Evidence map›Paper›PMID 30286740›Full record

Trial reportBMC medical imaging2018

Automatic differentiation of Glaucoma visual field from non-glaucoma visual filed using deep convolutional neural network.

Fei Li, Zhe Wang, Guoxiang Qu, Diping Song, Ye Yuan, Yang Xu, Kai Gao, Guangwei Luo, Zegu Xiao, Dennis S C Lam and 3 more

Erratum issuedAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in BMC medical imaging, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 43 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

43 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Observational
  14. Review
  15. Review
  16. Review
  17. Review
  18. Review
  19. Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors.

Fei LiZhongshan Ophthalmic Center, State Key Laboratory of Ophthalmology, Sun Yat-sen University, Guangzhou, China.
Zhe WangSenseTime Group Limited, Hong Kong, China.
Guoxiang QuGuangdong key lab of Computer Vision & Virtual Reality, Multimedia Research Center, Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences, Shenzhen, China.
Diping SongGuangdong key lab of Computer Vision & Virtual Reality, Multimedia Research Center, Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences, Shenzhen, China.
Ye YuanZhongshan Ophthalmic Center, State Key Laboratory of Ophthalmology, Sun Yat-sen University, Guangzhou, China.
Yang XuDepartment of Ophthalmology, the First Affiliated Hospital of Kunming Medical University, Kunming, China.
Kai GaoZhongshan Ophthalmic Center, State Key Laboratory of Ophthalmology, Sun Yat-sen University, Guangzhou, China.
Guangwei LuoZhongshan Ophthalmic Center, State Key Laboratory of Ophthalmology, Sun Yat-sen University, Guangzhou, China.
Zegu XiaoGuangdong key lab of Computer Vision & Virtual Reality, Multimedia Research Center, Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences, Shenzhen, China.
Dennis S C LamC-MER Dennis Lam Eye Hospital, Shenzhen, China.
Hua ZhongDepartment of Ophthalmology, the First Affiliated Hospital of Kunming Medical University, Kunming, China. zhoculist@163.com.
Yu QiaoGuangdong key lab of Computer Vision & Virtual Reality, Multimedia Research Center, Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences, Shenzhen, China. yu.qiao@siat.ac.cn.
Xiulan ZhangZhongshan Ophthalmic Center, State Key Laboratory of Ophthalmology, Sun Yat-sen University, Guangzhou, China. zhangxl2@mail.sysu.edu.cn.

Funding

National Key Research and Development Project 2018YFC010302National Natural Science Foundation of China U1613211, 81460085, 81760170Science and Technology Program of Guangzhou,China 201803010066
6 · The paper itself

Abstract

backgroundTo develop a deep neural network able to differentiate glaucoma from non-glaucoma visual fields based on visual filed (VF) test results, we collected VF tests from 3 different ophthalmic centers in mainland China.

methodsVisual fields obtained by both Humphrey 30-2 and 24-2 tests were collected. Reliability criteria were established as fixation losses less than 2/13, false positive and false negative rates of less than 15%.

resultsWe split a total of 4012 PD images from 1352 patients into two sets, 3712 for training and another 300 for validation. There is no significant difference between left to right ratio (P = 0.6211), while age (P = 0.0022), VFI (P = 0.0001), MD (P = 0.0039) and PSD (P = 0.0001) exhibited obvious statistical differences. On the validation set of 300 VFs, CNN achieves the accuracy of 0.876, while the specificity and sensitivity are 0.826 and 0.932, respectively. For ophthalmologists, the average accuracies are 0.607, 0.585 and 0.626 for resident ophthalmologists, attending ophthalmologists and glaucoma experts, respectively. AGIS and GSS2 achieved accuracy of 0.459 and 0.523 respectively. Three traditional machine learning algorithms, namely support vector machine (SVM), random forest (RF), and k-nearest neighbor (k-NN) were also implemented and evaluated in the experiments, which achieved accuracy of 0.670, 0.644, and 0.591 respectively.

conclusionsOur algorithm based on CNN has achieved higher accuracy compared to human ophthalmologists and traditional rules (AGIS and GSS2) in differentiation of glaucoma and non-glaucoma VFs.

Indexed as

AdultAgedFemaleGlaucomaHumansMachine LearningMiddle AgedReproducibility of ResultsVisual Field TestsDeep learningGlaucomaVisual field

Identifiers

PMID30286740
PMCPMC6172715

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.