Evidence map›Paper›PMID 33344065›Full record

ArticleTranslational vision science & technology2020

Exploring a Structural Basis for Delayed Rod-Mediated Dark Adaptation in Age-Related Macular Degeneration Via Deep Learning.

Aaron Y Lee, Cecilia S Lee, Marian S Blazes, Julia P Owen, Yelena Bagdasarova, Yue Wu, Theodore Spaide, Ryan T Yanagihara, Yuka Kihara, Mark E Clark and 3 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 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
2.0field-weighted citation impact, top 10% 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

26 citing papers in PubMed, 30 citations in OpenAlex.

  1. Article
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  7. Modeling complex age-related eye disease.Progress in retinal and eye research · 2024
    Review
  8. Review
  9. Age-Related Macular Degeneration, a Mathematically Tractable Disease.Investigative ophthalmology & visual science · 2024
    Review
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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

13 authors at 3 institutions in 1 country.

Aaron Y LeeDepartment of Ophthalmology, School of Medicine, University of Washington, Seattle, WA, USA.
Cecilia S LeeDepartment of Ophthalmology, School of Medicine, University of Washington, Seattle, WA, USA.
Marian S BlazesDepartment of Ophthalmology, School of Medicine, University of Washington, Seattle, WA, USA.
Julia P OwenDepartment of Ophthalmology, School of Medicine, University of Washington, Seattle, WA, USA.
Yelena BagdasarovaDepartment of Ophthalmology, School of Medicine, University of Washington, Seattle, WA, USA.
Yue WuDepartment of Ophthalmology, School of Medicine, University of Washington, Seattle, WA, USA.
Theodore SpaideDepartment of Ophthalmology, School of Medicine, University of Washington, Seattle, WA, USA.
Ryan T YanagiharaDepartment of Ophthalmology, School of Medicine, University of Washington, Seattle, WA, USA.
Yuka KiharaDepartment of Ophthalmology, School of Medicine, University of Washington, Seattle, WA, USA.
Mark E ClarkDepartment of Ophthalmology and Visual Sciences, School of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.
MiYoung KwonDepartment of Psychology, Northeastern University, Boston, MA, USA.
Cynthia OwsleyDepartment of Ophthalmology and Visual Sciences, School of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.
Christine A CurcioDepartment of Ophthalmology and Visual Sciences, School of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.
University of Washington · USUniversity of Alabama at Birmingham · USNortheastern University · US

Funding

Aging eyes and aging brains in studying alzheimer's disease: Modern ophthalmic data collection in the adult changes in thought (ACT) studyR01AG060942 · NIA · WASHINGTON UNIVERSITY · PI Cecilia Sungmin Lee · 2019 to 2026
$39.4M
Visual Phenotyping CoreP30EY003039 · NEI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Paul Douglas Gamlin · 1985 to 2026
$16.9M
Functionally Validated Structural Endpoints for Early AMDR01EY029595 · NEI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI CURCIO, CHRISTINE A, OWSLEY, CYNTHIA · 2019 to 2023
$4.1M
VISUAL DYSFUNCTION AND AGING--UNDERLYING MECHANISMSR01AG004212 · NIA · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI OWSLEY, CYNTHIA · 1985 to 2012
$3.7M
Epidemiology and clinical outcomes of diabetic macular edemaK23EY029246 · NEI · UNIVERSITY OF WASHINGTON · PI LEE, AARON · 2018 to 2022
$1.1M
NEI NIH HHS K23 EY029246NEI NIH HHS P30 EY003039NEI NIH HHS R01 EY029595NIA NIH HHS R01 AG004212NIA NIH HHS R01 AG060942
6 · The paper itself

Abstract

Purpose: Delayed rod-mediated dark adaptation (RMDA) is a functional biomarker for incipient age-related macular degeneration (AMD). We used anatomically restricted spectral domain optical coherence tomography (SD-OCT) imaging data to localize de novo imaging features associated with and to test hypotheses about delayed RMDA. Methods: Rod intercept time (RIT) was measured in participants with and without AMD at 5 degrees from the fovea, and macular SD-OCT images were obtained. A deep learning model was trained with anatomically restricted information using a single representative B-scan through the fovea of each eye. Mean-occlusion masking was utilized to isolate the relevant imaging features. Results: The model identified hyporeflective outer retinal bands on macular SD-OCT associated with delayed RMDA. The validation mean standard error (MSE) registered to the foveal B-scan localized the lowest error to 0.5 mm temporal to the fovea center, within an overall low-error region across the rod-free zone and adjoining parafovea. Mean absolute error (MAE) on the test set was 4.71 minutes (8.8% of the dynamic range). Conclusions: We report a novel framework for imaging biomarker discovery using deep learning and demonstrate its ability to identify and localize a previously undescribed biomarker in retinal imaging. The hyporeflective outer retinal bands in central macula on SD-OCT demonstrate a structural basis for dysfunctional rod vision that correlates to published histopathologic findings. Translational Relevance: This agnostic approach to anatomic biomarker discovery strengthens the rationale for RMDA as an outcome measure in early AMD clinical trials, and also expands the utility of deep learning beyond automated diagnosis to fundamental discovery.

Indexed as

Deep LearningMacula LuteaMacular DegenerationDark AdaptationHumansVisual Acuityage-related macular degenerationbiomarkerdeep learningdrusenrod-mediated dark adaptationspectral domain optical coherence tomography

Identifiers

PMID33344065
PMCPMC7745629
OpenAlexW3113358009

What OpenQuestion holds

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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.