Evidence map›Paper›PMID 35896367›Full record

ArticleThe British journal of ophthalmology2023

Prediction of visual impairment in retinitis pigmentosa using deep learning and multimodal fundus images.

Tin Yan Alvin Liu, Carlthan Ling, Leo Hahn, Craig K Jones, Camiel Jf Boon, Mandeep S Singh

Open access · hybridAbstract read
In one paragraph

Article in The British journal of ophthalmology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
6.5field-weighted citation impact, top 2% 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

16 citing papers in PubMed, 33 citations in OpenAlex.

  1. Article
  2. Article
  3. Artificial intelligence applications in inherited retinal dystrophies.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
    Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Observational
  10. Article
  11. Article
  12. Multimodality Fusion Strategies in Eye Disease Diagnosis.Journal of imaging informatics in medicine · 2024
    Article
  13. Review
  14. Cataract surgery in retinitis pigmentosa.Medical hypothesis, discovery & innovation ophthalmology journal · 2024
    Review
  15. Artificial intelligence in retinal disease: clinical application, challenges, and future directions.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2023
    Review
  16. Article
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

6 authors at 5 institutions in 2 countries.

Tin Yan Alvin LiuWilmer Eye Institute, Johns Hopkins Hospital, Baltimore, Maryland, USA.
Carlthan LingDepartment of Ophthalmology, University of Maryland Medical System, Baltimore, Maryland, USA.
Leo HahnDepartment of Ophthalmology, Amsterdam UMC Locatie AMC, Amsterdam, The Netherlands.ORCID 0000-0002-9507-6002
Craig K JonesMalone Center for Engineering in Healthcare, Whiting School of Engineering, Johns Hopkins University, Baltimore, Maryland, USA.
Camiel Jf BoonDepartment of Ophthalmology, Amsterdam UMC Locatie AMC, Amsterdam, The Netherlands.
Mandeep S SinghWilmer Eye Institute, Johns Hopkins Hospital, Baltimore, Maryland, USA singhcorrespauth@gmail.com.ORCID 0000-0003-1749-0088
Johns Hopkins University · USAmsterdam University Medical Centers · NLJohns Hopkins Hospital · USLeiden University Medical Center · NLUniversity of Maryland, Baltimore · US

Funding

Developing photoreceptor repair for macular degeneration therapy.R01EY033103 · NEI · JOHNS HOPKINS UNIVERSITY · PI SINGH, MANDEEP · 2021 to 2025
$2.0M
NEI NIH HHS R01 EY033103
6 · The paper itself

Abstract

backgroundThe efficiency of clinical trials for retinitis pigmentosa (RP) treatment is limited by the screening burden and lack of reliable surrogate markers for functional end points. Automated methods to determine visual acuity (VA) may help address these challenges. We aimed to determine if VA could be estimated using confocal scanning laser ophthalmoscopy (cSLO) imaging and deep learning (DL).

methodsSnellen corrected VA and cSLO imaging were obtained retrospectively. The Johns Hopkins University (JHU) dataset was used for 10-fold cross-validations and internal testing. The Amsterdam University Medical Centers (AUMC) dataset was used for external independent testing. Both datasets had the same exclusion criteria: visually significant media opacities and images not centred on the central macula. The JHU dataset included patients with RP with and without molecular confirmation. The AUMC dataset only included molecularly confirmed patients with RP. Using transfer learning, three versions of the ResNet-152 neural network were trained: infrared (IR), optical coherence tomography (OCT) and combined image (CI).

resultsIn internal testing (JHU dataset, 2569 images, 462 eyes, 231 patients), the area under the curve (AUC) for the binary classification task of distinguishing between Snellen VA 20/40 or better and worse than Snellen VA 20/40 was 0.83, 0.87 and 0.85 for IR, OCT and CI, respectively. In external testing (AUMC dataset, 349 images, 166 eyes, 83 patients), the AUC was 0.78, 0.87 and 0.85 for IR, OCT and CI, respectively.

conclusionsOur algorithm showed robust performance in predicting visual impairment in patients with RP, thus providing proof-of-concept for predicting structure-function correlation based solely on cSLO imaging in patients with RP.

Indexed as

Deep LearningRetinitis PigmentosaVision, LowFundus OculiHumansRetrospective StudiesTomography, Optical Coherencedegenerationdiagnostic tests/investigationdystrophymacularetina

Identifiers

PMID35896367
PMCPMC10579177
OpenAlexW4288077758

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.