Evidence map›Paper›PMID 32704416›Full record

ArticleTranslational vision science & technology2020

Plus Disease in Retinopathy of Prematurity: Convolutional Neural Network Performance Using a Combined Neural Network and Feature Extraction Approach.

Veysi M Yildiz, Peng Tian, Ilkay Yildiz, James M Brown, Jayashree Kalpathy-Cramer, Jennifer Dy, Stratis Ioannidis, Deniz Erdogmus, Susan Ostmo, Sang Jin Kim and 4 more

Open access · goldAbstract read
In one paragraph

Article in Translational vision science & technology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 6% 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

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 56 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Retinopathy of Prematurity (ROP): Are We There Yet?Medicina (Kaunas, Lithuania) · 2026
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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

14 authors at 6 institutions in 3 countries.

Veysi M YildizCognitive Systems Laboratory, Northeastern University, Boston, MA, USA.
Peng TianCognitive Systems Laboratory, Northeastern University, Boston, MA, USA.
Ilkay YildizCognitive Systems Laboratory, Northeastern University, Boston, MA, USA.
James M BrownDepartment of Computer Science, University of Lincoln, Lincoln, UK.
Jayashree Kalpathy-CramerDepartment of Radiology, Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Charlestown, MA, USA.
Jennifer DyCognitive Systems Laboratory, Northeastern University, Boston, MA, USA.
Stratis IoannidisCognitive Systems Laboratory, Northeastern University, Boston, MA, USA.
Deniz ErdogmusCognitive Systems Laboratory, Northeastern University, Boston, MA, USA.
Susan OstmoDepartment of Ophthalmology, Casey Eye Institute, Oregon Health & Science University, Portland, OR, USA.
Sang Jin KimSungkyunkwan University School of Medicine, Seoul, South Korea.
R V Paul ChanEye and Ear Infirmary, University of Illinois at Chicago, Chicago, IL, USA.
J Peter CampbellDepartment of Ophthalmology, Casey Eye Institute, Oregon Health & Science University, Portland, OR, USA.
Michael F ChiangDepartment of Ophthalmology, Casey Eye Institute, Oregon Health & Science University, Portland, OR, USA.
Imaging and Informatics in Retinopathy of Prematurity (i-ROP) Research Consortium
Northeastern University · USOregon Health & Science University · USAthinoula A. Martinos Center for Biomedical Imaging · USNew York Eye and Ear Infirmary · USSungkyunkwan University · KRUniversity of Lincoln · GB

Funding

Proteomics CoreP30EY010572 · NEI · OREGON HEALTH & SCIENCE UNIVERSITY · PI John Peter Campbell · 1995 to 2026
$19.4M
Clinical and Genetic Analysis of Retinopathy of PrematurityR01EY019474 · NEI · OREGON HEALTH & SCIENCE UNIVERSITY · PI CAMPBELL, JOHN PETER · 2010 to 2020
$7.0M
Mentored Vision Clinician-Scientist Program at OHSUK12EY027720 · NEI · OREGON HEALTH & SCIENCE UNIVERSITY · PI David Huang · 2018 to 2026
$2.2M
Clinical and genetic analysis of retinopathy of prematurityR01HD107493 · NICHD · OREGON HEALTH & SCIENCE UNIVERSITY · PI CAMPBELL, JOHN PETER · 2021 to 2023
$1.8M
NEI NIH HHS K12 EY027720NEI NIH HHS P30 EY010572NEI NIH HHS R01 EY019474NICHD NIH HHS R01 HD107493
6 · The paper itself

Abstract

Purpose: Retinopathy of prematurity (ROP), a leading cause of childhood blindness, is diagnosed by clinical ophthalmoscopic examinations or reading retinal images. Plus disease, defined as abnormal tortuosity and dilation of the posterior retinal blood vessels, is the most important feature to determine treatment-requiring ROP. We aimed to create a complete, publicly available and feature-extraction-based pipeline, I-ROP ASSIST, that achieves convolutional neural network (CNN)-like performance when diagnosing plus disease from retinal images. Methods: We developed two datasets containing 100 and 5512 posterior retinal images, respectively. After segmenting retinal vessels, we detected the vessel centerlines. Then, we extracted features relevant to ROP, including tortuosity and dilation measures, and used these features in the classifiers including logistic regression, support vector machine and neural networks to assess a severity score for the input. We tested our system with fivefold cross-validation and calculated the area under the curve (AUC) metric for each classifier and dataset. Results: For predicting plus versus not-plus categories, we achieved 99% and 94% AUC on the first and second datasets, respectively. For predicting pre-plus or worse versus normal categories, we achieved 99% and 88% AUC on the first and second datasets, respectively. The CNN method achieved 98% and 94% for predicting two categories on the second dataset. Conclusions: Our system combining automatic retinal vessel segmentation, tracing, feature extraction and classification is able to diagnose plus disease in ROP with CNN-like performance. Translational Relevance: The high performance of I-ROP ASSIST suggests potential applications in automated and objective diagnosis of plus disease.

Indexed as

Neural Networks, ComputerRetinopathy of PrematurityArea Under CurveChildHumansInfant, NewbornOphthalmoscopyRetinal VesselsCNNfeature-basedROP

Identifiers

PMID32704416
PMCPMC7346878
OpenAlexW3006347807

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.