Evidence map›Paper›PMID 32439844›Full record

ArticleScientific reports2020

Epiretinal Membrane Detection at the Ophthalmologist Level using Deep Learning of Optical Coherence Tomography.

Ying-Chih Lo, Keng-Hung Lin, Henry Bair, Wayne Huey-Herng Sheu, Chi-Sen Chang, Ying-Cheng Shen, Che-Lun Hung

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Article in Scientific reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
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20citing papers in PubMed, 1 pooled it
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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

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

  1. Pooled it
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  5. Low-Cost and Fast Epiretinal Membrane Detection and Quantification Based on SD-OCT.IEEE access : practical innovations, open solutions · 2025
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  18. Short-TermBioMed research international · 2022
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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Ying-Chih Lo *Division of Nephrology, Department of Internal Medicine, Taichung Veterans General Hospital, Taichung, Taiwan.
Keng-Hung Lin *Department of Ophthalmology, Taichung Veterans General Hospital, Taichung, Taiwan.
Henry BairStanford University School of Medicine, Stanford, California, USA.
Wayne Huey-Herng SheuDivision of Endocrinology and Metabolism, Department of Medicine, Taichung Veterans General Hospital, Taichung, Taiwan.
Chi-Sen ChangDivision of Gastroenterology, Department of Internal Medicine, Taichung Veterans General Hospital, Taichung, Taiwan.
Ying-Cheng ShenDepartment of Ophthalmology, Taichung Veterans General Hospital, Taichung, Taiwan.
Che-Lun HungInstitute of Biomedical Informatics, National Yang-Ming University, Taipei, Taiwan. clhung@mail.cgu.edu.tw.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePrevious deep learning studies on optical coherence tomography (OCT) mainly focused on diabetic retinopathy and age-related macular degeneration. We proposed a deep learning model that can identify epiretinal membrane (ERM) in OCT with ophthalmologist-level performance.

designCross-sectional study.

participantsA total of 3,618 central fovea cross section OCT images from 1,475 eyes of 964 patients.

methodsWe retrospectively collected 7,652 OCT images from 1,197 patients. From these images, 2,171 were normal and 1,447 were ERM OCT. A total of 3,141 OCT images was used as training dataset and 477 images as testing dataset. DL algorithm was used to train the interpretation model. Diagnostic results by four board-certified non-retinal specialized ophthalmologists on the testing dataset were compared with those generated by the DL model.

main outcome measuresWe calculated for the derived DL model the following characteristics: sensitivity, specificity, F1 score and area under curve (AUC) of the receiver operating characteristic (ROC) curve. These were calculated according to the gold standard results which were parallel diagnoses of the retinal specialist. Performance of the DL model was finally compared with that of non-retinal specialized ophthalmologists.

resultsRegarding the diagnosis of ERM in OCT images, the trained DL model had the following characteristics in performance: sensitivity: 98.7%, specificity: 98.0%, and F1 score: 0.945. The accuracy on the training dataset was 99.7% (95% CI: 99.4 - 99.9%), and for the testing dataset, diagnostic accuracy was 98.1% (95% CI: 96.5 - 99.1%). AUC of the ROC curve was 0.999. The DL model slightly outperformed the average non-retinal specialized ophthalmologists.

conclusionsAn ophthalmologist-level DL model was built here to accurately identify ERM in OCT images. The performance of the model was slightly better than the average non-retinal specialized ophthalmologists. The derived model may play a role to assist clinicians to promote the efficiency and safety of healthcare in the future.

Indexed as

AlgorithmsCross-Sectional StudiesDeep LearningDiabetic RetinopathyDiagnosis, Computer-AssistedEpiretinal MembraneHumansMacular DegenerationOphthalmologistsRetinaTomography, Optical Coherence

Identifiers

PMID32439844
PMCPMC7242423

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