Evidence map›Paper›PMID 34535722›Full record

ArticleScientific reports2021

A deep learning approach for successful big-bubble formation prediction in deep anterior lamellar keratoplasty.

Takahiko Hayashi, Hiroki Masumoto, Hitoshi Tabuchi, Naofumi Ishitobi, Mao Tanabe, Michael Grün, Björn Bachmann, Claus Cursiefen, Sebastian Siebelmann

Abstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–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

9 citing papers in PubMed.

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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

9 authors.

Takahiko HayashiDivision of Ophthalmology, Department of Visual Sciences, Nihon University School of Medicine, Ohyaguchikami-machi 30-1, Itabashi-ku, Tokyo, 173-8610, Japan. takamed@gmail.com.
Hiroki MasumotoXeno-Hoc, Shinjyuku, Tokyo, Japan.
Hitoshi TabuchiDepartment of Technology and Design Thinking for Medicine (DT2M), Hiroshima University, Hiroshima, Japan.
Naofumi IshitobiDepartment of Ophthalmology, Tsukazaki Hospital, Himeji, Japan.
Mao TanabeDepartment of Ophthalmology, Tsukazaki Hospital, Himeji, Japan.
Michael GrünDepartment of Ophthalmology, University of Cologne, Cologne, Germany.
Björn BachmannDepartment of Ophthalmology, University of Cologne, Cologne, Germany.
Claus CursiefenDepartment of Ophthalmology, University of Cologne, Cologne, Germany.
Sebastian SiebelmannDepartment of Ophthalmology, University of Cologne, Cologne, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The efficacy of deep learning in predicting successful big-bubble (SBB) formation during deep anterior lamellar keratoplasty (DALK) was evaluated. Medical records of patients undergoing DALK at the University of Cologne, Germany between March 2013 and July 2019 were retrospectively analyzed. Patients were divided into two groups: (1) SBB or (2) failed big-bubble (FBB). Preoperative images of anterior segment optical coherence tomography and corneal biometric values (corneal thickness, corneal curvature, and densitometry) were evaluated. A deep neural network model, Visual Geometry Group-16, was selected to test the validation data, evaluate the model, create a heat map image, and calculate the area under the curve (AUC). This pilot study included 46 patients overall (11 women, 35 men). SBBs were more common in keratoconus eyes (KC eyes) than in corneal opacifications of other etiologies (non KC eyes) (p = 0.006). The AUC was 0.746 (95% confidence interval [CI] 0.603-0.889). The determination success rate was 78.3% (18/23 eyes) (95% CI 56.3-92.5%) for SBB and 69.6% (16/23 eyes) (95% CI 47.1-86.8%) for FBB. This automated system demonstrates the potential of SBB prediction in DALK. Although KC eyes had a higher SBB rate, no other specific findings were found in the corneal biometric data.

Indexed as

Corneal TransplantationDeep LearningAdultAgedBiometryCorneaFemaleHumansKeratoconusMaleMiddle AgedPilot ProjectsRetrospective Studies

Identifiers

PMID34535722
PMCPMC8448733

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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.