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Table 2 A summary table of artificial intelligence (AI) applications in the diagnosis of pterygium and infectious keratitis, in reverse chronological order

From: Potential applications of artificial intelligence in image analysis in cornea diseases: a review

Year

Authors

Imaging modality

Sample size (eyes)

Study population

Outcome measures

AI algorithms

Diagnostic performance

Validation method

Pterygium

 2023

Liu et al. [36]

ASP

20,987

Dataset of smartphone and slit-lamp eye images

Detection and segmentation of pterygium

SA-CNN, SRU-Net

Detection Acc: 95.24%

Segment Acc: 89.81%, Sens: 87.09%

Spec: 96.68%, AUC: 0.9295

Hold-out validation

 2022

Wan et al. [123]

ASP

489

Healthy and pterygium eyes

Segmentation and measuring of pterygium

U-Net +  + CNN

Dice: 0.902–0.962

κ: 0.918

Hold-out validation

 2022

Fang et al. [42]

ASP

6311

SEED eye images; healthy and pterygium eyes

Detection of pterygium

CNN

AUC: 0.995, Sens: 98.6%

Spec: 99.0%

Cross validation

 2022

Hung et al. [45]

ASP

237

Healthy and pterygium eyes

Detection of pterygium, and prediction of recurrence post-excision

Deep learning network

Pterygium detection –

Spec: 91.7% – 100%,

Sens: 80% – 91.7%

Prediction of recurrence –

Spec: 81.8%, Sens: 66.7%

Hold-out validation

 2022

Zhu et al. [124]

ASP

300

Healthy and pterygium eyes

Detection and segmentation of pterygium

Multiple CNNs

Acc: 99.0%, κ: 0.98

Sens: 98.7%, Spec: 99.3%

Hold-out validation

 2021

Jais et al. [125]

BCVA

93

Pterygium patients undergoing surgery

Prediction of BCVA improvement post-pterygium surgery

SVM, NBC, decision tree, logistic regression

Acc: 94.44%, Spec: 100%

Sens: 92.14%

Cross validation

 2019

Zulkifley et al. [126]

ASP

120

Healthy and pterygium eyes

Detection of pterygium

CNN

Acc: 81.1%, Sens: 95.0%

Spec: 98.3%

Cross validation

 2019

Lopez et al. [127]

ASP

3017

Healthy and pterygium eyes

Detection of pterygium

CNN

AUC: 0.99, Acc: 93.5%

Sens: 88.2%

N.A

Infectious keratitis

 2023

Essalat et al. [37]

IVCM

1001

IVCM-Keratitis dataset images

IK detection

Densenet161 CNN

Acc: 93.55%, Precis: 92.52%

Sens: 94.77%

Cross validation

 2023

Liang et al. [36]

IVCM

7278

Dataset of FK eye images

FK detection

GoogLeNet, VGGNet CNNs

Acc: 97.73%, Sens: 97.02%

Spec: 98.54%

Hold-out validation

 2023

Wei et al. [128]

ASP

420

FK, BK, AK and VK eyes

FK detection and discriminating

Binary logistic regression, decision tree classification, RF

AUC: 0.859–0.916

Cross validation

 2022

Natarajan et al. [31]

ASP

285

HSV VK and BK eyes

VK detection

DenseNet CNN

Acc: 72%, AUC: 0.73

Sens: 69.6%, Spec: 76.5%

Hold-out validation

 2022

Redd et al. [129]

ASP

980

FK and BK eyes

FK discriminating from BK

MobileNet CNN

AUC: 0.86

Cross validation

 2022

Ghosh et al. [35]

ASP

194

FK and BK eyes

FK discriminating from BK

VGG19, ResNet50, DenseNet121 CNNs

Acc: 68.0%–78.0%

AUC: 0.60–0.86

Hold-out validation

 2021

Kuo et al. [130]

ASP

1512

Clinically suspected IK eye images

BK detection

Multiple CNNs

Sens: 74%

Spec: 64%

Cross validation

 2021

Wang et al. [28]

ASP

6073

Healthy, FK, BK and HSV VK eye images

FK, BK, HSV VK detection

InceptionV3

κ: 0.538 – 0.913

AUC: 0.860 – 0.959

Hold-out validation

 2021

Koyama et al. [131]

ASP

4306

BK, AK, HSV VK eye images

BK, AK, HSV VK detection

Gradient boosting decision tree

Acc: 92.3%–97.9%

AUC: 0.946–0.995

Cross validation

 2021

Li et al. [132]

ASP

6925

Healthy and keratitis eye images

Keratitis detection

DenseNet121 CNN

AUC: 0.96

Hold-out validation

 2020

Kuo et al. [133]

ASP

288

IK confirmed eyes

FK detection among IK

DenseNet CNN

Sens: 71%, Spec: 68%

Acc: 70%

Cross validation

 2020

Liu et al. [134]

HRT-3 confocal microscopy

1213

Healthy and FK eyes

FK detection

CNN

Acc: 100%, Sens: 99.9%

Spec: 100%

N.A

 2018

Wu et al. [135]

HRT-3 confocal microscopy

378

Healthy and FK eyes

Hyphae detection

KNN, SVM, linear regression, decision tree

AUC: 0.86–0.98

Acc: 81.7%–99.1%

Sens: 78.5%–98.5%

Cross validation

  1. Acc = accuracy; AK = acanthamoeba keratitis; ASP = anterior-segment photography; AUC = area under curve; BCVA = best-corrected visual acuity; BK = bacterial keratitis; CNN = convolutional neural network; FK = fungal keratitis; HSV = herpes simplex virus; IK = infectious keratitis; IVCM = in vivo confocal microscopy; κ = kappa index; KNN = K-nearest neighbour; ML = machine learning; NBC = naïve Bayes classifier; N.A. = not available; Precis = precision; RF = random forest; SA-CNN = self-attention convolutional neural network; SEED = Singapore Epidemiology of Eye Diseases; Sens = sensitivity; Spec = specificity; SVM = support vector machine; VK = viral keratitis