Evidence map›Paper›PMID 34244208›Full record

ArticleThe British journal of ophthalmology2022

Deep learning algorithms for automatic detection of pterygium using anterior segment photographs from slit-lamp and hand-held cameras.

Xiaoling Fang, Mihir Deshmukh, Miao Li Chee, Zhi-Da Soh, Zhen Ling Teo, Sahil Thakur, Jocelyn Hui Lin Goh, Yu-Chi Liu, Rahat Husain, Jodhbir S Mehta and 4 more

Abstract read
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Article in The British journal of ophthalmology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

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0cells of the map it votes in
32citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

32 citing papers in PubMed.

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  12. Classification of ocular surface diseases: Deep learning for distinguishing ocular surface squamous neoplasia from pterygium.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2025
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  16. Artificial intelligence in corneal diseases: A narrative review.Contact lens & anterior eye : the journal of the British Contact Lens Association · 2024
    Review
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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

14 authors.

Xiaoling Fang *Singapore Eye Research Institute, Singapore National Eye Centre, Singapore.ORCID 0000-0003-1803-2580
Mihir Deshmukh *Singapore Eye Research Institute, Singapore National Eye Centre, Singapore.
Miao Li CheeSingapore Eye Research Institute, Singapore National Eye Centre, Singapore.
Zhi-Da SohSingapore Eye Research Institute, Singapore National Eye Centre, Singapore.ORCID 0000-0002-1182-3489
Zhen Ling TeoSingapore Eye Research Institute, Singapore National Eye Centre, Singapore.ORCID 0000-0003-3443-8601
Sahil ThakurSingapore Eye Research Institute, Singapore National Eye Centre, Singapore.ORCID 0000-0002-7948-6992
Jocelyn Hui Lin GohSingapore Eye Research Institute, Singapore National Eye Centre, Singapore.
Yu-Chi LiuSingapore Eye Research Institute, Singapore National Eye Centre, Singapore.
Rahat HusainSingapore Eye Research Institute, Singapore National Eye Centre, Singapore.
Jodhbir S MehtaSingapore Eye Research Institute, Singapore National Eye Centre, Singapore.
Tien Yin WongSingapore Eye Research Institute, Singapore National Eye Centre, Singapore.ORCID 0000-0002-8448-1264
Ching-Yu ChengSingapore Eye Research Institute, Singapore National Eye Centre, Singapore.ORCID 0000-0002-4916-6074
Tyler Hyungtaek Rim *Singapore Eye Research Institute, Singapore National Eye Centre, Singapore.ORCID 0000-0001-6465-2620
Yih-Chung Tham *Singapore Eye Research Institute, Singapore National Eye Centre, Singapore tham.yih.chung@seri.com.sg.ORCID 0000-0002-6752-797X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimsTo evaluate the performances of deep learning (DL) algorithms for detection of presence and extent pterygium, based on colour anterior segment photographs (ASPs) taken from slit-lamp and hand-held cameras.

methodsReferable pterygium was defined as having extension towards the cornea from the limbus of >2.50 mm or base width at the limbus of >5.00 mm. 2503 images from the Singapore Epidemiology of Eye Diseases (SEED) study were used as the development set. Algorithms were validated on an internal set from the SEED cohort (629 images (55.3% pterygium, 8.4% referable pterygium)), and tested on two external clinic-based sets (set 1 with 2610 images (2.8% pterygium, 0.7% referable pterygium, from slit-lamp ASP); and set 2 with 3701 images, 2.5% pterygium, 0.9% referable pterygium, from hand-held ASP).

resultsThe algorithm's area under the receiver operating characteristic curve (AUROC) for detection of any pterygium was 99.5%(sensitivity=98.6%; specificity=99.0%) in internal test set, 99.1% (sensitivity=95.9%, specificity=98.5%) in external test set 1 and 99.7% (sensitivity=100.0%; specificity=88.3%) in external test set 2. For referable pterygium, the algorithm's AUROC was 98.5% (sensitivity=94.0%; specificity=95.3%) in internal test set, 99.7% (sensitivity=87.2%; specificity=99.4%) in external set 1 and 99.0% (sensitivity=94.3%; specificity=98.0%) in external set 2.

conclusionDL algorithms based on ASPs can detect presence of and referable-level pterygium with optimal sensitivity and specificity. These algorithms, particularly if used with a handheld camera, may potentially be used as a simple screening tool for detection of referable pterygium. Further validation in community setting is warranted. SYNOPSIS/PRECIS: DL algorithms based on ASPs can detect presence of and referable-level pterygium optimally, and may be used as a simple screening tool for the detection of referable pterygium in community screenings.

Indexed as

Deep LearningEye DiseasesPterygiumAlgorithmsArea Under CurveHumansimagingocular surface

Identifiers

PMID34244208
PMCPMC9685734

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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.