Evidence map›Paper›PMID 33139242›Full record

ArticleJMIR medical informatics2020

Deep Learning-Based Detection of Early Renal Function Impairment Using Retinal Fundus Images: Model Development and Validation.

Eugene Yu-Chuan Kang, Yi-Ting Hsieh, Chien-Hung Li, Yi-Jin Huang, Chang-Fu Kuo, Je-Ho Kang, Kuan-Jen Chen, Chi-Chun Lai, Wei-Chi Wu, Yih-Shiou Hwang

Open access · goldAbstract read
In one paragraph

Article in JMIR medical informatics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
4.0field-weighted citation impact, top 5% 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

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 53 citations in OpenAlex.

  1. Pooled it
  2. 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

10 authors at 4 institutions in 1 country.

Eugene Yu-Chuan KangDepartment of Ophthalmology, Chang Gung Memorial Hospital, Linkou Medical Center, Taoyuan, Taiwan.ORCID https://orcid.org/0000-0001-6814-6530
Yi-Ting HsiehDepartment of Ophthalmology, National Taiwan University Hospital, Taipei, Taiwan.ORCID https://orcid.org/0000-0003-2258-154X
Chien-Hung LiAcer Healthcare Incorporated, New Taipei, Taiwan.ORCID https://orcid.org/0000-0002-8881-6252
Yi-Jin HuangAcer Healthcare Incorporated, New Taipei, Taiwan.ORCID https://orcid.org/0000-0002-0122-0414
Chang-Fu KuoCollege of Medicine, Chang Gung University, Taoyuan, Taiwan.ORCID https://orcid.org/0000-0002-9770-5730
Je-Ho KangDepartment of Nephrology, Yang Ming Hospital, Taoyuan, Taiwan.ORCID https://orcid.org/0000-0001-8493-2574
Kuan-Jen ChenDepartment of Ophthalmology, Chang Gung Memorial Hospital, Linkou Medical Center, Taoyuan, Taiwan.ORCID https://orcid.org/0000-0002-4994-8391
Chi-Chun LaiDepartment of Ophthalmology, Chang Gung Memorial Hospital, Linkou Medical Center, Taoyuan, Taiwan.ORCID https://orcid.org/0000-0001-9547-7212
Wei-Chi WuDepartment of Ophthalmology, Chang Gung Memorial Hospital, Linkou Medical Center, Taoyuan, Taiwan.ORCID https://orcid.org/0000-0003-3760-7255
Yih-Shiou HwangDepartment of Ophthalmology, Chang Gung Memorial Hospital, Linkou Medical Center, Taoyuan, Taiwan.ORCID https://orcid.org/0000-0003-2744-3234
Chang Gung University · TWAcer (Taiwan) · TWMin Sheng General Hospital · TWNational Taiwan University Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRetinal imaging has been applied for detecting eye diseases and cardiovascular risks using deep learning-based methods. Furthermore, retinal microvascular and structural changes were found in renal function impairments. However, a deep learning-based method using retinal images for detecting early renal function impairment has not yet been well studied.

objectiveThis study aimed to develop and evaluate a deep learning model for detecting early renal function impairment using retinal fundus images.

methodsThis retrospective study enrolled patients who underwent renal function tests with color fundus images captured at any time between January 1, 2001, and August 31, 2019. A deep learning model was constructed to detect impaired renal function from the images. Early renal function impairment was defined as estimated glomerular filtration rate <90 mL/min/1.73 m

resultsIn total, 25,706 retinal fundus images were obtained from 6212 patients for the study period. The images were divided at an 8:1:1 ratio. The training, validation, and testing data sets respectively contained 20,787, 2189, and 2730 images from 4970, 621, and 621 patients. There were 10,686 and 15,020 images determined to indicate normal and impaired renal function, respectively. The AUC of the model was 0.81 in the overall population. In subgroups stratified by serum hemoglobin A

conclusionsThe deep learning model in this study enables the detection of early renal function impairment using retinal fundus images. The model was more accurate for patients with elevated serum HbA

Indexed as

deep learningdetectiondevelopmentdiabeteseyeimagingimpairmentkidneymodelrenalrenal functionretinalretinal fundus imagevalidation

Identifiers

PMID33139242
PMCPMC7728538
OpenAlexW3094715731

What OpenQuestion holds

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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.