Artificial intelligence extension of the OSCAR-IB criteria

Axel Petzold, Philipp Albrecht, Laura Balcer, Erik Bekkers, Alexander U Brandt, Peter A Calabresi, Orla Galvin Deborah, Jennifer S Graves, Ari Green, Pearse A Keane, Jenny A Nij Bijvank, Josemir W Sander, Friedemann Paul, Shiv Saidha, Pablo Villoslada, Siegfried K Wagner, E Ann Yeh, IMSVISUAL, ERN-EYE Consortium, Steffen Ellitsgaard Hamann (Medlem af forfattergruppering), Gorm Pihl-Jensen (Medlem af forfattergruppering)

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.

OriginalsprogEngelsk
TidsskriftAnnals of Clinical and Translational Neurology
Vol/bind8
Udgave nummer7
Sider (fra-til)1528-1542
Antal sider15
ISSN2328-9503
DOI
StatusUdgivet - jul. 2021

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