Evidence map›Paper›PMID 30742639›Full record

Trial reportPloS one2019

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

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 readClinical Trial
In one paragraph

Trial report in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–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

11 citing papers in PubMed.

  1. Article
  2. Article
  3. Identifying Borderline Trachoma Grades Using a Three-Latent Class Model.The American journal of tropical medicine and hygiene · 2025
    Article
  4. Article
  5. Review
  6. Detection of trachoma using machine learning approaches.PLoS neglected tropical diseases · 2022
    Article
  7. Trachoma.Nature reviews. Disease primers · 2022
    Review
  8. Observational
  9. Article
  10. Artificial intelligence in cornea and ocular surface diseases.Saudi journal of ophthalmology : official journal of the Saudi Ophthalmological Society
    Article
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Matthew C KimFrancis I. Proctor Foundation, University of California San Francisco, San Francisco, CA, United States of America.
Kazunori OkadaDepartment of Computer Science, San Francisco State University, San Francisco, CA, United States of America.
Alexander M RynerFrancis I. Proctor Foundation, University of California San Francisco, San Francisco, CA, United States of America.
Abdou AmzaProgramme FSS/Université Abdou Moumouni de Niamey, Programme National de Santé Oculaire, Niamey, Niger.
Zerihun TadesseCarter Center, Addis Ababa, Ethiopia.
Sun Y CotterFrancis I. Proctor Foundation, University of California San Francisco, San Francisco, CA, United States of America.
Bruce D GaynorFrancis I. Proctor Foundation, University of California San Francisco, San Francisco, CA, United States of America.
Jeremy D KeenanFrancis I. Proctor Foundation, University of California San Francisco, San Francisco, CA, United States of America.
Thomas M LietmanFrancis I. Proctor Foundation, University of California San Francisco, San Francisco, CA, United States of America.
Travis C PorcoFrancis I. Proctor Foundation, University of California San Francisco, San Francisco, CA, United States of America.ORCID 0000-0001-8813-3171

Funding

Rapid-Prototyping and Design CoreP30EY002162 · NEI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI LAMBA, DEEPAK ASHOK · 1985 to 2024
$16.8M
TANA IIU10EY016214 · NEI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI LIETMAN, THOMAS M · 2004 to 2013
$4.4M
NEI NIH HHS P30 EY002162NEI NIH HHS U10 EY016214
6 · The paper itself

Abstract

BACKGROUND/

aimsTrachoma 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.

methodsA 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.

resultsThe 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 < 0.001) and κ = 0.69 (95% CI: 0.55 to 0.84, P < 0.001), respectively. DISCUSSION: For assessing the clinical signs of trachoma, a convolutional neural net performed well above chance when tested against expert consensus. Further improvements in specificity may render this method suitable for field use.

Indexed as

Neural Networks, ComputerPhotographyAlgorithmsArtificial IntelligenceConjunctivaEthiopiaEyelidsHumansImage Processing, Computer-AssistedNigerPrevalenceTrachoma

Identifiers

PMID30742639
PMCPMC6370195

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.