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Public attitudes and acceptance of screening for neurodegenerative disease by AI analysis of retinal OCT images

Lookup NU author(s): Dr Jeffry Hogg, Professor Kevin WilsonORCiD, Professor Anya Hurlbert, Professor Jenny ReadORCiD

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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0).


Abstract

Recent developments in artificial intelligence (AI) and machine learning raise the possibility of screening and early diagnosis for neurodegenerative diseases, using 3D scans of the retina. The eventual value of such screening will depend not only on scientific metrics such as specificity and sensitivity but, critically, also on public attitudes and uptake. Differential screening rates for various screening programmes in England indicate that multiple factors influence uptake. In this narrative literature review, some of these potential factors are explored in relation to predicting uptake of an early screening tool for neurodegenerative diseases using AI. These include: awareness of the disease, perceived risk, social influence, the use of AI, previous screening experience, socioeconomic status, health literacy, uncontrollable mortality risk, and demographic factors. The review finds the strongest and most consistent predictors to be ethnicity, social influence, the use of AI, and previous screening experience. Furthermore, it is likely that factors also interact to predict the uptake of such a tool. However, further experimental work is needed both to validate these predictions and explore interactions between the significant predictors.


Publication metadata

Author(s): Nichol B, Hogg HDJ, Pepper GV, Hamoonga VM, Wilson KJ, Hurlbert AC, Read JCA

Publication type: Article

Publication status: Published

Journal: Royal Society Open Science

Year: 2022

Volume: 11

Issue: 4

Print publication date: 01/12/2022

Online publication date: 01/10/2022

Acceptance date: 02/09/2022

Date deposited: 16/04/2025

ISSN (electronic): 2054-5703

Publisher: The Royal Society Publishing

URL: https://doi.org/10.1177/22799036221127627

DOI: 10.1177/22799036221127627


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