Evidence map›Paper›PMID 35743380›Full record

ArticleJournal of clinical medicine2022

Prediction of White Matter Hyperintensity in Brain MRI Using Fundus Photographs via Deep Learning.

Bum-Joo Cho, Minwoo Lee, Jiyong Han, Soonil Kwon, Mi Sun Oh, Kyung-Ho Yu, Byung-Chul Lee, Ju Han Kim, Chulho Kim

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.3field-weighted citation impact, top 22% 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

9 citing papers in PubMed, 9 citations in OpenAlex.

  1. AI-driven multimodal retinal imaging for early detection and risk stratification of vascular and neurodegenerative diseases.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
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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 4 institutions in 1 country.

Bum-Joo ChoDepartment of Ophthalmology, Hallym University Sacred Heart Hospital, Anyang 14068, Korea.ORCID 0000-0002-0244-388X
Minwoo LeeDepartment of Neurology, Hallym Neurological Institute, Hallym University Sacred Heart Hospital, Anyang 14068, Korea.ORCID 0000-0001-8474-5744
Jiyong HanMedical Artificial Intelligence Center, Hallym University Medical Center, Anyang 14068, Korea.
Soonil KwonDepartment of Ophthalmology, Hallym University Sacred Heart Hospital, Anyang 14068, Korea.
Mi Sun OhDepartment of Neurology, Hallym Neurological Institute, Hallym University Sacred Heart Hospital, Anyang 14068, Korea.
Kyung-Ho YuDepartment of Neurology, Hallym Neurological Institute, Hallym University Sacred Heart Hospital, Anyang 14068, Korea.
Byung-Chul LeeDepartment of Neurology, Hallym Neurological Institute, Hallym University Sacred Heart Hospital, Anyang 14068, Korea.ORCID 0000-0002-3885-981X
Ju Han KimDivision of Biomedical Informatics, Seoul National University Biomedical Informatics (SNUBI), Seoul National University College of Medicine, Seoul 03080, Korea.
Chulho KimDepartment of Neurology, Chuncheon Sacred Heart Hospital, Chuncheon 24253, Korea.ORCID 0000-0001-8762-8340
Hallym University Sacred Heart Hospital · KRSeoul National University · KRHallym University Chuncheon Sacred Heart Hospital · KRHallym University Medical Center · KR

Funding

Bio & Medical Technology Development Program of the National Research Foundation (NRF) and funded by the Korean government (MSIT) NRF-2019R1G1A1011227Bio & Medical Technology Development Program of the National Research Foundation (NRF) and funded by the Korean government (MSIT) NRF-2019R1G1A1097707HK inno.N Corp. No.2018-12-031
6 · The paper itself

Abstract

purposeWe investigated whether a deep learning algorithm applied to retinal fundoscopic images could predict cerebral white matter hyperintensity (WMH), as represented by a modified Fazekas scale (FS), on brain magnetic resonance imaging (MRI).

methodsParticipants who had undergone brain MRI and health-screening fundus photography at Hallym University Sacred Heart Hospital between 2010 and 2020 were consecutively included. The subjects were divided based on the presence of WMH, then classified into three groups according to the FS grade (0 vs. 1 vs. 2+) using age matching. Two pre-trained convolutional neural networks were fine-tuned and evaluated for prediction performance using 10-fold cross-validation.

resultsA total of 3726 fundus photographs from 1892 subjects were included, of which 905 fundus photographs from 462 subjects were included in the age-matched balanced dataset. In predicting the presence of WMH, the mean area under the receiver operating characteristic curve was 0.736 ± 0.030 for DenseNet-201 and 0.724 ± 0.026 for EfficientNet-B7. For the prediction of FS grade, the mean accuracies reached 41.4 ± 5.7% with DenseNet-201 and 39.6 ± 5.6% with EfficientNet-B7. The deep learning models focused on the macula and retinal vasculature to detect an FS of 2+.

conclusionsCerebral WMH might be partially predicted by non-invasive fundus photography via deep learning, which may suggest an eye-brain association.

Indexed as

cerebral small-vessel diseasedeep learningFazekas scalefundus photographwhite matter hyperintensity

Identifiers

PMID35743380
PMCPMC9224833
OpenAlexW4281747045

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.