Evidence map›Paper›PMID 34348922›Full record

ArticleThe British journal of ophthalmology2023

Development and validation of a deep learning system to classify aetiology and predict anatomical outcomes of macular hole.

Yu Xiao, Yijun Hu, Wuxiu Quan, Yahan Yang, Weiyi Lai, Xun Wang, Xiayin Zhang, Bin Zhang, Yuqing Wu, Qiaowei Wu and 11 more

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in The British journal of ophthalmology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.8field-weighted citation impact, top 9% 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

17 citing papers in PubMed, 30 citations in OpenAlex.

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  15. Artificial intelligence in individualized retinal disease management.International journal of ophthalmology · 2024
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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

21 authors at 6 institutions in 2 countries.

Yu Xiao *Guangdong Eye Institute, Department of Ophthalmology, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China.ORCID 0000-0002-0911-6857
Yijun Hu *Aier Institute of Refractive Surgery, Refractive Surgery Center, Guangzhou Aier Eye Hospital, Guangzhou, China.ORCID 0000-0002-6424-7905
Wuxiu Quan *School of Computer Science and Engineering, South China University of Technology, Guangzhou, China.
Yahan YangState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic CenterSun, Yat-sen University, Guangzhou, China.
Weiyi LaiState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic CenterSun, Yat-sen University, Guangzhou, China.
Xun WangState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic CenterSun, Yat-sen University, Guangzhou, China.
Xiayin ZhangState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic CenterSun, Yat-sen University, Guangzhou, China.
Bin ZhangSchool of Computer Science and Engineering, South China University of Technology, Guangzhou, China.
Yuqing WuState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic CenterSun, Yat-sen University, Guangzhou, China.
Qiaowei WuGuangdong Eye Institute, Department of Ophthalmology, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China.ORCID 0000-0002-3054-2682
Baoyi LiuGuangdong Eye Institute, Department of Ophthalmology, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China.
Xiaomin ZengGuangdong Eye Institute, Department of Ophthalmology, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China.
Zhanjie LinGuangdong Eye Institute, Department of Ophthalmology, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China.
Ying FangGuangdong Eye Institute, Department of Ophthalmology, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China.
Yu HuDepartment of Opthalmology, the First Affiliated Hospital of Kunming Medical University, Kunming, China.
Songfu FengDepartment of Ophthalmology, Zhujiang Hospital of Southern Medical University, Guangzhou, China.
Ling YuanDepartment of Opthalmology, the First Affiliated Hospital of Kunming Medical University, Kunming, China.
Hongmin CaiSchool of Computer Science and Engineering, South China University of Technology, Guangzhou, China.
Tao LiState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic CenterSun, Yat-sen University, Guangzhou, China gddlht@aliyun.com yuhonghua@gdph.org.cn litao2@mail.sysu.edu.cn.ORCID 0000-0001-8064-871X
Haotian LinState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic CenterSun, Yat-sen University, Guangzhou, China gddlht@aliyun.com yuhonghua@gdph.org.cn litao2@mail.sysu.edu.cn.ORCID 0000-0003-4672-9721
Honghua YuGuangdong Eye Institute, Department of Ophthalmology, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China gddlht@aliyun.com yuhonghua@gdph.org.cn litao2@mail.sysu.edu.cn.ORCID 0000-0002-0782-346X
Guangdong Academy of Medical Sciences · CNSun Yat-sen University · CNSouth China University of Technology · CNCentral South University · CNKunming Medical University · CNZhujiang Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTo develop a deep learning (DL) model for automatic classification of macular hole (MH) aetiology (idiopathic or secondary), and a multimodal deep fusion network (MDFN) model for reliable prediction of MH status (closed or open) at 1 month after vitrectomy and internal limiting membrane peeling (VILMP).

methodsIn this multicentre retrospective cohort study, a total of 330 MH eyes with 1082 optical coherence tomography (OCT) images and 3300 clinical data enrolled from four ophthalmic centres were used to train, validate and externally test the DL and MDFN models. 266 eyes from three centres were randomly split by eye-level into a training set (80%) and a validation set (20%). In the external testing dataset, 64 eyes were included from the remaining centre. All eyes underwent macular OCT scanning at baseline and 1 month after VILMP. The area under the receiver operated characteristic curve (AUC), accuracy, specificity and sensitivity were used to evaluate the performance of the models.

resultsIn the external testing set, the AUC, accuracy, specificity and sensitivity of the MH aetiology classification model were 0.965, 0.950, 0.870 and 0.938, respectively; the AUC, accuracy, specificity and sensitivity of the postoperative MH status prediction model were 0.904, 0.825, 0.977 and 0.766, respectively; the AUC, accuracy, specificity and sensitivity of the postoperative idiopathic MH status prediction model were 0.947, 0.875, 0.815 and 0.979, respectively.

conclusionOur DL-based models can accurately classify the MH aetiology and predict the MH status after VILMP. These models would help ophthalmologists in diagnosis and surgical planning of MH.

Indexed as

Deep LearningRetinal PerforationsHumansRetrospective StudiesTomography, Optical CoherenceVisual AcuityVitrectomyimagingmacula

Identifiers

PMID34348922
PMCPMC9763201
OpenAlexW3191542548

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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.