Evidence map›Paper›PMID 35352000›Full record

ArticleNature biomedical engineering2022

Detection of signs of disease in external photographs of the eyes via deep learning.

Boris Babenko, Akinori Mitani, Ilana Traynis, Naho Kitade, Preeti Singh, April Y Maa, Jorge Cuadros, Greg S Corrado, Lily Peng, Dale R Webster and 3 more

Open access · bronzeAbstract read
In one paragraph

Article in Nature biomedical engineering, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
13.2field-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

36 citing papers in PubMed, 93 citations in OpenAlex.

  1. Article
  2. Which features best differentiate Sjögren's-related from non-Sjögren's-related dry eye disease?Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
    Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Review
  13. Review
  14. Article
  15. Article
  16. Article
  17. Resilience to diabetic retinopathy.Progress in retinal and eye research · 2024
    Review
  18. Review
  19. Review
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 2 institutions in 1 country.

Boris Babenko *Google Health, Palo Alto, CA, USA.
Akinori Mitani *Google Health, Palo Alto, CA, USA.ORCID http://orcid.org/0000-0001-8088-6021
Ilana TraynisGoogle Health via Advanced Clinical, Deerfield, IL, USA.
Naho KitadeGoogle Health, Palo Alto, CA, USA.
Preeti SinghGoogle Health, Palo Alto, CA, USA.
April Y MaaDepartment of Ophthalmology, Emory University School of Medicine, Atlanta, GA, USA.
Jorge CuadrosEyePACS Inc, Santa Cruz, CA, USA.
Greg S CorradoGoogle Health, Palo Alto, CA, USA.
Lily PengGoogle Health, Palo Alto, CA, USA.
Dale R WebsterGoogle Health, Palo Alto, CA, USA.ORCID http://orcid.org/0000-0002-3023-8824
Avinash VaradarajanGoogle Health, Palo Alto, CA, USA.
Naama HammelGoogle Health, Palo Alto, CA, USA. nhammel@google.com.ORCID http://orcid.org/0000-0002-1284-0061
Yun LiuGoogle Health, Palo Alto, CA, USA. liuyun@google.com.ORCID http://orcid.org/0000-0003-4079-8275
Google (United States) · USEmory University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Retinal fundus photographs can be used to detect a range of retinal conditions. Here we show that deep-learning models trained instead on external photographs of the eyes can be used to detect diabetic retinopathy (DR), diabetic macular oedema and poor blood glucose control. We developed the models using eye photographs from 145,832 patients with diabetes from 301 DR screening sites and evaluated the models on four tasks and four validation datasets with a total of 48,644 patients from 198 additional screening sites. For all four tasks, the predictive performance of the deep-learning models was significantly higher than the performance of logistic regression models using self-reported demographic and medical history data, and the predictions generalized to patients with dilated pupils, to patients from a different DR screening programme and to a general eye care programme that included diabetics and non-diabetics. We also explored the use of the deep-learning models for the detection of elevated lipid levels. The utility of external eye photographs for the diagnosis and management of diseases should be further validated with images from different cameras and patient populations.

Indexed as

Deep LearningDiabetic RetinopathyRetinal DiseasesFundus OculiHumansSensitivity and Specificity

Identifiers

PMID35352000
PMCPMC8963675
OpenAlexW4220776988

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.