Evidence map›Paper›PMID 31913272›Full record

Trial reportNature communications2020

Predicting optical coherence tomography-derived diabetic macular edema grades from fundus photographs using deep learning.

Avinash V Varadarajan, Pinal Bavishi, Paisan Ruamviboonsuk, Peranut Chotcomwongse, Subhashini Venugopalan, Arunachalam Narayanaswamy, Jorge Cuadros, Kuniyoshi Kanai, George Bresnick, Mongkol Tadarati and 8 more

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in Nature communications, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed
7.9field-weighted citation impact, top 2% of its field
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

53 citing papers in PubMed, 131 citations in OpenAlex.

  1. Article
  2. Co-Evaporated Ratio-Tunable TeSmall (Weinheim an der Bergstrasse, Germany) · 2026
    Article
  3. Article
  4. Article
  5. Volumetric montaging of optical coherence tomography in human retinas.bioRxiv : the preprint server for biology · 2026
    Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. How early can we detect diabetic retinopathy? A narrative review of imaging tools for structural assessment of the retina.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2025
    Review
  14. Review
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. 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

18 authors at 4 institutions in 3 countries.

Avinash V VaradarajanGoogle Health, Google, Mountain View, CA, USA.
Pinal BavishiGoogle Health, Google, Mountain View, CA, USA.
Paisan RuamviboonsukFaculty of Medicine, Department of Ophthalmology, Rajavithi Hospital, College of Medicine, Rangsit University, 2, Phayathai Road, Ratchathewi District, Bangkok, 10400, Thailand.
Peranut ChotcomwongseFaculty of Medicine, Department of Ophthalmology, Rajavithi Hospital, College of Medicine, Rangsit University, 2, Phayathai Road, Ratchathewi District, Bangkok, 10400, Thailand.
Subhashini VenugopalanGoogle Research, Google, Mountain View, CA, USA.ORCID http://orcid.org/0000-0003-3729-8456
Arunachalam NarayanaswamyGoogle Research, Google, Mountain View, CA, USA.
Jorge CuadrosEyePACS LLC, Santa Cruz, CA, USA.
Kuniyoshi KanaiMeredith Morgan Eye Center, University of California, 200 Minor Hall, Berkeley, CA, 94720-2020, USA.
George BresnickEyePACS LLC, Santa Cruz, CA, USA.
Mongkol TadaratiFaculty of Medicine, Department of Ophthalmology, Rajavithi Hospital, College of Medicine, Rangsit University, 2, Phayathai Road, Ratchathewi District, Bangkok, 10400, Thailand.ORCID http://orcid.org/0000-0003-3337-0625
Sukhum Silpa-ArchaFaculty of Medicine, Department of Ophthalmology, Rajavithi Hospital, College of Medicine, Rangsit University, 2, Phayathai Road, Ratchathewi District, Bangkok, 10400, Thailand.
Jirawut LimwattanayingyongFaculty of Medicine, Department of Ophthalmology, Rajavithi Hospital, College of Medicine, Rangsit University, 2, Phayathai Road, Ratchathewi District, Bangkok, 10400, Thailand.
Variya NganthaveeFaculty of Medicine, Department of Ophthalmology, Rajavithi Hospital, College of Medicine, Rangsit University, 2, Phayathai Road, Ratchathewi District, Bangkok, 10400, Thailand.
Joseph R LedsamDeepmind, London, UK.
Pearse A KeaneNIHR Biomedical Research Centre for Ophthalmology, Moorfields Eye Hospital NHS Foundation Trust and UCL Institute of Ophthalmology, 2/12 Wolfson Building, 11-43 Bath Street, London, EC1V 9EL, UK.ORCID http://orcid.org/0000-0002-9239-745X
Greg S CorradoGoogle Health, Google, Mountain View, CA, USA.
Lily PengGoogle Health, Google, Mountain View, CA, USA. lhpeng@google.com.
Dale R WebsterGoogle Health, Google, Mountain View, CA, USA.ORCID http://orcid.org/0000-0002-3023-8824
Google (United States) · USRajavithi Hospital · THGoogle DeepMind (United Kingdom) · GBMoorfields Eye Hospital NHS Foundation Trust · GB

Funding

Department of Health CS-2014-14-023
6 · The paper itself

Abstract

Center-involved diabetic macular edema (ci-DME) is a major cause of vision loss. Although the gold standard for diagnosis involves 3D imaging, 2D imaging by fundus photography is usually used in screening settings, resulting in high false-positive and false-negative calls. To address this, we train a deep learning model to predict ci-DME from fundus photographs, with an ROC-AUC of 0.89 (95% CI: 0.87-0.91), corresponding to 85% sensitivity at 80% specificity. In comparison, retinal specialists have similar sensitivities (82-85%), but only half the specificity (45-50%, p < 0.001). Our model can also detect the presence of intraretinal fluid (AUC: 0.81; 95% CI: 0.81-0.86) and subretinal fluid (AUC 0.88; 95% CI: 0.85-0.91). Using deep learning to make predictions via simple 2D images without sophisticated 3D-imaging equipment and with better than specialist performance, has broad relevance to many other applications in medical imaging.

Indexed as

AgedDeep LearningDiabetic RetinopathyFemaleHumansImaging, Three-DimensionalMacular EdemaMaleMiddle AgedMutationPhotographyRetinaTomography, Optical Coherence

Identifiers

PMID31913272
PMCPMC6949287
OpenAlexW2896734945

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.