Evidence map›Paper›PMID 33046867›Full record

ArticleNature biomedical engineering2021

A deep-learning system for the assessment of cardiovascular disease risk via the measurement of retinal-vessel calibre.

Carol Y Cheung, Dejiang Xu, Ching-Yu Cheng, Charumathi Sabanayagam, Yih-Chung Tham, Marco Yu, Tyler Hyungtaek Rim, Chew Yian Chai, Bamini Gopinath, Paul Mitchell and 16 more

Abstract readValidation Study
PubMed Publisher
In one paragraph

Article in Nature biomedical engineering, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 130 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
130citing papers in PubMed, 2 pooled it
–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

130 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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70 more citing papers are in PubMed but not listed here.

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

26 authors.

Carol Y Cheung *Singapore Eye Research Institute, Singapore National Eye Center, Singapore, Singapore.
Dejiang Xu *School of Computing, National University of Singapore, Singapore, Singapore.
Ching-Yu ChengSingapore Eye Research Institute, Singapore National Eye Center, Singapore, Singapore.ORCID http://orcid.org/0000-0003-0655-885X
Charumathi SabanayagamSingapore Eye Research Institute, Singapore National Eye Center, Singapore, Singapore.ORCID http://orcid.org/0000-0002-4042-4719
Yih-Chung ThamSingapore Eye Research Institute, Singapore National Eye Center, Singapore, Singapore.ORCID http://orcid.org/0000-0002-6752-797X
Marco YuSingapore Eye Research Institute, Singapore National Eye Center, Singapore, Singapore.
Tyler Hyungtaek RimSingapore Eye Research Institute, Singapore National Eye Center, Singapore, Singapore.
Chew Yian ChaiEmergency Medicine Department, National University Hospital, Singapore, Singapore.
Bamini GopinathCentre for Vision Research, Westmead Institute for Medical Research, Westmead, New South Wales, Australia.
Paul MitchellCentre for Vision Research, Westmead Institute for Medical Research, Westmead, New South Wales, Australia.
Richie PoultonDunedin Multidisciplinary Health and Development Research Unit, Department of Psychology, University of Otago, Dunedin, New Zealand.ORCID http://orcid.org/0000-0002-1052-4583
Terrie E MoffittDepartment of Psychology and Neuroscience, Duke University, Durham, NC, USA.
Avshalom CaspiDepartment of Psychology and Neuroscience, Duke University, Durham, NC, USA.
Jason C YamDepartment of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Hong Kong, China.
Clement C ThamDepartment of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Hong Kong, China.ORCID http://orcid.org/0000-0003-4407-6907
Jost B JonasDepartment of Ophthalmology, Medical Faculty Mannheim, Ruprecht-Karls-University, Heidelberg, Germany.ORCID http://orcid.org/0000-0003-2972-5227
Ya Xing WangBeijing Ophthalmology & Visual Science Key Lab, Beijing Institute of Ophthalmology, Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing, China.ORCID http://orcid.org/0000-0003-2749-7793
Su Jeong SongDepartment of Ophthalmology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
Louise M BurrellDepartment of Cardiology, Austin Health, Austin Hospital, and Department of Medicine, University of Melbourne, Heidelberg, Victoria, Australia.ORCID http://orcid.org/0000-0003-1863-7539
Omar FarouqueDepartment of Cardiology, Austin Health, Austin Hospital, and Department of Medicine, University of Melbourne, Heidelberg, Victoria, Australia.ORCID http://orcid.org/0000-0003-2821-1451
Ling Jun LiDivision of Obstetrics and Gynaecology, KK Women's and Children's Hospital, Singapore, Singapore.
Gavin TanSingapore Eye Research Institute, Singapore National Eye Center, Singapore, Singapore.
Daniel S W TingSingapore Eye Research Institute, Singapore National Eye Center, Singapore, Singapore.
Wynne HsuSchool of Computing, National University of Singapore, Singapore, Singapore.ORCID http://orcid.org/0000-0002-4142-8893
Mong Li LeeSchool of Computing, National University of Singapore, Singapore, Singapore.ORCID http://orcid.org/0000-0002-9636-388X
Tien Y WongSingapore Eye Research Institute, Singapore National Eye Center, Singapore, Singapore. wong.tien.yin@snec.com.sg.ORCID http://orcid.org/0000-0002-8448-1264

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Retinal blood vessels provide information on the risk of cardiovascular disease (CVD). Here, we report the development and validation of deep-learning models for the automated measurement of retinal-vessel calibre in retinal photographs, using diverse multiethnic multicountry datasets that comprise more than 70,000 images. Retinal-vessel calibre measured by the models and by expert human graders showed high agreement, with overall intraclass correlation coefficients of between 0.82 and 0.95. The models performed comparably to or better than expert graders in associations between measurements of retinal-vessel calibre and CVD risk factors, including blood pressure, body-mass index, total cholesterol and glycated-haemoglobin levels. In retrospectively measured prospective datasets from a population-based study, baseline measurements performed by the deep-learning system were associated with incident CVD. Our findings motivate the development of clinically applicable explainable end-to-end deep-learning systems for the prediction of CVD on the basis of the features of retinal vessels in retinal photographs.

Indexed as

AdultAgedAged, 80 and overBlood PressureBody Mass IndexCholesterolCoronary DiseaseDatasets as TopicDeep LearningFemaleGlycated HemoglobinHumansHypertensive RetinopathyImage Interpretation, Computer-AssistedMaleMiddle AgedCholesterolGlycated Hemoglobinhemoglobin A1c protein, human

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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.