Evidence map›Paper›PMID 33945818›Full record

ArticleAmerican journal of ophthalmology2021

Automated Detection of Glaucoma With Interpretable Machine Learning Using Clinical Data and Multimodal Retinal Images.

Parmita Mehta, Christine A Petersen, Joanne C Wen, Michael R Banitt, Philip P Chen, Karine D Bojikian, Catherine Egan, Su-In Lee, Magdalena Balazinska, Aaron Y Lee and 2 more

Abstract read
In one paragraph

Article in American journal of ophthalmology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 2 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

44 citing papers in PubMed, 2 syntheses or guidelines 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

12 authors.

Parmita MehtaFrom the Paul G. Allen School of Computer Science and Engineering, Seattle, Washington, USA (PM, S-IL, MB).
Christine A PetersenDepartment of Ophthalmology, Seattle, Washington, USA (CAP, JCW, MRB, PPC, KDB, AYL).
Joanne C WenDepartment of Ophthalmology, Seattle, Washington, USA (CAP, JCW, MRB, PPC, KDB, AYL).
Michael R BanittDepartment of Ophthalmology, Seattle, Washington, USA (CAP, JCW, MRB, PPC, KDB, AYL).
Philip P ChenDepartment of Ophthalmology, Seattle, Washington, USA (CAP, JCW, MRB, PPC, KDB, AYL).
Karine D BojikianDepartment of Ophthalmology, Seattle, Washington, USA (CAP, JCW, MRB, PPC, KDB, AYL).
Catherine EganMoorfields Eye Hospital, NHS Trust, UK (C.E.).
Su-In LeeFrom the Paul G. Allen School of Computer Science and Engineering, Seattle, Washington, USA (PM, S-IL, MB).
Magdalena BalazinskaFrom the Paul G. Allen School of Computer Science and Engineering, Seattle, Washington, USA (PM, S-IL, MB); eScience Institute, Seattle, Washington, USA (MB, AR).
Aaron Y LeeDepartment of Ophthalmology, Seattle, Washington, USA (CAP, JCW, MRB, PPC, KDB, AYL).
Ariel RokemeScience Institute, Seattle, Washington, USA (MB, AR); Department of Psychology, Seattle, Washington, USA (AR). Electronic address: arokem@uw.edu.
UK Biobank Eye and Vision Consortium

Funding

Opening the Black Box of Machine Learning ModelsR35GM128638 · NIGMS · UNIVERSITY OF WASHINGTON · PI LEE, SU-IN · 2018 to 2022
$1.9M
Epidemiology and clinical outcomes of diabetic macular edemaK23EY029246 · NEI · UNIVERSITY OF WASHINGTON · PI LEE, AARON · 2018 to 2022
$1.1M
NEI NIH HHS K23 EY029246NIGMS NIH HHS R35 GM128638
6 · The paper itself

Abstract

purposeTo develop a multimodal model to automate glaucoma detection

designDevelopment of a machine-learning glaucoma detection model

methodsWe selected a study cohort from the UK Biobank data set with 1193 eyes of 863 healthy subjects and 1283 eyes of 771 subjects with glaucoma. We trained a multimodal model that combines multiple deep neural nets, trained on macular optical coherence tomography volumes and color fundus photographs, with demographic and clinical data. We performed an interpretability analysis to identify features the model relied on to detect glaucoma. We determined the importance of different features in detecting glaucoma using interpretable machine learning methods. We also evaluated the model on subjects who did not have a diagnosis of glaucoma on the day of imaging but were later diagnosed (progress-to-glaucoma [PTG]).

resultsResults show that a multimodal model that combines imaging with demographic and clinical features is highly accurate (area under the curve 0.97). Interpretation of this model highlights biological features known to be related to the disease, such as age, intraocular pressure, and optic disc morphology. Our model also points to previously unknown or disputed features, such as pulmonary function and retinal outer layers. Accurate prediction in PTG highlights variables that change with progression to glaucoma-age and pulmonary function.

conclusionsThe accuracy of our model suggests distinct sources of information in each imaging modality and in the different clinical and demographic variables. Interpretable machine learning methods elucidate subject-level prediction and help uncover the factors that lead to accurate predictions, pointing to potential disease mechanisms or variables related to the disease.

Indexed as

GlaucomaOptic DiskHumansIntraocular PressureMachine LearningTomography, Optical Coherence

Identifiers

PMID33945818
PMCPMC8560651

What OpenQuestion holds

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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.