Evidence map›Paper›PMID 34814160›Full record

ArticlePediatrics2021

Single-Examination Risk Prediction of Severe Retinopathy of Prematurity.

Aaron S Coyner, Jimmy S Chen, Praveer Singh, Robert L Schelonka, Brian K Jordan, Cindy T McEvoy, Jamie E Anderson, R V Paul Chan, Kemal Sonmez, Deniz Erdogmus and 3 more

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in Pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
4.2field-weighted citation impact, top 5% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Utility of handheld optical coherence tomography imaging in the surgical management of preterm infants with advanced retinopathy of prematurity.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 6 institutions in 2 countries.

Aaron S CoynerDepartments of Ophthalmology.
Jimmy S ChenDepartments of Ophthalmology.
Praveer SinghDepartment of Radiology, Massachusetts General Hospital and Harvard Medical School, Harvard University, Boston, Massachusetts.
Robert L SchelonkaPediatrics, Oregon Health & Science University, Portland, Oregon.
Brian K JordanPediatrics, Oregon Health & Science University, Portland, Oregon.
Cindy T McEvoyPediatrics, Oregon Health & Science University, Portland, Oregon.
Jamie E AndersonDepartments of Ophthalmology.
R V Paul ChanDepartment of Ophthalmology and Visual Sciences, University of Illinois Chicago, Chicago, Illinois.
Kemal SonmezMedical Informatics and Clinical Epidemiology.
Deniz ErdogmusDepartment of Electrical and Computer Engineering, Northeastern University, Boston, Massachusetts.
Michael F ChiangNational Eye Institute, National Institutes of Health, Bethesda, Maryland.
Jayashree Kalpathy-CramerDepartment of Radiology, Massachusetts General Hospital and Harvard Medical School, Harvard University, Boston, Massachusetts.
J Peter CampbellDepartments of Ophthalmology.
Oregon Health & Science University · USBrigham and Women's Hospital · USInstitute for Medical Informatics and Biostatistics · CHNational Institutes of Health · USNortheastern University · USUniversity of Illinois Chicago · US

Funding

TRAINING PROGRAM IN HEALTH INFORMATICST15LM007088 · NLM · OREGON HEALTH & SCIENCE UNIVERSITY · PI WILLIAM R HERSH, Vishnu Mohan · 1992 to 2026
$23.4M
Proteomics CoreP30EY010572 · NEI · OREGON HEALTH & SCIENCE UNIVERSITY · PI TED S ACOTT · 1995 to 2026
$19.4M
Clinical and Genetic Analysis of Retinopathy of PrematurityR01EY019474 · NEI · OREGON HEALTH & SCIENCE UNIVERSITY · PI CAMPBELL, JOHN PETER · 2010 to 2020
$7.0M
Clinical and genetic analysis of retinopathy of prematurityR01HD107493 · NICHD · OREGON HEALTH & SCIENCE UNIVERSITY · PI CAMPBELL, JOHN PETER · 2021 to 2023
$1.8M
Robust AI to develop risk models in retinopathy of prematurity using deep learningR21EY031883 · NEI · MASSACHUSETTS GENERAL HOSPITAL · PI KALPATHY-CRAMER, JAYASHREE, RUBIN, DANIEL L · 2020 to 2021
$472k
Artificial intelligence assisted panoramic Optical Coherence Tomography Angiography for Retinopathy of PrematurityR01EY031331 · NEI · OREGON HEALTH & SCIENCE UNIVERSITY · PI CAMPBELL, JOHN PETER, JIAN, YIFAN · 2020 to 2020
$342k
NEI NIH HHS P30 EY010572NEI NIH HHS R01 EY019474NEI NIH HHS R01 EY031331NEI NIH HHS R21 EY031883NICHD NIH HHS R01 HD107493NLM NIH HHS T15 LM007088
6 · The paper itself

Abstract

BACKGROUND AND

objectivesRetinopathy of prematurity (ROP) is a leading cause of childhood blindness. Screening and treatment reduces this risk, but requires multiple examinations of infants, most of whom will not develop severe disease. Previous work has suggested that artificial intelligence may be able to detect incident severe disease (treatment-requiring retinopathy of prematurity [TR-ROP]) before clinical diagnosis. We aimed to build a risk model that combined artificial intelligence with clinical demographics to reduce the number of examinations without missing cases of TR-ROP.

methodsInfants undergoing routine ROP screening examinations (1579 total eyes, 190 with TR-ROP) were recruited from 8 North American study centers. A vascular severity score (VSS) was derived from retinal fundus images obtained at 32 to 33 weeks' postmenstrual age. Seven ElasticNet logistic regression models were trained on all combinations of birth weight, gestational age, and VSS. The area under the precision-recall curve was used to identify the highest-performing model.

resultsThe gestational age + VSS model had the highest performance (mean ± SD area under the precision-recall curve: 0.35 ± 0.11). On 2 different test data sets (n = 444 and n = 132), sensitivity was 100% (positive predictive value: 28.1% and 22.6%) and specificity was 48.9% and 80.8% (negative predictive value: 100.0%).

conclusionsUsing a single examination, this model identified all infants who developed TR-ROP, on average, >1 month before diagnosis with moderate to high specificity. This approach could lead to earlier identification of incident severe ROP, reducing late diagnosis and treatment while simultaneously reducing the number of ROP examinations and unnecessary physiologic stress for low-risk infants.

Indexed as

Artificial IntelligenceArea Under CurveBirth WeightEarly DiagnosisFundus OculiGestational AgeHumansInfant, NewbornLogistic ModelsPredictive Value of TestsRetinopathy of PrematurityRiskSensitivity and SpecificitySeverity of Illness Index

Identifiers

PMID34814160
PMCPMC8919718
OpenAlexW3215796619

What OpenQuestion holds

Textmetadata
LicenceTDM
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.