glaucomaНациональный журнал ГлаукомаNational Journal glaucoma2078-41042311-6862Federal State Budgetary Institution of Science “Krasnov Research Institute of Eye Diseases”10.53432/2078-4104-2023-22-2-29-37glaucoma-452Research ArticleОРИГИНАЛЬНЫЕ СТАТЬИORIGINAL ARTICLESИскусственный интеллект в офтальмологии. Нужны ли нам калькуляторы риска развития и прогрессирования глаукомы?Artificial intelligence in ophthalmology. Do we need risk calculators for glaucoma development and progression?https://orcid.org/0000-0003-3352-8170ДорофеевД. А.DorofeevD. A.

врач-офтальмолог, руководитель городского глаукомного кабинета

454090, Челябинск, ул. Российская, 200;

ophthalmologist, Head of the City Glaucoma Office

200 Rossiyskaya St., Chelyabinsk, 454090

dimmm.83@gmail.comhttps://orcid.org/0000-0002-4435-8114КорелинаВ. Е.KorelinaV. E.

к.м.н., врач-офтальмолог

190068, Санкт-Петербург, наб. реки Мойки, 78, лит. А;

Cand. Sci. (Med.), ophthalmologist

190068, St. Petersburg, emb. river Moika, 78, lit.A

https://orcid.org/0000-0001-7735-9650ВитковА. А.VitkovA. A.

младший научный сотрудник

119021, Москва, ул. Россолимо, 11А;

junior researcher

11A Rossolimo St., Moscow, 119021

https://orcid.org/0000-0002-0189-9586КириликЕ. В.KirilikE. V.

врач-офтальмолог

454090, Челябинск, ул. Российская, 200

ophthalmologist

200 Rossiyskaya St., Chelyabinsk, 454090

КуроедовА. В.KuroyedovA. V.

д.м.н., начальник офтальмологического отделения; профессор кафедры офтальмологии

107014, Москва, ул. Б. Оленья, 8А

117997, Москва, ул. Островитянова, 1

 

Dr. Sci. (Med.), Head of the Ophthalmology Department

8A Bolshaya Olenya St., Moscow, 107014

https://orcid.org/0000-0002-6781-3343ЛукьяноваК. О.LukyanovaK. O.

врач-офтальмолог

454090, Челябинск, ул. Российская, 200

ophthalmologist

200 Rossiyskaya St., Chelyabinsk, 454090

https://orcid.org/0000-0002-9939-9781МаркеловаА. А.MarkelovaA. A.

студент

454092, Челябинск, ул. Воровского, 64;

student

64 Vorovskogo St., Chelyabinsk, 454092

https://orcid.org/0000-0003-0346-5332ПоздееваО. Г.PozdeevaO. G.

д.м.н., профессор кафедры; главный врач

454092, Челябинск, ул. Воровского, 64

454090, Челябинск, ул. Российская, 200;

Dr. Sci. (Med.), Professor at the Academic Department; Chief Physician

64 Vorovskogo St., Chelyabinsk, 454092

200 Rossiyskaya St., Chelyabinsk, 454090

https://orcid.org/0000-0003-2718-2871ХохловаА. С.KhohlovaA. S.

заведующая отделением

690001, Владивосток, ул. Светланская, 131

Head of Department

131 Svetlanskaya St., Vladivostok, 690001

ГАУЗ ГКБ №2, поликлиника №1РоссияChelyabinsk Public Clinical Hospital No. 2, Polyclinic No. 1Russian FederationООО АМКРоссияOOO AMKRussian Federation3ФГБНУ «НИИГБ им. М.М. Краснова»Россия3Krasnov Research Institute of Eye DiseasesRussian FederationФКУ «Медицинский учебно-научный клинический центр им. П.В. Мандрыка» Минобороны РФ; ГБОУ ВПО РНИМУ им. Н.И. Пирогова Минздрава РФРоссияMandryka Military Clinical Hospital,Russian FederationФГБОУ ВО «Южно-Уральский государственный медицинский университет» Минздрава РФРоссияSouth Ural State Medical UniversityRussian FederationФГБОУ ВО «Южно-Уральский государственный медицинский университет» Минздрава РФ; МАУЗ «Городская клиническая больница № 2», поликлиника №1РоссияSouth Ural State Medical University; Chelyabinsk Public Clinical Hospital No. 2, Polyclinic No. 1Russian FederationКГБУЗ «ВКДЦ»РоссияPacific State Medical UniversityRussian Federation2023120520232222937Copyright © Дорофеев Д.А., Корелина В.Е., Витков А.А., Кирилик Е.В., Куроедов А.В., Лукьянова К.О., Маркелова А.А., Поздеева О.Г., Хохлова А.С., 20232023Дорофеев Д.А., Корелина В.Е., Витков А.А., Кирилик Е.В., Куроедов А.В., Лукьянова К.О., Маркелова А.А., Поздеева О.Г., Хохлова А.С.Dorofeev D.A., Korelina V.E., Vitkov A.A., Kirilik E.V., Kuroyedov A.V., Lukyanova K.O., Markelova A.A., Pozdeeva O.G., Khohlova A.S.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.glaucomajournal.ru/jour/article/view/452

Искусственный интеллект (ИИ) стремительно входит в современную медицинскую практику. Многие повседневные клинические задачи, от визуализации и автоматизированной диагностики до роботизированной хирургии невозможно сегодня представить без использования ИИ. Нейронные сети показывают впечатляющие результаты при анализе большого массива данных, полученных при компьютерной периметрии, оптической когерентной томографии, фотографировании глазного дна и др. В настоящее время в России и за рубежом разрабатываются математические алгоритмы, позволяющие по тем или иным признакам определять наличие глаукомного процесса. В статье анализируются плюсы и минусы использования ИИ в офтальмологической практике. Обсуждается необходимость тщательного подбора критериев и их влияние на точность работы калькуляторов. Особенности использования математического анализа при подозрении на глаукому и при уже установленном диагнозе. Приводятся клинические примеры использования калькулятора риска развития глаукомы в рутинной практике офтальмолога. 

Artificial intelligence (AI) is rapidly entering modern medical practice. Many routine clinical tasks, from imaging and automated diagnostics to robotic surgery, cannot be imagined without the use of AI. Neural networks show impressive results when analyzing a large amount of data obtained from standard automated perimetry, optical coherence tomography (OCT) and fundus photography. Currently, both in Russia and abroad mathematical algorithms are being developed that allow detection of glaucoma based on certain signs. This article analyzes the advantages and disadvantages of employing artificial intelligence in ophthalmological practice, discusses the need for careful selection of the criteria and their influence on the accuracy of calculators, considers the specifics of using mathematical analysis in suspected glaucoma, as well as in an already established diagnosis. The article also provides clinical examples of the use of glaucoma risk calculator in the routine practice of an ophthalmologist.

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The authors declare that there are no conflicts of interest present.