Evidence map›Paper›PMID 35202616›Full record

ArticleOphthalmology2022

Policy-Driven, Multimodal Deep Learning for Predicting Visual Fields from the Optic Disc and OCT Imaging.

Yuka Kihara, Giovanni Montesano, Andrew Chen, Nishani Amerasinghe, Chrysostomos Dimitriou, Aby Jacob, Almira Chabi, David P Crabb, Aaron Y Lee

Open access · greenAbstract 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 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
9.2field-weighted citation impact, top 1% 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

30 citing papers in PubMed, 49 citations in OpenAlex.

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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 at 6 institutions in 2 countries.

Yuka KiharaUniversity of Washington, Department of Ophthalmology, Seattle, Washington.
Giovanni MontesanoCity, University of London, Optometry and Visual Sciences, London, United Kingdom; NIHR Biomedical Research Centre, Moorfields Eye Hospital NHS Foundation Trust, UCL Institute of Ophthalmology, London, UK.
Andrew ChenUniversity of Washington, Department of Ophthalmology, Seattle, Washington.
Nishani AmerasingheUniversity Hospital Southampton NHS Foundation Trust, Southampton, United Kingdom.
Chrysostomos DimitriouColchester Hospital, East Suffolk and North Essex NHS Foundation Trust, Colchester, United Kingdom.
Aby JacobUniversity Hospital Southampton NHS Foundation Trust, Southampton, United Kingdom.
Almira ChabiSanten, Emeryville, California.
David P CrabbCity, University of London, Optometry and Visual Sciences, London, United Kingdom.
Aaron Y LeeUniversity of Washington, Department of Ophthalmology, Seattle, Washington. Electronic address: aaronylee@gmail.com.
University of Washington · USUniversity Hospital Southampton NHS Foundation Trust · GBCity, University of London · GBEast Suffolk and North Essex NHS Foundation Trust · GBMoorfields Eye Hospital NHS Foundation Trust · GBSanten (United States) · US

Funding

Translational pharmacoepidemiology: neuroprotection and neurotoxicity of antihypertensives and strong anticholinergicsU19AG066567 · NIA · KAISER FOUNDATION RESEARCH INSTITUTE · PI Linda Kathleen McEvoy · 2021 to 2026
$80.4M
Epidemiology and clinical outcomes of diabetic macular edemaK23EY029246 · NEI · UNIVERSITY OF WASHINGTON · PI LEE, AARON · 2018 to 2022
$1.1M
NEI NIH HHS K23 EY029246NIA NIH HHS U19 AG066567
6 · The paper itself

Abstract

purposeTo develop and validate a deep learning (DL) system for predicting each point on visual fields (VFs) from disc and OCT imaging and derive a structure-function mapping.

designRetrospective, cross-sectional database study.

participantsA total of 6437 patients undergoing routine care for glaucoma in 3 clinical sites in the United Kingdom.

methodsOCT and infrared reflectance (IR) optic disc imaging were paired with the closest VF within 7 days. EfficientNet B2 was used to train 2 single-modality DL models to predict each of the 52 sensitivity points on the 24-2 VF pattern. A policy DL model was designed and trained to fuse the 2 model predictions.

main outcome measuresPointwise mean absolute error (PMAE).

resultsA total of 5078 imaging scans to VF pairs were used as a held-out test set to measure the final performance. The improvement in PMAE with the policy model was 0.485 (0.438, 0.533) decibels (dB) compared with the IR image of the disc alone and 0.060 (0.047, 0.073) dB with to the OCT alone. The improvement with the policy fusion model was statistically significant (P < 0.0001). Occlusion masking shows that the DL models learned the correct structure-function mapping in a data-driven, feature agnostic fashion.

conclusionsThe multimodal, policy DL model performed the best; it provided explainable maps of its confidence in fusing data from single modalities and provides a pathway for probing the structure-function relationship in glaucoma.

Indexed as

Deep LearningGlaucomaOptic DiskOptic Nerve DiseasesHumansIntraocular PressurePolicyRetrospective StudiesTomography, Optical CoherenceVisual FieldsVisual Field TestsArtificial intelligenceDeep learningGlaucomaOCTPerimetryStructure–functionVisual field

Identifiers

PMID35202616
PMCPMC9233104
OpenAlexW4212944981

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.