Evidence map›Paper›PMID 34524409›Full record

ArticleTranslational vision science & technology2021

Deep-Learning-Based Pre-Diagnosis Assessment Module for Retinal Photographs: A Multicenter Study.

Vincent Yuen, Anran Ran, Jian Shi, Kaiser Sham, Dawei Yang, Victor T T Chan, Raymond Chan, Jason C Yam, Clement C Tham, Gareth J McKay and 7 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Translational vision science & technology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.7field-weighted citation impact, top 16% 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

13 citing papers in PubMed, 16 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

17 authors at 7 institutions in 5 countries.

Vincent YuenDepartment of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Hong Kong.
Anran RanDepartment of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Hong Kong.
Jian ShiDepartment of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Hong Kong.
Kaiser ShamDepartment of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Hong Kong.
Dawei YangDepartment of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Hong Kong.
Victor T T ChanDepartment of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Hong Kong.
Raymond ChanDepartment of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Hong Kong.
Jason C YamDepartment of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Hong Kong.
Clement C ThamDepartment of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Hong Kong.
Gareth J McKayCenter for Public Health, Royal Victoria Hospital, Queen's University Belfast, Belfast, UK.
Michael A WilliamsCenter for Medical Education, Royal Victoria Hospital, Queen's University Belfast, Belfast, UK.
Leopold SchmettererSingapore Eye Research Institute, Singapore National Eye Center, Singapore.
Ching-Yu ChengSingapore Eye Research Institute, Singapore National Eye Center, Singapore.
Vincent MokGerald Choa Neuroscience Center, Therese Pei Fong Chow Research Center for Prevention of Dementia, Lui Che Woo Institute of Innovative Medicine, Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong.
Christopher L ChenMemory, Aging and Cognition Center, Department of Pharmacology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Tien Y WongSingapore Eye Research Institute, Singapore National Eye Center, Singapore.
Carol Y CheungDepartment of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Hong Kong.
Chinese University of Hong Kong · CNRoyal Victoria Hospital · GBHong Kong Eye Hospital · CNInstitute of Molecular and Clinical Ophthalmology Basel · CHNational University of Singapore · SGSingapore Eye Research Institute · SGSingapore National Eye Center · SG

Funding

Medical Research Council MR/K003364/1
6 · The paper itself

Abstract

Purpose: Artificial intelligence (AI) deep learning (DL) has been shown to have significant potential for eye disease detection and screening on retinal photographs in different clinical settings, particular in primary care. However, an automated pre-diagnosis image assessment is essential to streamline the application of the developed AI-DL algorithms. In this study, we developed and validated a DL-based pre-diagnosis assessment module for retinal photographs, targeting image quality (gradable vs. ungradable), field of view (macula-centered vs. optic-disc-centered), and laterality of the eye (right vs. left). Methods: A total of 21,348 retinal photographs from 1914 subjects from various clinical settings in Hong Kong, Singapore, and the United Kingdom were used for training, internal validation, and external testing for the DL module, developed by two DL-based algorithms (EfficientNet-B0 and MobileNet-V2). Results: For image-quality assessment, the pre-diagnosis module achieved area under the receiver operating characteristic curve (AUROC) values of 0.975, 0.999, and 0.987 in the internal validation dataset and the two external testing datasets, respectively. For field-of-view assessment, the module had an AUROC value of 1.000 in all of the datasets. For laterality-of-the-eye assessment, the module had AUROC values of 1.000, 0.999, and 0.985 in the internal validation dataset and the two external testing datasets, respectively. Conclusions: Our study showed that this three-in-one DL module for assessing image quality, field of view, and laterality of the eye of retinal photographs achieved excellent performance and generalizability across different centers and ethnicities. Translational Relevance: The proposed DL-based pre-diagnosis module realized accurate and automated assessments of image quality, field of view, and laterality of the eye of retinal photographs, which could be further integrated into AI-based models to improve operational flow for enhancing disease screening and diagnosis.

Indexed as

Deep LearningAlgorithmsArea Under CurveArtificial IntelligenceHumansPhotography

Identifiers

PMID34524409
PMCPMC8444486
OpenAlexW3199360426

What OpenQuestion holds

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LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.