Evidence map›Paper›PMID 33805685›Full record

ArticleDiagnostics (Basel, Switzerland)2021

Explainable Machine Learning Model for Glaucoma Diagnosis and Its Interpretation.

Sejong Oh, Yuli Park, Kyong Jin Cho, Seong Jae Kim

Abstract read
In one paragraph

Article in Diagnostics (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing 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

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

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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

4 authors.

Sejong OhSoftware Science, College of Software Convergence, Jukjeon Campus, Dankook University, Yongin 16890, Korea.ORCID 0000-0002-9365-274X
Yuli ParkDepartment of Ophthalmology, College of Medicine, Dankook University, 119, Dandae-ro, Dongnam-gu, Cheonan-si, Chungnam 31116, Korea.
Kyong Jin ChoDepartment of Ophthalmology, College of Medicine, Dankook University, 119, Dandae-ro, Dongnam-gu, Cheonan-si, Chungnam 31116, Korea.
Seong Jae KimDepartment of Ophthalmology, Institute of Health Sciences, Gyeongsang National University School of Medicine and Gyeongsang National University Hospital, Jinju 52727, Korea.ORCID 0000-0002-4143-3959

Funding

MIST/IITP 2018-0-00242
6 · The paper itself

Abstract

The aim is to develop a machine learning prediction model for the diagnosis of glaucoma and an explanation system for a specific prediction. Clinical data of the patients based on a visual field test, a retinal nerve fiber layer optical coherence tomography (RNFL OCT) test, a general examination including an intraocular pressure (IOP) measurement, and fundus photography were provided for the feature selection process. Five selected features (variables) were used to develop a machine learning prediction model. The support vector machine, C5.0, random forest, and XGboost algorithms were tested for the prediction model. The performance of the prediction models was tested with 10-fold cross-validation. Statistical charts, such as gauge, radar, and Shapley Additive Explanations (SHAP), were used to explain the prediction case. All four models achieved similarly high diagnostic performance, with accuracy values ranging from 0.903 to 0.947. The XGboost model is the best model with an accuracy of 0.947, sensitivity of 0.941, specificity of 0.950, and AUC of 0.945. Three statistical charts were established to explain the prediction based on the characteristics of the XGboost model. Higher diagnostic performance was achieved with the XGboost model. These three statistical charts can help us understand why the machine learning model produces a specific prediction result. This may be the first attempt to apply "explainable artificial intelligence" to eye disease diagnosis.

Indexed as

glaucomamachine learningmodel explanationprediction

Identifiers

PMID33805685
PMCPMC8001225

What OpenQuestion holds

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LicenceCC BY
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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.