Evidence map›Paper›PMID 35066704›Full record

ArticleGraefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie2022

End-to-end diabetic retinopathy grading based on fundus fluorescein angiography images using deep learning.

Zhiyuan Gao, Kai Jin, Yan Yan, Xindi Liu, Yan Shi, Yanni Ge, Xiangji Pan, Yifei Lu, Jian Wu, Yao Wang and 1 more

Abstract read
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In one paragraph

Article in Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
5.2field-weighted citation impact, top 4% 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

19 citing papers in PubMed, 38 citations in OpenAlex.

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  4. [An adaptive multi-label classification model for diabetic retinopathy lesion recognition].Sheng wu yi xue gong cheng xue za zhi = Journal of biomedical engineering = Shengwu yixue gongchengxue zazhi · 2025
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  14. On the Analyses of Medical Images Using Traditional Machine Learning Techniques and Convolutional Neural Networks.Archives of computational methods in engineering : state of the art reviews · 2023
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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

11 authors at 3 institutions in 1 country.

Zhiyuan Gao *Department of Ophthalmology, The Second Affiliated Hospital of Zhejiang University, College of Medicine, Hangzhou, 310009, China.
Kai Jin *Department of Ophthalmology, The Second Affiliated Hospital of Zhejiang University, College of Medicine, Hangzhou, 310009, China.
Yan YanDepartment of Ophthalmology, The Second Affiliated Hospital of Zhejiang University, College of Medicine, Hangzhou, 310009, China.
Xindi LiuDepartment of Ophthalmology, The Second Affiliated Hospital of Zhejiang University, College of Medicine, Hangzhou, 310009, China.
Yan ShiDepartment of Ophthalmology, Ningbo First Hospital, Ningbo, 315010, China.
Yanni GeDepartment of Ophthalmology, The Second Affiliated Hospital of Zhejiang University, College of Medicine, Hangzhou, 310009, China.
Xiangji PanDepartment of Ophthalmology, The Second Affiliated Hospital of Zhejiang University, College of Medicine, Hangzhou, 310009, China.
Yifei LuCollege of Computer Science and Technology, Zhejiang University, Hangzhou, 310027, China.
Jian WuCollege of Computer Science and Technology, Zhejiang University, Hangzhou, 310027, China.
Yao WangDepartment of Ophthalmology, The Second Affiliated Hospital of Zhejiang University, College of Medicine, Hangzhou, 310009, China. wangyao@zju.edu.cn.
Juan YeDepartment of Ophthalmology, The Second Affiliated Hospital of Zhejiang University, College of Medicine, Hangzhou, 310009, China. yejuan@zju.edu.cn.ORCID http://orcid.org/0000-0002-5282-770X
Second Affiliated Hospital of Zhejiang University · CNZhejiang University of Science and Technology · CNNingbo First Hospital · CN

Funding

the National Key Research and Development Program of China 2019YFC0118401the Natural Science Foundation of China 81670888Zhejiang Provincial Key Research and Development Plan 2019C03020
6 · The paper itself

Abstract

purposeTo develop and validate a deep learning system for diabetic retinopathy (DR) grading based on fundus fluorescein angiography (FFA) images.

methodsA total of 11,214 FFA images from 705 patients were collected to form the internal dataset. Three convolutional neural networks, namely VGG16, RestNet50, and DenseNet, were trained using a nine-square grid input, and heat maps were generated. Subsequently, a comparison between human graders and the algorithm was performed. Lastly, the best model was tested on two external datasets (Xian dataset and Ningbo dataset).

resultsVGG16 performed the best, with a maximum accuracy of 94.17%, and had an AUC of 0.972, 0.922, and 0.994 for levels 1, 2, and 3, respectively. For Xian dataset, our model reached the accuracy of 82.47% and AUC of 0.910, 0.888, and 0.976 for levels 1, 2, and 3. As for Ningbo dataset, the network performed with the accuracy of 88.89% and AUC of 0.972, 0.756, and 0.945 for levels 1, 2, and 3.

conclusionsA deep learning system for DR staging was trained based on FFA images and evaluated through human-machine comparisons as well as external dataset testing. The proposed system will help clinical practitioners to diagnose and treat DR patients, and lay a foundation for future applications of other ophthalmic or general diseases.

Indexed as

Deep LearningDiabetes MellitusDiabetic RetinopathyAlgorithmsFluorescein AngiographyFundus OculiHumansNeural Networks, ComputerDeep learningDiabetic retinopathyFundus fluorescein angiographyGrading

Identifiers

PMID35066704
OpenAlexW4206896861

What OpenQuestion holds

Textmetadata
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.