Evidence map›Paper›PMID 32317176›Full record

ArticleOphthalmology2020

Monitoring Glaucomatous Functional Loss Using an Artificial Intelligence-Enabled Dashboard.

Siamak Yousefi, Tobias Elze, Louis R Pasquale, Osamah Saeedi, Mengyu Wang, Lucy Q Shen, Sarah R Wellik, Carlos G De Moraes, Jonathan S Myers, Michael V Boland

Abstract read
In one paragraph

Article in Ophthalmology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing 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

18 citing papers in PubMed.

  1. Article
  2. Article
  3. Observational
  4. Review
  5. Article
  6. Article
  7. Article
  8. Predicting 60-4 visual field tests using 3D facial reconstruction.The British journal of ophthalmology · 2023
    Article
  9. Performance of ChatGPT in Diagnosis of Corneal Eye Diseases.medRxiv : the preprint server for health sciences · 2023
    Article
  10. Comparison of machine learning-based algorithms using corneal asymmetry vs. single-metric parameters for keratoconus detection.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2023
    Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. 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

10 authors.

Siamak YousefiDepartment of Ophthalmology, University of Tennessee Health Science Center, Memphis, Tennessee; Department of Genetics, Genomics, and Informatics, University of Tennessee Health Science Center, Memphis, Tennessee. Electronic address: siamak.yousefi@uthsc.edu.
Tobias ElzeSchepens Eye Research Institute, Harvard Medical School, Boston, Massachusetts.
Louis R PasqualeDepartment of Ophthalmology, Eye and Vision Research Institute, Icahn School of Medicine at Mount Sinai, New York, New York.
Osamah SaeediDepartment of Ophthalmology and Visual Sciences, University of Maryland, Baltimore, Maryland.
Mengyu WangSchepens Eye Research Institute, Harvard Medical School, Boston, Massachusetts.
Lucy Q ShenMassachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, Massachusetts.
Sarah R WellikBascom Palmer Eye Institute, University of Miami School of Medicine, Miami, Florida.
Carlos G De MoraesEdward S. Harkness Eye Institute, Columbia University, New York, New York.
Jonathan S MyersWills Eye Hospital, Thomas Jefferson University, Philadelphia, Pennsylvania.
Michael V BolandWilmer Eye Institute and Division of Health Sciences Informatics, Johns Hopkins University, Baltimore, Maryland.

Funding

VISION RESEARCHP30EY003790 · NEI · SCHEPENS EYE RESEARCH INSTITUTE · PI Patricia Ann D'Amore · 1985 to 2026
$25.5M
Gene-Environment Interactions in GlaucomaR01EY015473 · NEI · MASSACHUSETTS EYE AND EAR INFIRMARY · PI PASQUALE, LOUIS ROBERT · 2005 to 2021
$8.3M
Personalizing Glaucoma Diagnosis by Disease Specific Patterns and Individual Eye AnatomyR01EY030575 · NEI · SCHEPENS EYE RESEARCH INSTITUTE · PI ELZE, TOBIAS · 2019 to 2023
$2.4M
Role of Capillary Flow and Autoregulation in Primary Open Angle GlaucomaK23EY025014 · NEI · UNIVERSITY OF MARYLAND BALTIMORE · PI SAEEDI, OSAMAH JAWAID · 2015 to 2019
$1.0M
Improved Glaucoma Monitoring Using Artificial-Intelligence Enabled DashboardR21EY031725 · NEI · UNIVERSITY OF TENNESSEE HEALTH SCI CTR · PI YOUSEFI, SIAMAK · 2020 to 2022
$545k
A hybrid artificial intelligence framework for glaucoma monitoringR21EY030142 · NEI · UNIVERSITY OF TENNESSEE HEALTH SCI CTR · PI ELZE, TOBIAS, YOUSEFI, SIAMAK · 2019 to 2020
$499k
NEI NIH HHS K23 EY025014NEI NIH HHS P30 EY003790NEI NIH HHS R01 EY015473NEI NIH HHS R01 EY030575NEI NIH HHS R21 EY030142NEI NIH HHS R21 EY031725
6 · The paper itself

Abstract

purposeTo develop an artificial intelligence (AI) dashboard for monitoring glaucomatous functional loss.

designRetrospective, cross-sectional, longitudinal cohort study.

participantsOf 31 591 visual fields (VFs) on 8077 subjects, 13 231 VFs from the most recent visit of each patient were included to develop the AI dashboard. Longitudinal VFs from 287 eyes with glaucoma were used to validate the models.

methodWe entered VF data from the most recent visit of glaucomatous and nonglaucomatous patients into a "pipeline" that included principal component analysis (PCA), manifold learning, and unsupervised clustering to identify eyes with similar global, hemifield, and local patterns of VF loss. We visualized the results on a map, which we refer to as an "AI-enabled glaucoma dashboard." We used density-based clustering and the VF decomposition method called "archetypal analysis" to annotate the dashboard. Finally, we used 2 separate benchmark datasets-one representing "likely nonprogression" and the other representing "likely progression"-to validate the dashboard and assess its ability to portray functional change over time in glaucoma.

main outcome measuresThe severity and extent of functional loss and characteristic patterns of VF loss in patients with glaucoma.

resultsAfter building the dashboard, we identified 32 nonoverlapping clusters. Each cluster on the dashboard corresponded to a particular global functional severity, an extent of VF loss into different hemifields, and characteristic local patterns of VF loss. By using 2 independent benchmark datasets and a definition of stability as trajectories not passing through over 2 clusters in a left or downward direction, the specificity for detecting "likely nonprogression" was 94% and the sensitivity for detecting "likely progression" was 77%.

conclusionsThe AI-enabled glaucoma dashboard, developed using a large VF dataset containing a broad spectrum of visual deficit types, has the potential to provide clinicians with a user-friendly tool for determination of the severity of glaucomatous vision deficit, the spatial extent of the damage, and a means for monitoring the disease progression.

Indexed as

Artificial IntelligenceMonitoring, PhysiologicAdultAgedCross-Sectional StudiesFalse Negative ReactionsFemaleGlaucomaHumansLongitudinal StudiesMaleMiddle AgedOptic Nerve DiseasesPredictive Value of TestsRetrospective StudiesSensitivity and Specificity

Identifiers

PMID32317176
PMCPMC7483368

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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.