Evidence map›Paper›PMID 34990643›Full record

ArticleOphthalmology2022

DeepLensNet: Deep Learning Automated Diagnosis and Quantitative Classification of Cataract Type and Severity.

Tiarnan D L Keenan, Qingyu Chen, Elvira Agrón, Yih-Chung Tham, Jocelyn Hui Lin Goh, Xiaofeng Lei, Yi Pin Ng, Yong Liu, Xinxing Xu, Ching-Yu Cheng and 19 more

Abstract read
In one paragraph

Article in Ophthalmology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers.

0numbers the graph read from it
0cells of the map it votes in
40citing 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

40 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

29 authors.

Tiarnan D L KeenanDivision of Epidemiology and Clinical Applications, National Eye Institute, National Institutes of Health, Bethesda, Maryland. Electronic address: tiarnan.keenan@nih.gov.
Qingyu ChenNational Center for Biotechnology Information, National Library of Medicine, National Institutes of Health, Bethesda, Maryland. Electronic address: qingyu.chen@nih.gov.
Elvira AgrónDivision of Epidemiology and Clinical Applications, National Eye Institute, National Institutes of Health, Bethesda, Maryland.
Yih-Chung ThamSingapore Eye Research Institute, Singapore National Eye Centre, Singapore; Duke-NUS Medical School, Singapore.
Jocelyn Hui Lin GohSingapore Eye Research Institute, Singapore National Eye Centre, Singapore.
Xiaofeng LeiInstitute of High Performance Computing, A∗STAR, Singapore.
Yi Pin NgInstitute of High Performance Computing, A∗STAR, Singapore.
Yong LiuDuke-NUS Medical School, Singapore; Institute of High Performance Computing, A∗STAR, Singapore.
Xinxing XuDuke-NUS Medical School, Singapore; Institute of High Performance Computing, A∗STAR, Singapore.
Ching-Yu ChengSingapore Eye Research Institute, Singapore National Eye Centre, Singapore; Duke-NUS Medical School, Singapore; Institute of High Performance Computing, A∗STAR, Singapore; Department of Ophthalmology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Mukharram M BikbovUfa Eye Research Institute, Ufa, Russia.
Jost B JonasDepartment of Ophthalmology, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany; Institute of Molecular and Clinical Ophthalmology, Basel, Switzerland; Privatpraxis Prof Jonas und Dr Panda-Jonas, Heidelberg, Germany.
Sanjeeb BhandariDivision of Epidemiology and Clinical Applications, National Eye Institute, National Institutes of Health, Bethesda, Maryland.
Geoffrey K BroadheadDivision of Epidemiology and Clinical Applications, National Eye Institute, National Institutes of Health, Bethesda, Maryland.
Marcus H ColyerDepartment of Ophthalmology, Madigan Army Medical Center, Tacoma, Washington; Department of Surgery, Uniformed Services University of the Health Sciences, Bethesda, Maryland.
Jonathan CorsiniWarfighter Eye Center, Malcolm Grow Medical Clinics and Surgery Center, Joint Base Andrews, Maryland.
Chantal Cousineau-KriegerDivision of Epidemiology and Clinical Applications, National Eye Institute, National Institutes of Health, Bethesda, Maryland.
William GensheimerWhite River Junction Veterans Affairs Medical Center, White River Junction, Vermont; Geisel School of Medicine, Dartmouth, New Hampshire.
David GrasicDivision of Epidemiology and Clinical Applications, National Eye Institute, National Institutes of Health, Bethesda, Maryland.
Tania LambaWashington DC Veterans Affairs Medical Center, Washington, D.C.
M Teresa MagoneDivision of Epidemiology and Clinical Applications, National Eye Institute, National Institutes of Health, Bethesda, Maryland.
Michele MaibergerWashington DC Veterans Affairs Medical Center, Washington, D.C.
Arnold OshinskyWashington DC Veterans Affairs Medical Center, Washington, D.C.
Boonkit PurtDepartment of Surgery, Uniformed Services University of the Health Sciences, Bethesda, Maryland; Department of Ophthalmology, Walter Reed National Military Medical Center, Bethesda, Maryland.
Soo Y ShinWashington DC Veterans Affairs Medical Center, Washington, D.C.
Alisa T ThavikulwatDivision of Epidemiology and Clinical Applications, National Eye Institute, National Institutes of Health, Bethesda, Maryland.
Zhiyong LuNational Center for Biotechnology Information, National Library of Medicine, National Institutes of Health, Bethesda, Maryland. Electronic address: luzh@ncbi.nlm.nih.gov.
Emily Y ChewDivision of Epidemiology and Clinical Applications, National Eye Institute, National Institutes of Health, Bethesda, Maryland. Electronic address: echew@nei.nih.gov.
AREDS Deep Learning Research Group

