Evidence map›Paper›PMID 32781564›Full record

ArticleJournal of clinical medicine2020

Deep Learning-Based Segmentation and Quantification of Retinal Capillary Non-Perfusion on Ultra-Wide-Field Retinal Fluorescein Angiography.

Joan M Nunez do Rio, Piyali Sen, Rajna Rasheed, Akanksha Bagchi, Luke Nicholson, Adam M Dubis, Christos Bergeles, Sobha Sivaprasad

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.8field-weighted citation impact, top 12% 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

17 citing papers in PubMed, 29 citations in OpenAlex.

  1. AI-driven multimodal retinal imaging for early detection and risk stratification of vascular and neurodegenerative diseases.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 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

8 authors at 3 institutions in 1 country.

Joan M Nunez do RioInstitute of Ophthalmology, University College London, London EC1V 9EL, UK.ORCID 0000-0001-8268-5389
Piyali SenInstitute of Ophthalmology, University College London, London EC1V 9EL, UK.ORCID 0000-0002-1885-4624
Rajna RasheedInstitute of Ophthalmology, University College London, London EC1V 9EL, UK.
Akanksha BagchiNIHR Moorfields Biomedical Research Centre, Moorfields Eye Hospital, London EC1V 2PD, UK.
Luke NicholsonInstitute of Ophthalmology, University College London, London EC1V 9EL, UK.ORCID 0000-0001-6685-4402
Adam M DubisInstitute of Ophthalmology, University College London, London EC1V 9EL, UK.
Christos BergelesKing's College London, School of Biomedical Engineering & Imaging Sciences, London SE1 7EU, UK.ORCID 0000-0002-9152-3194
Sobha SivaprasadInstitute of Ophthalmology, University College London, London EC1V 9EL, UK.ORCID 0000-0001-8952-0659
NIHR Moorfields Biomedical Research Centre · GBUniversity College London · GBKing's College London · GB

Funding

Medical Research Council MR/P027881/1
6 · The paper itself

Abstract

Reliable outcome measures are required for clinical trials investigating novel agents for preventing progression of capillary non-perfusion (CNP) in retinal vascular diseases. Currently, accurate quantification of topographical distribution of CNP on ultrawide field fluorescein angiography (UWF-FA) by retinal experts is subjective and lack standardisation. A U-net style network was trained to extract a dense segmentation of CNP from a newly created dataset of 75 UWF-FA images. A subset of 20 images was also segmented by a second expert grader for inter-grader reliability evaluation. Further, a circular grid centred on the FAZ was used to provide standardised CNP distribution analysis. The model for dense segmentation was five-fold cross-validated achieving area under the receiving operating characteristic of 0.82 (0.03) and area under precision-recall curve 0.73 (0.05). Inter-grader assessment on the 20 image subset achieves: precision 59.34 (10.92), recall 76.99 (12.5), and dice similarity coefficient (DSC) 65.51 (4.91), and the centred operating point of the automated model reached: precision 64.41 (13.66), recall 70.02 (16.2), and DSC 66.09 (13.32). Agreement of CNP grid assessment reached: Kappa 0.55 (0.03), perfused intraclass correlation (ICC) 0.89 (0.77, 0.93), non-perfused ICC 0.86 (0.73, 0.92), inter-grader agreement of CNP grid assessment values are Kappa 0.43 (0.03), perfused ICC 0.70 (0.48, 0.83), non-perfused ICC 0.71 (0.48, 0.83). Automated dense segmentation of CNP in UWF-FA images achieves performance levels comparable to inter-grader agreement values. A grid placed on the deep learning-based automatic segmentation of CNP generates a reliable and quantifiable method of measurement of CNP, to overcome the subjectivity of human graders.

Indexed as

fluorescein angiographyimage segmentationretinal non-perfusion

Identifiers

PMID32781564
PMCPMC7464218
OpenAlexW3047378341

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.