Evidence map›Paper›PMID 34211137›Full record

ArticleEye (London, England)2022

Deep learning-based automated detection for diabetic retinopathy and diabetic macular oedema in retinal fundus photographs.

Feng Li, Yuguang Wang, Tianyi Xu, Lin Dong, Lei Yan, Minshan Jiang, Xuedian Zhang, Hong Jiang, Zhizheng Wu, Haidong Zou

Open access · bronzeAbstract read
In one paragraph

Article in Eye (London, England), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 2 pooled it
14.7field-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

29 citing papers in PubMed, 2 syntheses or guidelines pooled it, 147 citations in OpenAlex.

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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

10 authors at 5 institutions in 1 country.

Feng Li *School of Optical-Electrical and Computer Engineering, University of Shanghai for Science and Technology, Shanghai, China.
Yuguang Wang *School of Optical-Electrical and Computer Engineering, University of Shanghai for Science and Technology, Shanghai, China.
Tianyi Xu *Deparement of Anesthesia, Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine, Shanghai, China.
Lin DongSchool of Optical-Electrical and Computer Engineering, University of Shanghai for Science and Technology, Shanghai, China.
Lei YanSchool of Optical-Electrical and Computer Engineering, University of Shanghai for Science and Technology, Shanghai, China.
Minshan JiangSchool of Optical-Electrical and Computer Engineering, University of Shanghai for Science and Technology, Shanghai, China. jiangmsc@gmail.com.ORCID 0000-0002-4669-1025
Xuedian ZhangSchool of Optical-Electrical and Computer Engineering, University of Shanghai for Science and Technology, Shanghai, China. xdzhang@usst.edu.cn.
Hong JiangDeparement of Anesthesia, Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine, Shanghai, China. jianghongjiuyuan@163.com.
Zhizheng WuDepartment of Precision Mechanical Engineering, Shanghai University, Shanghai, China.
Haidong ZouDepartment of Ophthalmology, Shanghai First People's Hospital, Shanghai, China.
University of Shanghai for Science and Technology · CNShanghai Jiao Tong University · CNShanghai First People's Hospital · CNShanghai University · CNTongji University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo present and validate a deep ensemble algorithm to detect diabetic retinopathy (DR) and diabetic macular oedema (DMO) using retinal fundus images.

methodsA total of 8739 retinal fundus images were collected from a retrospective cohort of 3285 patients. For detecting DR and DMO, a multiple improved Inception-v4 ensembling approach was developed. We measured the algorithm's performance and made a comparison with that of human experts on our primary dataset, while its generalization was assessed on the publicly available Messidor-2 dataset. Also, we investigated systematically the impact of the size and number of input images used in training on model's performance, respectively. Further, the time budget of training/inference versus model performance was analyzed.

resultsOn our primary test dataset, the model achieved an 0.992 (95% CI, 0.989-0.995) AUC corresponding to 0.925 (95% CI, 0.916-0.936) sensitivity and 0.961 (95% CI, 0.950-0.972) specificity for referable DR, while the sensitivity and specificity for ophthalmologists ranged from 0.845 to 0.936, and from 0.912 to 0.971, respectively. For referable DMO, our model generated an AUC of 0.994 (95% CI, 0.992-0.996) with a 0.930 (95% CI, 0.919-0.941) sensitivity and 0.971 (95% CI, 0.965-0.978) specificity, whereas ophthalmologists obtained sensitivities ranging between 0.852 and 0.946, and specificities ranging between 0.926 and 0.985.

conclusionThis study showed that the deep ensemble model exhibited excellent performance in detecting DR and DMO, and had good robustness and generalization, which could potentially help support and expand DR/DMO screening programs.

Indexed as

Deep LearningDiabetes MellitusDiabetic RetinopathyMacular EdemaFundus OculiHumansRetrospective Studies

Identifiers

PMID34211137
PMCPMC9232645
OpenAlexW3174137612

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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.