Evidence map›Paper›PMID 33785808›Full record

ArticleScientific reports2021

Deep learning and ensemble stacking technique for differentiating polypoidal choroidal vasculopathy from neovascular age-related macular degeneration.

Yu-Bai Chou, Chung-Hsuan Hsu, Wei-Shiang Chen, Shih-Jen Chen, De-Kuang Hwang, Yi-Ming Huang, An-Fei Li, Henry Horng-Shing Lu

Abstract readValidation Study
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  11. Association of HERPUD1 genetic variant rs2217332 with age-related macular degeneration and polypoidal choroidal vasculopathy in an Indian cohort.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2023
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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.

Yu-Bai ChouDepartment of Ophthalmology, Taipei Veterans General Hospital, Taipei, Taiwan.
Chung-Hsuan Hsu *Institute of Statistics, National Yang Ming Chiao Tung University, Hsin Chu, Taiwan.
Wei-Shiang Chen *Institute of Statistics, National Yang Ming Chiao Tung University, Hsin Chu, Taiwan.
Shih-Jen ChenDepartment of Ophthalmology, Taipei Veterans General Hospital, Taipei, Taiwan.
De-Kuang HwangDepartment of Ophthalmology, Taipei Veterans General Hospital, Taipei, Taiwan.
Yi-Ming HuangDepartment of Ophthalmology, Taipei Veterans General Hospital, Taipei, Taiwan.
An-Fei LiSchool of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan.
Henry Horng-Shing LuInstitute of Statistics, National Yang Ming Chiao Tung University, Hsin Chu, Taiwan. hslu@stat.nctu.edu.tw.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Polypoidal choroidal vasculopathy (PCV) and neovascular age-related macular degeneration (nAMD) share some similarity in clinical imaging manifestations. However, their disease entity and treatment strategy as well as visual outcomes are very different. To distinguish these two vision-threatening diseases is somewhat challenging but necessary. In this study, we propose a new artificial intelligence model using an ensemble stacking technique, which combines a color fundus photograph-based deep learning (DL) model and optical coherence tomography-based biomarkers, for differentiation of PCV from nAMD. Furthermore, we introduced multiple correspondence analysis, a method of transforming categorical data into principal components, to handle the dichotomous data for combining with another image DL system. This model achieved a robust performance with an accuracy, sensitivity, specificity, and area under the receiver operating characteristic curve of 83.67%, 80.76%, 84.72%, and 88.57%, respectively, by training nearly 700 active cases with suitable imaging quality and transfer learning architecture. This work could offer an alternative method of developing a multimodal DL model, improve its efficiency for distinguishing different diseases, and facilitate the broad application of medical engineering in a DL model design.

Indexed as

Deep LearningChoroid DiseasesDiagnosis, DifferentialFeasibility StudiesHumansMacular DegenerationRetrospective StudiesTomography, Optical Coherence

Identifiers

PMID33785808
PMCPMC8010118

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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.