Evidence map›Paper›PMID 32310684›Full record

ArticleExpert review of molecular diagnostics2020

A CNN-aided method to predict glaucoma progression using DARC (Detection of Apoptosing Retinal Cells).

Eduardo M Normando, Tim E Yap, John Maddison, Serge Miodragovic, Paolo Bonetti, Melanie Almonte, Nada G Mohammad, Sally Ameen, Laura Crawley, Faisal Ahmed and 2 more

Open access · greenAbstract readComparative StudyValidation Study
In one paragraph

Article in Expert review of molecular diagnostics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
5.4field-weighted citation impact, top 3% 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

20 citing papers in PubMed, 50 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. Review
  5. Alzheimer's disease pathophysiology in the Retina.Progress in retinal and eye research · 2024
    Review
  6. Article
  7. Article
  8. TrialView: An AI-powered Visual Analytics System for Temporal Event Data in Clinical Trials.Proceedings of the ... Annual Hawaii International Conference on System Sciences. Annual Hawaii International Conference on System Sciences · 2024
    Article
  9. Review
  10. Review
  11. In Vivo Detection of Retinal Ganglion Cell Stress in Rodents with DARC.Methods in molecular biology (Clifton, N.J.) · 2023
    Article
  12. Review
  13. Article
  14. Review
  15. Review
  16. Article
  17. Retinal imaging in Alzheimer's and neurodegenerative diseases.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2021
    Review
  18. Article
  19. Article
  20. Review
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

12 authors at 2 institutions in 1 country.

Eduardo M NormandoICORG, Imperial College London , London, UK.ORCID 0000-0002-5774-8082
Tim E YapICORG, Imperial College London , London, UK.ORCID 0000-0003-4080-4188
John MaddisonMaddisys Ltd , London, UK.
Serge MiodragovicICORG, Imperial College London , London, UK.
Paolo BonettiICORG, Imperial College London , London, UK.
Melanie AlmonteICORG, Imperial College London , London, UK.
Nada G MohammadICORG, Imperial College London , London, UK.ORCID 0000-0001-5448-3659
Sally AmeenICORG, Imperial College London , London, UK.
Laura CrawleyICORG, Imperial College London , London, UK.
Faisal AhmedICORG, Imperial College London , London, UK.
Philip A BloomICORG, Imperial College London , London, UK.
Maria Francesca CordeiroICORG, Imperial College London , London, UK.ORCID 0000-0001-8663-6525
Imperial College London · GBImperial College Healthcare NHS Trust · GB

Funding

Wellcome Trust 088029Wellcome Trust 099729
6 · The paper itself

Abstract

backgroundA key objective in glaucoma is to identify those at risk of rapid progression and blindness. Recently, a novel first-in-man method for visualising apoptotic retinal cells called DARC (Detection-of-Apoptosing-Retinal-Cells) was reported. The aim was to develop an automatic CNN-aided method of DARC spot detection to enable prediction of glaucoma progression.

methodsAnonymised DARC images were acquired from healthy control (n=40) and glaucoma (n=20) Phase 2 clinical trial subjects (ISRCTN10751859) from which 5 observers manually counted spots. The CNN-aided algorithm was trained and validated using manual counts from control subjects, and then tested on glaucoma eyes.

resultsThe algorithm had 97.0% accuracy, 91.1% sensitivity and 97.1% specificity to spot detection when compared to manual grading of 50% controls.  It was next tested on glaucoma patient eyes defined as progressing or stable based on a significant (p<0.05) rate of progression using OCT-retinal nerve fibre layer measurements at 18 months. It demonstrated 85.7% sensitivity, 91.7% specificity with AUC of 0.89, and a significantly (p=0.0044) greater DARC count in those patients who later progressed.

conclusionThis CNN-enabled algorithm provides an automated and objective measure of DARC, promoting its use as an AI-aided biomarker for predicting glaucoma progression and testing new drugs.

Indexed as

AlgorithmsApoptosisNeural Networks, ComputerAdultAgedAnnexin A5AutomationClinical Trials, Phase II as TopicDisease ProgressionFemaleGlaucomaHumansImage Processing, Computer-AssistedMaleMiddle AgedObserver VariationAnnexin A5apoptosisArtificial IntelligenceBiomarkerCNNglaucomaimaging

Identifiers

PMID32310684
PMCPMC7115906
OpenAlexW3017192935

What OpenQuestion holds

Textmetadata
LicenceTDM
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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.