Transforming the future of ophthalmology: artificial intelligence and robotics’ breakthrough role in surgical and medical retina advances: a mini review

Eleftherios Chatzimichail, Nicolas Feltgen, Lorenzo Motta, Theo Empeslidis, Anastasios G. Konstas, Zisis Gatzioufas, G. Panos
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Abstract

Over the past decade, artificial intelligence (AI) and its subfields, deep learning and machine learning, have become integral parts of ophthalmology, particularly in the field of ophthalmic imaging. A diverse array of algorithms has emerged to facilitate the automated diagnosis of numerous medical and surgical retinal conditions. The development of these algorithms necessitates extensive training using large datasets of retinal images. This approach has demonstrated a promising impact, especially in increasing accuracy of diagnosis for unspecialized clinicians for various diseases and in the area of telemedicine, where access to ophthalmological care is restricted. In parallel, robotic technology has made significant inroads into the medical field, including ophthalmology. The vast majority of research in the field of robotic surgery has been focused on anterior segment and vitreoretinal surgery. These systems offer potential improvements in accuracy and address issues such as hand tremors. However, widespread adoption faces hurdles, including the substantial costs associated with these systems and the steep learning curve for surgeons. These challenges currently constrain the broader implementation of robotic surgical systems in ophthalmology. This mini review discusses the current research and challenges, underscoring the limited yet growing implementation of AI and robotic systems in the field of retinal conditions.
改变眼科的未来:人工智能和机器人技术在视网膜手术和医疗发展中的突破性作用:微型综述
过去十年来,人工智能(AI)及其子领域--深度学习和机器学习--已成为眼科不可或缺的一部分,尤其是在眼科成像领域。各种算法层出不穷,为众多视网膜内科和外科疾病的自动诊断提供了便利。这些算法的开发需要使用大量视网膜图像数据集进行广泛的训练。这种方法已显示出良好的效果,特别是在提高非专业临床医生对各种疾病的诊断准确性方面,以及在远程医疗领域(因为在这些领域获得眼科医疗的机会有限)。与此同时,机器人技术也在眼科等医疗领域取得了重大进展。机器人手术领域的绝大多数研究都集中在前段和玻璃体视网膜手术上。这些系统有可能提高准确性,并解决手颤等问题。然而,广泛采用机器人手术面临着各种障碍,包括与这些系统相关的巨额成本和外科医生陡峭的学习曲线。这些挑战目前制约了机器人手术系统在眼科领域的广泛应用。这篇微型综述讨论了当前的研究和挑战,强调了人工智能和机器人系统在视网膜疾病领域的有限但日益增长的应用。
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