data. The neurological conditions reviewed here for the use of big data include Alzheimer disease, stroke, multiple sclerosis (MS), Parkinson disease, and epilepsy. It is noted that while big data is relevant for AI, ownership is complex. For this reason, we also reached out to involve representatives from patient organizations and the public domain in addition to clinical and research centers. The evidence reviewed can be grouped in a five-point expansion of the OSCAR-IB criteria to embrace AI (OSCAR-AI). The review concludes by specific recommendations on how this can be achieved practically and in compliance with existing guidelines.
Keywords:Algorithms, Artificial Intelligence, Big Data, Cohort Studies, Nervous System Diseases, Retina, Optical Coherence Tomography
Source:Annals of Clinical and Translational Neurology
Page Range:1528-1542
Date:July 2021
Official Publication:https://doi.org/10.1002/acn3.51320
PubMed:View item in PubMed

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