Development of an Optimal Algorithm for the Management of Patients With Retinal Pigment Epithelium Detachment in Neovascular Age-related Macular Degeneration Using Artificial Intelligence

The S.N. Fyodorov Eye Microsurgery State Institution

Status: Completed

Conditions: Neovascular Age-related Macular Degeneration

Treatments: Procedure: Anti-vascular endothelial growth factor therapy

Study type: Observational

Funder types: Other

Identifiers

NCT05208931

1

Details and patient eligibility

About

The study involves the development of an algorithm for predicting anatomical and functional results of therapy with angiogenesis inhibitors in patients with retinal pigment epithelium detachments in neovascular age-related macular degeneration, based on primary optical coherence tomography of the macular zone and clinical data.

Full description

Patients were divided into 3 groups according to the results of therapy: adhesion of detachment, lack of adherence to detachment, rupture of detachment. For these groups, OCT images of the macular zone with maximum detachment before therapy are selected. These images, along with other clinical parameters, are input to the algorithm. The result is one of the 3 treatment outcomes listed above. The methods that will be used to develop the algorithm include methods for processing and transforming data, deep machine learning, metrics for calculating the accuracy of algorithms.

Enrollment: 300 patients

Sex: All

Ages: 18 to 80 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Linear B - scan through the macular area with the longest detachment
• Other pathologies

Exclusion criteria

• Images without detachment
• Images on which it is possible to diagnose the need for therapy only in the presence of additional factors not considered in the study.

Trial design

300 participants in 3 patient groups

adhesion

Description:

the group in which the adhesion of neuroepithelial detachment was observed after Anti-vascular endothelial growth factor therapy

Treatment:

Procedure: Anti-vascular endothelial growth factor therapy

no adhesion

Description:

group in which there was no adherence of neuroepithelial detachment after Anti-vascular endothelial growth factor therapy

Treatment:

Procedure: Anti-vascular endothelial growth factor therapy

разрыв

Description:

group in which neuroepithelial detachment rupture was observed after anti-vascular endothelial growth factor therapy

Treatment:

Procedure: Anti-vascular endothelial growth factor therapy