Evidence map›Paper›PMID 33637645›Full record

ArticlePediatrics2021

Applications of Artificial Intelligence for Retinopathy of Prematurity Screening.

J Peter Campbell, Praveer Singh, Travis K Redd, James M Brown, Parag K Shah, Prema Subramanian, Renu Rajan, Nita Valikodath, Emily Cole, Susan Ostmo and 4 more

Open access · greenAbstract readValidation Study
In one paragraph

Article in Pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 3 pooled it
10.1field-weighted citation impact, top 1% 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

46 citing papers in PubMed, 3 syntheses or guidelines pooled it, 92 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 5 institutions in 3 countries.

J Peter CampbellDepartment of Ophthalmology, Casey Eye Institute and campbelp@ohsu.edu.
Praveer SinghAthinoula A. Martinos Center for Biomedical Imaging and Department of Radiology, Massachusetts General Hospital, Charlestown, Massachusetts.
Travis K ReddDepartment of Ophthalmology, Casey Eye Institute and.
James M BrownDepartment of Computer Science, University of Lincoln, Lincoln, United Kingdom.
Parag K ShahPediatric Retina and Ocular Oncology Division, Aravind Eye Hospital, Coimbatore, India.
Prema SubramanianPediatric Retina and Ocular Oncology Division, Aravind Eye Hospital, Coimbatore, India.
Renu RajanDepartment of Retina and Vitreous, Aravind Eye Hospital, Madurai, India; and.
Nita ValikodathDepartment of Ophthalmology and Visual Sciences, Illinois Eye and Ear Infirmary and University of Illinois at Chicago, Chicago, Illinois.
Emily ColeDepartment of Medical Informatics and Clinical Epidemiology, Oregon Health & Science University, Portland, Oregon.
Susan OstmoDepartment of Ophthalmology, Casey Eye Institute and.
R V Paul ChanDepartment of Ophthalmology and Visual Sciences, Illinois Eye and Ear Infirmary and University of Illinois at Chicago, Chicago, Illinois.
Narendran VenkatapathyPediatric Retina and Ocular Oncology Division, Aravind Eye Hospital, Coimbatore, India.
Michael F ChiangDepartment of Ophthalmology, Casey Eye Institute and.
Jayashree Kalpathy-CramerAthinoula A. Martinos Center for Biomedical Imaging and Department of Radiology, Massachusetts General Hospital, Charlestown, Massachusetts.
Aravind Eye Hospital · INMassachusetts General Hospital · USOregon Health & Science University · USUniversity of Illinois Chicago · USUniversity 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
Automated retinopathy of prematurity classification using machine learningR21EY022387 · NEI · MASSACHUSETTS GENERAL HOSPITAL · PI CHIANG, MICHAEL F., KALPATHY-CRAMER, JAYASHREE · 2013 to 2014
$482k
Robust AI to develop risk models in retinopathy of prematurity using deep learningR21EY031883 · NEI · MASSACHUSETTS GENERAL HOSPITAL · PI KALPATHY-CRAMER, JAYASHREE, RUBIN, DANIEL L · 2020 to 2021
$472k
NEI NIH HHS K12 EY027720NEI NIH HHS P30 EY010572NEI NIH HHS R01 EY019474NEI NIH HHS R21 EY022387NEI NIH HHS R21 EY031883NICHD NIH HHS R01 HD107493
6 · The paper itself

Abstract

objectivesChildhood blindness from retinopathy of prematurity (ROP) is increasing as a result of improvements in neonatal care worldwide. We evaluate the effectiveness of artificial intelligence (AI)-based screening in an Indian ROP telemedicine program and whether differences in ROP severity between neonatal care units (NCUs) identified by using AI are related to differences in oxygen-titrating capability.

methodsExternal validation study of an existing AI-based quantitative severity scale for ROP on a data set of images from the Retinopathy of Prematurity Eradication Save Our Sight ROP telemedicine program in India. All images were assigned an ROP severity score (1-9) by using the Imaging and Informatics in Retinopathy of Prematurity Deep Learning system. We calculated the area under the receiver operating characteristic curve and sensitivity and specificity for treatment-requiring retinopathy of prematurity. Using multivariable linear regression, we evaluated the mean and median ROP severity in each NCU as a function of mean birth weight, gestational age, and the presence of oxygen blenders and pulse oxygenation monitors.

resultsThe area under the receiver operating characteristic curve for detection of treatment-requiring retinopathy of prematurity was 0.98, with 100% sensitivity and 78% specificity. We found higher median (interquartile range) ROP severity in NCUs without oxygen blenders and pulse oxygenation monitors, most apparent in bigger infants (>1500 g and 31 weeks' gestation: 2.7 [2.5-3.0] vs 3.1 [2.4-3.8];

conclusionsIntegration of AI into ROP screening programs may lead to improved access to care for secondary prevention of ROP and may facilitate assessment of disease epidemiology and NCU resources.

Indexed as

Artificial IntelligenceSeverity of Illness IndexTelemedicineFemaleGestational AgeHospital UnitsHumansIndiaInfant, NewbornLinear ModelsMaleOxygenRetinopathy of PrematurityRetrospective StudiesROC CurveSensitivity and SpecificityOxygen

Identifiers

PMID33637645
PMCPMC7924138
OpenAlexW3129246287

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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.