Evidence map›Paper›PMID 34930952›Full record

ArticleScientific reports2021

Comparisons of deep learning algorithms for diagnosing bacterial keratitis via external eye photographs.

Ming-Tse Kuo, Benny Wei-Yun Hsu, Yi-Sheng Lin, Po-Chiung Fang, Hun-Ju Yu, Alexander Chen, Meng-Shan Yu, Vincent S Tseng

Abstract readComparative StudyMulticenter Study
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 21 papers.

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

21 citing papers in PubMed.

  1. Article
  2. Review
  3. Infectious Keratitis Management: 10-Year Update.Journal of clinical medicine · 2025
    Review
  4. Review
  5. Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Review
  12. Review
  13. Article
  14. Article
  15. Deep Learning Approach in Image Diagnosis ofDiagnostics (Basel, Switzerland) · 2022
    Article
  16. Artificial intelligence and corneal diseases.Current opinion in ophthalmology · 2022
    Review
  17. Infectious keratitis: A review.Clinical & experimental ophthalmology · 2022
    Review
  18. Review
  19. Article
  20. Review
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

8 authors.

Ming-Tse Kuo *Department of Ophthalmology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, No.123, Dapi Rd., Niaosong Dist., Kaohsiung City, 833, Taiwan (R.O.C.). mingtse@cgmh.org.tw.
Benny Wei-Yun Hsu *Department of Computer Science, National Yang Ming Chiao Tung University, No. 1001, Daxue Rd., East Dist., Hsinchu City, 300, Taiwan (R.O.C.).
Yi-Sheng LinDepartment of Computer Science, National Yang Ming Chiao Tung University, No. 1001, Daxue Rd., East Dist., Hsinchu City, 300, Taiwan (R.O.C.).
Po-Chiung FangDepartment of Ophthalmology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, No.123, Dapi Rd., Niaosong Dist., Kaohsiung City, 833, Taiwan (R.O.C.).
Hun-Ju YuDepartment of Ophthalmology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, No.123, Dapi Rd., Niaosong Dist., Kaohsiung City, 833, Taiwan (R.O.C.).
Alexander ChenDepartment of Ophthalmology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, No.123, Dapi Rd., Niaosong Dist., Kaohsiung City, 833, Taiwan (R.O.C.).
Meng-Shan YuDepartment of Ophthalmology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, No.123, Dapi Rd., Niaosong Dist., Kaohsiung City, 833, Taiwan (R.O.C.).
Vincent S TsengDepartment of Computer Science, National Yang Ming Chiao Tung University, No. 1001, Daxue Rd., East Dist., Hsinchu City, 300, Taiwan (R.O.C.). vtseng@cs.nctu.edu.tw.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Bacterial keratitis (BK), a painful and fulminant bacterial infection of the cornea, is the most common type of vision-threatening infectious keratitis (IK). A rapid clinical diagnosis by an ophthalmologist may often help prevent BK patients from progression to corneal melting or even perforation, but many rural areas cannot afford an ophthalmologist. Thanks to the rapid development of deep learning (DL) algorithms, artificial intelligence via image could provide an immediate screening and recommendation for patients with red and painful eyes. Therefore, this study aims to elucidate the potentials of different DL algorithms for diagnosing BK via external eye photos. External eye photos of clinically suspected IK were consecutively collected from five referral centers. The candidate DL frameworks, including ResNet50, ResNeXt50, DenseNet121, SE-ResNet50, EfficientNets B0, B1, B2, and B3, were trained to recognize BK from the photo toward the target with the greatest area under the receiver operating characteristic curve (AUROC). Via five-cross validation, EfficientNet B3 showed the most excellent average AUROC, in which the average percentage of sensitivity, specificity, positive predictive value, and negative predictive value was 74, 64, 77, and 61. There was no statistical difference in diagnostic accuracy and AUROC between any two of these DL frameworks. The diagnostic accuracy of these models (ranged from 69 to 72%) is comparable to that of the ophthalmologist (66% to 74%). Therefore, all these models are promising tools for diagnosing BK in first-line medical care units without ophthalmologists.

Indexed as

AlgorithmsArea Under CurveCorneaDeep LearningDiagnosis, Computer-AssistedDisease ProgressionEye Infections, BacterialHumansKeratitisOphthalmologistsOphthalmologyPhotographyPredictive Value of TestsProgramming LanguagesReproducibility of ResultsROC Curve

Identifiers

PMID34930952
PMCPMC8688438

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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.