Open AccessArtificial intelligence extension of the OSCAR‐IB criteria
Author(s) -
Petzold Axel,
Albrecht Philipp,
Balcer Laura,
Bekkers Erik,
Brandt Alexander U.,
Calabresi Peter A.,
Deborah Orla Galvin,
Graves Jennifer S.,
Green Ari,
Keane Pearse A,
Nij Bijvank Jenny A.,
Sander Josemir W.,
Paul Friedemann,
Saidha Shiv,
Villoslada Pablo,
Wagner Siegfried K,
Yeh E. Ann
Publication year - 2021
Publication title -
annals of clinical and translational neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.824
H-Index - 42
ISSN - 2328-9503
DOI - 10.1002/acn3.51320
Subject(s) - medicine , artificial intelligence , big data , optical coherence tomography , data science , machine learning , computer science , medical physics , data mining , radiology
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.