Evidence map›Paper›PMID 30951547›Full record

ArticlePloS one2019

Forecasting future Humphrey Visual Fields using deep learning.

Joanne C Wen, Cecilia S Lee, Pearse A Keane, Sa Xiao, Ariel S Rokem, Philip P Chen, Yue Wu, Aaron Y Lee

Abstract readValidation Study
In one paragraph

Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 86 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
86citing papers in PubMed, 1 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

86 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Article
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  7. Article
  8. Article
  9. Reliable and Interpretable Visual Field Progression Prediction with Diffusion Models and Conformal Risk Control.Medical image computing and computer-assisted intervention : MICCAI ... International Conference on Medical Image Computing and Computer-Assisted Intervention · 2026
    Article
  10. Article
  11. Article
  12. Review
  13. Current perspectives in tackling glaucoma blindness.Indian journal of ophthalmology · 2025
    Review
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Review

26 more citing papers are in PubMed but not listed here.

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

8 authors.

Joanne C WenDepartment of Ophthalmology, University of Washington, Seattle, WA, United States of America.ORCID 0000-0002-8407-7819
Cecilia S LeeDepartment of Ophthalmology, University of Washington, Seattle, WA, United States of America.
Pearse A KeaneNIHR Biomedical Research Centre for Ophthalmology at Moorfields Eye Hospital, Moorfields Eye Hospital NHS Foundation Trust and University College London (UCL) Institute of Ophthalmology, London, United Kingdom.
Sa XiaoDepartment of Ophthalmology, University of Washington, Seattle, WA, United States of America.
Ariel S RokemeScience Institute, University of Washington, Seattle, WA, United States of America.
Philip P ChenDepartment of Ophthalmology, University of Washington, Seattle, WA, United States of America.
Yue WuDepartment of Ophthalmology, University of Washington, Seattle, WA, United States of America.
Aaron Y LeeDepartment of Ophthalmology, University of Washington, Seattle, WA, United States of America.ORCID 0000-0002-7452-1648

Funding

Epidemiology and clinical outcomes of diabetic macular edemaK23EY029246 · NEI · UNIVERSITY OF WASHINGTON · PI LEE, AARON · 2018 to 2022
$1.1M
The ocular surface microbiome in potentially infectious ophthalmic diseaseK23EY024921 · NEI · UNIVERSITY OF WASHINGTON · PI LEE, CECILIA SUNGMIN · 2015 to 2019
$991k
Department of Health CS-2014-14-023NEI NIH HHS K23 EY024921
6 · The paper itself

Abstract

purposeTo determine if deep learning networks could be trained to forecast future 24-2 Humphrey Visual Fields (HVFs).

methodsAll data points from consecutive 24-2 HVFs from 1998 to 2018 were extracted from a university database. Ten-fold cross validation with a held out test set was used to develop the three main phases of model development: model architecture selection, dataset combination selection, and time-interval model training with transfer learning, to train a deep learning artificial neural network capable of generating a point-wise visual field prediction. The point-wise mean absolute error (PMAE) and difference in Mean Deviation (MD) between predicted and actual future HVF were calculated.

resultsMore than 1.7 million perimetry points were extracted to the hundredth decibel from 32,443 24-2 HVFs. The best performing model with 20 million trainable parameters, CascadeNet-5, was selected. The overall point-wise PMAE for the test set was 2.47 dB (95% CI: 2.45 dB to 2.48 dB), and deep learning showed a statistically significant improvement over linear models. The 100 fully trained models successfully predicted future HVFs in glaucomatous eyes up to 5.5 years in the future with a correlation of 0.92 between the MD of predicted and actual future HVF and an average difference of 0.41 dB.

conclusionsUsing unfiltered real-world datasets, deep learning networks show the ability to not only learn spatio-temporal HVF changes but also to generate predictions for future HVFs up to 5.5 years, given only a single HVF.

Indexed as

Deep LearningAdultAgedAlgorithmsDatabases, FactualDisease ProgressionFemaleForecastingGlaucomaHumansLinear ModelsMaleMiddle AgedModels, StatisticalSpatio-Temporal AnalysisVisual Fields

Identifiers

PMID30951547
PMCPMC6450620

What OpenQuestion holds

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Registered trials

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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.