Evidence map›Paper›PMID 34315698›Full record

ArticleDiabetes care2021

A Multitask Deep-Learning System to Classify Diabetic Macular Edema for Different Optical Coherence Tomography Devices: A Multicenter Analysis.

Fangyao Tang, Xi Wang, An-Ran Ran, Carmen K M Chan, Mary Ho, Wilson Yip, Alvin L Young, Jerry Lok, Simon Szeto, Jason Chan and 30 more

Abstract readMulticenter Study
In one paragraph

Article in Diabetes care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing 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

21 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  10. Deep learning in optical coherence tomography: Where are the gaps?Clinical & experimental ophthalmology · 2023
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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

40 authors.

Fangyao TangDepartment of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Hong Kong SAR.
Xi WangDepartment of Computer Science and Engineering, The Chinese University of Hong Kong, Hong Kong SAR.
An-Ran RanDepartment of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Hong Kong SAR.
Carmen K M ChanHong Kong Eye Hospital, Hong Kong SAR.
Mary HoDepartment of Ophthalmology and Visual Sciences, Prince of Wales Hospital, Hong Kong SAR.
Wilson YipDepartment of Ophthalmology and Visual Sciences, Prince of Wales Hospital, Hong Kong SAR.
Alvin L YoungDepartment of Ophthalmology and Visual Sciences, Prince of Wales Hospital, Hong Kong SAR.
Jerry LokHong Kong Eye Hospital, Hong Kong SAR.
Simon SzetoHong Kong Eye Hospital, Hong Kong SAR.
Jason ChanHong Kong Eye Hospital, Hong Kong SAR.
Fanny YipHong Kong Eye Hospital, Hong Kong SAR.
Raymond WongHong Kong Eye Hospital, Hong Kong SAR.
Ziqi TangDepartment of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Hong Kong SAR.
Dawei YangDepartment of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Hong Kong SAR.
Danny S NgDepartment of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Hong Kong SAR.
Li Jia ChenDepartment of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Hong Kong SAR.
Marten BrelénDepartment of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Hong Kong SAR.
Victor ChuUnited Christian Hospital, Hong Kong SAR.
Kenneth LiUnited Christian Hospital, Hong Kong SAR.
Tracy H T LaiUnited Christian Hospital, Hong Kong SAR.
Gavin S TanSingapore Eye Research Institute, Singapore National Eye Centre, Singapore.
Daniel S W TingSingapore Eye Research Institute, Singapore National Eye Centre, Singapore.
Haifan HuangJoint Shantou International Eye Center, Shantou University and The Chinese University of Hong Kong, Shantou, Guangdong, China.
Haoyu ChenJoint Shantou International Eye Center, Shantou University and The Chinese University of Hong Kong, Shantou, Guangdong, China.
Jacey Hongjie MaAier School of Ophthalmology, Central South University, Changsha, Hunan, China.
Shibo TangAier School of Ophthalmology, Central South University, Changsha, Hunan, China.
Theodore LengByers Eye Institute at Stanford, Stanford University School of Medicine, Palo Alto, CA.
Schahrouz KakavandByers Eye Institute at Stanford, Stanford University School of Medicine, Palo Alto, CA.
Suria S MannilByers Eye Institute at Stanford, Stanford University School of Medicine, Palo Alto, CA.
Robert T ChangByers Eye Institute at Stanford, Stanford University School of Medicine, Palo Alto, CA.
Gerald LiewDepartment of Ophthalmology, Westmead Institute for Medical Research, University of Sydney, Sydney, NSW, Australia.
Bamini GopinathDepartment of Ophthalmology, Westmead Institute for Medical Research, University of Sydney, Sydney, NSW, Australia.
Timothy Y Y LaiDepartment of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Hong Kong SAR.
Chi Pui PangDepartment of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Hong Kong SAR.
Peter H ScanlonGloucestershire Retinal Research Group, Gloucestershire Hospitals NHS Foundation Trust, Gloucester, U.K.
Tien Yin WongSingapore Eye Research Institute, Singapore National Eye Centre, Singapore.
Clement C ThamDepartment of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Hong Kong SAR.
Hao ChenDepartment of Computer Science and Engineering, The Hong Kong University of Sciences and Technology, Hong Kong SAR.
Pheng-Ann HengDepartment of Computer Science and Engineering, The Chinese University of Hong Kong, Hong Kong SAR.
Carol Y CheungDepartment of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Hong Kong SAR carolcheung@cuhk.edu.hk.ORCID 0000-0002-9672-1819

Funding

Stanford Vision Research CoreP30EY026877 · NEI · STANFORD UNIVERSITY · PI Jeffrey L Goldberg · 2017 to 2026
$8.0M
NEI NIH HHS P30 EY026877
6 · The paper itself

Abstract

objectiveDiabetic macular edema (DME) is the primary cause of vision loss among individuals with diabetes mellitus (DM). We developed, validated, and tested a deep learning (DL) system for classifying DME using images from three common commercially available optical coherence tomography (OCT) devices. RESEARCH DESIGN AND

methodsWe trained and validated two versions of a multitask convolution neural network (CNN) to classify DME (center-involved DME [CI-DME], non-CI-DME, or absence of DME) using three-dimensional (3D) volume scans and 2D B-scans, respectively. For both 3D and 2D CNNs, we used the residual network (ResNet) as the backbone. For the 3D CNN, we used a 3D version of ResNet-34 with the last fully connected layer removed as the feature extraction module. A total of 73,746 OCT images were used for training and primary validation. External testing was performed using 26,981 images across seven independent data sets from Singapore, Hong Kong, the U.S., China, and Australia.

resultsIn classifying the presence or absence of DME, the DL system achieved area under the receiver operating characteristic curves (AUROCs) of 0.937 (95% CI 0.920-0.954), 0.958 (0.930-0.977), and 0.965 (0.948-0.977) for the primary data set obtained from CIRRUS, SPECTRALIS, and Triton OCTs, respectively, in addition to AUROCs >0.906 for the external data sets. For further classification of the CI-DME and non-CI-DME subgroups, the AUROCs were 0.968 (0.940-0.995), 0.951 (0.898-0.982), and 0.975 (0.947-0.991) for the primary data set and >0.894 for the external data sets.

conclusionsWe demonstrated excellent performance with a DL system for the automated classification of DME, highlighting its potential as a promising second-line screening tool for patients with DM, which may potentially create a more effective triaging mechanism to eye clinics.

Indexed as

Deep LearningDiabetes MellitusDiabetic RetinopathyMacular EdemaHumansROC CurveTomography, Optical Coherence

Identifiers

PMID34315698
PMCPMC8740924

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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.