Deep Learning-Based Longitudinal Prediction of Childhood Myopia Progression Using Fundus Image Sequences and Baseline Refraction Data

Childhood myopia constitutes a significant global health concern. It exhibits an escalating prevalence and has the potential to evolve into severe, irreversible conditions that detrimentally impact familial well-being and create substantial economic costs. Contemporary research underscores the importance of precisely predicting myopia progression to enable timely and effective interventions, thereby averting severe visual impairment in children. Such predictions predominantly rely on subjective clinical assessments, which are inherently biased and resource-intensive, thus hindering their widespread application. In this study, we introduce a novel, high-accuracy method for quantitatively predicting the myopic trajectory and myopia risk in children using only fundus images and baseline refraction data. This approach was validated through a six-year longitudinal study of 3,408 children in Henan, utilizing 16,211 fundus images and corresponding refractive data. Our method based on deep learning demonstrated predictive accuracy with an error margin of 0.311D per year and AUC scores of 0.944 and 0.995 for forecasting the risks of developing myopia and high myopia, respectively. These findings confirm the utility of our model in supporting early intervention strategies and in significantly reducing healthcare costs, particularly by obviating the need for additional metadata and repeated consultations. Furthermore, our method was designed to rely only on fundus images and refractive error data, without the need for meta data or multiple inquiries from doctors, strongly reducing the associated medical costs and facilitating large-scale screening. Our model can even provide good predictions based on only a single time measurement. Consequently, the proposed method is an important means to reduce medical inequities caused by economic disparities.

Self-reconfigurable Multifunctional Memristive Nociceptor for Intelligent Robotics

Artificial nociceptors, mimicking human-like stimuli perception, are of significance for intelligent robotics to work in hazardous and dynamic scenarios. One of the most essential characteristics of the human nociceptor is its self-adjustable attribute, which indicates that the threshold of determination of a potentially hazardous stimulus relies on environmental knowledge. This critical attribute has been currently omitted, but it is highly desired for artificial nociceptors. Inspired by these shortcomings, this article presents, for the first time, a Self-Directed Channel (SDC) memristor-based self-reconfigurable nociceptor, capable of perceiving hazardous pressure stimuli under different temperatures and demonstrates key features of tactile nociceptors, including 'threshold,' 'no-adaptation,' and 'sensitization.' The maximum amplification of hazardous external stimuli is 1000%, and its response characteristics dynamically adapt to current temperature conditions by automatically altering the generated modulation schemes for the memristor. The maximum difference ratio of the response of memristors at different temperatures is 500%, and this adaptability closely mimics the functions of biological tactile nociceptors, resulting in accurate danger perception in various conditions. Beyond temperature adaptation, this memristor-based nociceptor has the potential to integrate different sensory modalities by applying various sensors, thereby achieving human-like perception capabilities in real-world environments.

Real-Time State Modulation and Acquisition Circuit in Neuromorphic Memristive Systems

Memristive neuromorphic systems are designed to emulate human perception and cognition, where the memristor states represent essential historical information to perform both low-level and high-level tasks. However, current systems face challenges with the separation of state modulation and acquisition, leading to undesired time delays that impact real-time performance. To overcome this issue, we introduce a dual-function circuit that concurrently modulates and acquires memristor state information. This is achieved through two key features: 1) a feedback operational amplifier (op-amp) based circuit that ensures precise voltage application on the memristor while converting the passing current into a voltage signal; 2) a division calculation circuit that acquires state information from the modulation voltage and the converted voltage, improving stability by leveraging the intrinsic threshold characteristics of memristors. This circuit has been evaluated in a memristor-based nociceptor and a memristor crossbar, demonstrating exceptional performance. For instance, it achieves mean absolute acquisition errors below 1 {\Omega} during the modulation process in the nociceptor application. These results demonstrate that the proposed circuit can operate at different scales, holding the potential to enhance a wide range of neuromorphic applications.

Diagnosis of Multiple Fundus Disorders Amidst a Scarcity of Medical Experts Via Self-supervised Machine Learning

Fundus diseases are major causes of visual impairment and blindness worldwide, especially in underdeveloped regions, where the shortage of ophthalmologists hinders timely diagnosis. AI-assisted fundus image analysis has several advantages, such as high accuracy, reduced workload, and improved accessibility, but it requires a large amount of expert-annotated data to build reliable models. To address this dilemma, we propose a general self-supervised machine learning framework that can handle diverse fundus diseases from unlabeled fundus images. Our method's AUC surpasses existing supervised approaches by 15.7%, and even exceeds performance of a single human expert. Furthermore, our model adapts well to various datasets from different regions, races, and heterogeneous image sources or qualities from multiple cameras or devices. Our method offers a label-free general framework to diagnose fundus diseases, which could potentially benefit telehealth programs for early screening of people at risk of vision loss.

Intelligent machines work in unstructured environments by differential neural computing

Expecting intelligent machines to efficiently work in real world requires a new method to understand unstructured information in unknown environments with good accuracy, scalability and generalization, like human. Here, a memristive neural computing based perceptual signal differential processing and learning method for intelligent machines is presented, via extracting main features of environmental information and applying associated encoded stimuli to memristors, we successfully obtain human-like ability in processing unstructured environmental information, such as amplification (>720%) and adaptation (<50%) of mechanical stimuli. The method also exhibits good scalability and generalization, validated in two typical applications of intelligent machines: object grasping and autonomous driving. In the former, a robot hand experimentally realizes safe and stable grasping, through learning unknown object features (e.g., sharp corner and smooth surface) with a single memristor in 1 ms. In the latter, the decision-making information of 10 unstructured environments in autonomous driving (e.g., overtaking cars, pedestrians) are accurately (94%) extracted with a 40x25 memristor array. By mimicking the intrinsic nature of human low-level perception mechanisms in electronic memristive neural circuits, the proposed method is adaptable to diverse sensing technologies, helping intelligent machines to generate smart high-level decisions in real world.