Evidence map›Paper›PMID 34050158›Full record

Observational studyNature communications2021

A deep learning system for detecting diabetic retinopathy across the disease spectrum.

Ling Dai, Liang Wu, Huating Li, Chun Cai, Qiang Wu, Hongyu Kong, Ruhan Liu, Xiangning Wang, Xuhong Hou, Yuexing Liu and 10 more

Abstract readObservational StudyValidation Study
In one paragraph

Observational study in Nature communications, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 150 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
150citing papers in PubMed, 6 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

150 citing papers in PubMed, 6 syntheses or guidelines pooled it.

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  11. AI-driven multimodal retinal imaging for early detection and risk stratification of vascular and neurodegenerative diseases.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
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90 more citing papers are in PubMed but not listed here.

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

20 authors.

Ling Dai *Department of Computer Science and Engineering, Shanghai Jiao Tong University, Shanghai, 200240, China.
Liang Wu *Department of Endocrinology and Metabolism, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai Diabetes Institute, Shanghai Clinical Center for Diabetes, Shanghai, 200233, China.ORCID 0000-0002-3763-1274
Huating Li *Department of Endocrinology and Metabolism, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai Diabetes Institute, Shanghai Clinical Center for Diabetes, Shanghai, 200233, China.ORCID 0000-0003-0526-5545
Chun Cai *Department of Endocrinology and Metabolism, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai Diabetes Institute, Shanghai Clinical Center for Diabetes, Shanghai, 200233, China.ORCID 0000-0001-8725-5433
Qiang Wu *Department of Ophthalmology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, 200233, China.
Hongyu KongDepartment of Ophthalmology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, 200233, China.ORCID 0000-0002-8133-5990
Ruhan LiuDepartment of Computer Science and Engineering, Shanghai Jiao Tong University, Shanghai, 200240, China.ORCID 0000-0002-0281-8039
Xiangning WangDepartment of Ophthalmology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, 200233, China.
Xuhong HouDepartment of Endocrinology and Metabolism, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai Diabetes Institute, Shanghai Clinical Center for Diabetes, Shanghai, 200233, China.
Yuexing LiuDepartment of Endocrinology and Metabolism, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai Diabetes Institute, Shanghai Clinical Center for Diabetes, Shanghai, 200233, China.
Xiaoxue LongDepartment of Endocrinology and Metabolism, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai Diabetes Institute, Shanghai Clinical Center for Diabetes, Shanghai, 200233, China.ORCID 0000-0002-7080-8422
Yang WenDepartment of Computer Science and Engineering, Shanghai Jiao Tong University, Shanghai, 200240, China.ORCID 0000-0001-6303-8178
Lina LuDepartment of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong University, Shanghai Eye Diseases Prevention and Treatment Center, Shanghai Eye Hospital, Shanghai Engineering Center for Precise Diagnosis and Treatment of Eye Diseases, Shanghai, 200040, China.
Yaxin ShenDepartment of Computer Science and Engineering, Shanghai Jiao Tong University, Shanghai, 200240, China.ORCID 0000-0003-2169-338X
Yan ChenDepartment of Ophthalmology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, 200233, China.
Dinggang ShenSchool of Biomedical Engineering, Shanghai Tech University, Shanghai, China.ORCID 0000-0002-7934-5698
Xiaokang YangShanghai Institute for Advanced Communication and Data Science, Shanghai Key Laboratory of Digital Media Processing and Transmission, Shanghai Jiao Tong University, Shanghai, 200240, China.
Haidong ZouDepartment of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong University, Shanghai Eye Diseases Prevention and Treatment Center, Shanghai Eye Hospital, Shanghai Engineering Center for Precise Diagnosis and Treatment of Eye Diseases, Shanghai, 200040, China. zouhaidong@sjtu.edu.cn.ORCID 0000-0002-6831-7560
Bin ShengDepartment of Computer Science and Engineering, Shanghai Jiao Tong University, Shanghai, 200240, China. shengbin@cs.sjtu.edu.cn.ORCID 0000-0001-8678-2784
Weiping JiaDepartment of Endocrinology and Metabolism, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai Diabetes Institute, Shanghai Clinical Center for Diabetes, Shanghai, 200233, China. wpjia@sjtu.edu.cn.ORCID 0000-0002-6244-2168

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Retinal screening contributes to early detection of diabetic retinopathy and timely treatment. To facilitate the screening process, we develop a deep learning system, named DeepDR, that can detect early-to-late stages of diabetic retinopathy. DeepDR is trained for real-time image quality assessment, lesion detection and grading using 466,247 fundus images from 121,342 patients with diabetes. Evaluation is performed on a local dataset with 200,136 fundus images from 52,004 patients and three external datasets with a total of 209,322 images. The area under the receiver operating characteristic curves for detecting microaneurysms, cotton-wool spots, hard exudates and hemorrhages are 0.901, 0.941, 0.954 and 0.967, respectively. The grading of diabetic retinopathy as mild, moderate, severe and proliferative achieves area under the curves of 0.943, 0.955, 0.960 and 0.972, respectively. In external validations, the area under the curves for grading range from 0.916 to 0.970, which further supports the system is efficient for diabetic retinopathy grading.

Indexed as

Deep LearningFundus OculiSeverity of Illness IndexAgedDatasets as TopicDiabetes Mellitus, Type 2Diabetic RetinopathyHumansImage Interpretation, Computer-AssistedROC Curve

Identifiers

PMID34050158
PMCPMC8163820

What OpenQuestion holds

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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.