Evidence map›Paper›PMID 35393449›Full record

ArticleScientific reports2022

Prediction of treatment outcome in neovascular age-related macular degeneration using a novel convolutional neural network.

Tsai-Chu Yeh, An-Chun Luo, Yu-Shan Deng, Yu-Hsien Lee, Shih-Jen Chen, Po-Han Chang, Chun-Ju Lin, Ming-Chi Tai, Yu-Bai Chou

Abstract read
In one paragraph

Article in Scientific reports, 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
–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

19 citing papers in PubMed.

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  13. Artificial intelligence in individualized retinal disease management.International journal of ophthalmology · 2024
    Review
  14. Deep learning in optical coherence tomography: Where are the gaps?Clinical & experimental ophthalmology · 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

9 authors.

Tsai-Chu YehDepartment of Ophthalmology, Taipei Veterans General Hospital, No. 201, Sec.2, Shih-Pai Road, Taipei, 11217, Taiwan.
An-Chun LuoIndustrial Technology Research Institute, Hsinchu, Taiwan.
Yu-Shan DengIndustrial Technology Research Institute, Hsinchu, Taiwan.
Yu-Hsien LeeIndustrial Technology Research Institute, Hsinchu, Taiwan.
Shih-Jen ChenDepartment of Ophthalmology, Taipei Veterans General Hospital, No. 201, Sec.2, Shih-Pai Road, Taipei, 11217, Taiwan.
Po-Han ChangIndustrial Technology Research Institute, Hsinchu, Taiwan.
Chun-Ju LinIndustrial Technology Research Institute, Hsinchu, Taiwan.
Ming-Chi TaiIndustrial Technology Research Institute, Hsinchu, Taiwan.
Yu-Bai ChouDepartment of Ophthalmology, Taipei Veterans General Hospital, No. 201, Sec.2, Shih-Pai Road, Taipei, 11217, Taiwan. suddenonset@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

While prognosis and risk of progression are crucial in developing precise therapeutic strategy in neovascular age-related macular degeneration (nAMD), limited predictive tools are available. We proposed a novel deep convolutional neural network that enables feature extraction through image and non-image data integration to seize imperative information and achieve highly accurate outcome prediction. The Heterogeneous Data Fusion Net (HDF-Net) was designed to predict visual acuity (VA) outcome (improvement ≥ 2 line or not) at 12th months after anti-VEGF treatment. A set of pre-treatment optical coherence tomography (OCT) image and non-image demographic features were employed as input data and the corresponding 12th-month post-treatment VA as the target data to train, validate, and test the HDF-Net. This newly designed HDF-Net demonstrated an AUC of 0.989 (95% CI 0.970-0.999), accuracy of 0.936 [95% confidence interval (CI) 0.889-0.964], sensitivity of 0.933 (95% CI 0.841-0.974), and specificity of 0.938 (95% CI 0.877-0.969). By simulating the clinical decision process with mixed pre-treatment information from raw OCT images and numeric data, HDF-Net demonstrated promising performance in predicting individualized treatment outcome. The results highlight the potential of deep learning to simultaneously process a broad range of clinical data to weigh and leverage the complete information of the patient. This novel approach is an important step toward real-world personalized therapeutic strategy for typical nAMD.

Indexed as

Macular DegenerationWet Macular DegenerationAngiogenesis InhibitorsHumansIntravitreal InjectionsNeural Networks, ComputerRetrospective StudiesTomography, Optical CoherenceTreatment OutcomeVisual AcuityAngiogenesis Inhibitors

Identifiers

PMID35393449
PMCPMC8989893

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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.