Funding

Machine learning for medical imaging: automated disease diagnosis and prognosisZIALM010021 · NLM · NATIONAL LIBRARY OF MEDICINE · PI LU, ZHIYONG · 2022 to 2025
$4.1M
Age-Related Eye Disease Follow-up Study (AREDS) Follow-up StudyZIAEY000489 · NEI · NATIONAL EYE INSTITUTE · PI CHEW, EMILY Y · 2009 to 2025
$639k
Intramural NIH HHS Z99 EY999999
6 · The paper itself

Abstract

purposeTo develop deep learning models to perform automated diagnosis and quantitative classification of age-related cataract from anterior segment photographs.

designDeepLensNet was trained by applying deep learning models to the Age-Related Eye Disease Study (AREDS) dataset.

participantsA total of 18 999 photographs (6333 triplets) from longitudinal follow-up of 1137 eyes (576 AREDS participants).

methodsDeep learning models were trained to detect and quantify nuclear sclerosis (NS; scale 0.9-7.1) from 45-degree slit-lamp photographs and cortical lens opacity (CLO; scale 0%-100%) and posterior subcapsular cataract (PSC; scale 0%-100%) from retroillumination photographs. DeepLensNet performance was compared with that of 14 ophthalmologists and 24 medical students.

main outcome measuresMean squared error (MSE).

resultsOn the full test set, mean MSE for DeepLensNet was 0.23 (standard deviation [SD], 0.01) for NS, 13.1 (SD, 1.6) for CLO, and 16.6 (SD, 2.4) for PSC. On a subset of the test set (substantially enriched for positive cases of CLO and PSC), for NS, mean MSE for DeepLensNet was 0.23 (SD, 0.02), compared with 0.98 (SD, 0.24; P = 0.000001) for the ophthalmologists and 1.24 (SD, 0.34; P = 0.000005) for the medical students. For CLO, mean MSE was 53.5 (SD, 14.8), compared with 134.9 (SD, 89.9; P = 0.003) for the ophthalmologists and 433.6 (SD, 962.1; P = 0.0007) for the medical students. For PSC, mean MSE was 171.9 (SD, 38.9), compared with 176.8 (SD, 98.0; P = 0.67) for the ophthalmologists and 398.2 (SD, 645.4; P = 0.18) for the medical students. In external validation on the Singapore Malay Eye Study (sampled to reflect the cataract severity distribution in AREDS), the MSE for DeepSeeNet was 1.27 for NS and 25.5 for PSC.

conclusionsDeepLensNet performed automated and quantitative classification of cataract severity for all 3 types of age-related cataract. For the 2 most common types (NS and CLO), the accuracy was significantly superior to that of ophthalmologists; for the least common type (PSC), it was similar. DeepLensNet may have wide potential applications in both clinical and research domains. In the future, such approaches may increase the accessibility of cataract assessment globally. The code and models are available at https://github.com/ncbi/deeplensnet.

Indexed as

CataractCataract ExtractionDeep LearningHumansPhotographyArtificial intelligenceAutomated diagnosisCataractCortical cataractDeep learningNuclear sclerosisPosterior subcapsular cataractSeverity classificationTelemedicineTeleophthalmology

Identifiers

PMID34990643
PMCPMC9038670

What OpenQuestion holds

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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.