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Sensitivity and specificity of computer vision classification of eyelid photographs for programmatic trachoma assessment

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  • Matthew C Kim
  • Kazunori Okada
  • Alexander M Ryner
  • Abdou Amza
  • Zerihun Tadesse
  • Sun Y Cotter
  • Bruce D Gaynor
  • Jeremy D Keenan
  • Thomas M Lietman
  • Travis C Porco

Abstract

Background/aims: Trachoma programs base treatment decisions on the community prevalence of the clinical signs of trachoma, assessed by direct examination of the conjunctiva. Automated assessment could be more standardized and more cost-effective. We tested the hypothesis that an automated algorithm could classify eyelid photographs better than chance. Methods: A total of 1,656 field-collected conjunctival images were obtained from clinical trial participants in Niger and Ethiopia. Images were scored for trachomatous inflammation—follicular (TF) and trachomatous inflammation—intense (TI) according to the simplified World Health Organization grading system by expert raters. We developed an automated procedure for image enhancement followed by application of a convolutional neural net classifier for TF and separately for TI. One hundred images were selected for testing TF and TI, and these images were not used for training. Results: The agreement score for TF and TI tasks for the automated algorithm relative to expert graders was κ = 0.44 (95% CI: 0.26 to 0.62, P

Suggested Citation

  • Matthew C Kim & Kazunori Okada & Alexander M Ryner & Abdou Amza & Zerihun Tadesse & Sun Y Cotter & Bruce D Gaynor & Jeremy D Keenan & Thomas M Lietman & Travis C Porco, 2019. "Sensitivity and specificity of computer vision classification of eyelid photographs for programmatic trachoma assessment," PLOS ONE, Public Library of Science, vol. 14(2), pages 1-12, February.
  • Handle: RePEc:plo:pone00:0210463
    DOI: 10.1371/journal.pone.0210463
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    References listed on IDEAS

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    1. Matthew J Burton & David C W Mabey, 2009. "The Global Burden of Trachoma: A Review," PLOS Neglected Tropical Diseases, Public Library of Science, vol. 3(10), pages 1-7, October.
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