Evidence map›Paper›PMID 36121534›Full record

ArticleInternational ophthalmology2022

Automatic identification of meibomian gland dysfunction with meibography images using deep learning.

Yi Yu, Yiwen Zhou, Miao Tian, Yabiao Zhou, Yuejiao Tan, Lianlian Wu, Hongmei Zheng, Yanning Yang

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In one paragraph

Article in International ophthalmology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
5.0field-weighted citation impact, top 4% 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

13 citing papers in PubMed, 27 citations in OpenAlex.

  1. Review
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  5. Article
  6. Internal validation of a convolutional neural network pipeline for assessing meibomian gland structure from meibography.Optometry and vision science : official publication of the American Academy of Optometry · 2025
    Article
  7. Artificial intelligence in corneal diseases: A narrative review.Contact lens & anterior eye : the journal of the British Contact Lens Association · 2024
    Review
  8. Article
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  10. Article
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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

8 authors at 1 institution in 1 country.

Yi Yu *
Yiwen Zhou *Eye Center of Renmin Hospital of Wuhan University, 99 Zhangzhidong Road, Wuhan, 430060, Hubei Province, China.
Miao TianEye Center of Renmin Hospital of Wuhan University, 99 Zhangzhidong Road, Wuhan, 430060, Hubei Province, China.
Yabiao ZhouSchool of Resources and Environmental Sciences of Wuhan University, Wuhan, China.
Yuejiao TanSchool of Resources and Environmental Sciences of Wuhan University, Wuhan, China.
Lianlian WuDepartment of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan, China.
Hongmei Zheng *Eye Center of Renmin Hospital of Wuhan University, 99 Zhangzhidong Road, Wuhan, 430060, Hubei Province, China. 13871484442@139.com.
Yanning Yang *Eye Center of Renmin Hospital of Wuhan University, 99 Zhangzhidong Road, Wuhan, 430060, Hubei Province, China. ophyyn@163.com.ORCID http://orcid.org/0000-0001-8419-6706
Wuhan University · CN

Funding

National Basic Research Program of China (973 Program) 2020BCB055
6 · The paper itself

Abstract

backgroundArtificial intelligence is developing rapidly, bringing increasing numbers of intelligent products into daily life. However, it has little progress in dry eye, which is a common disease and associated with meibomian gland dysfunction (MGD). Noninvasive infrared meibography, known as an effective diagnostic tool of MGD, allows for objective observation of meibomian glands. Thus, we discuss a deep learning method to measure and assess meibomian glands of meibography.

methodsWe used Mask R-CNN deep learning (DL) framework. A total of 1878 meibography images were collected and manually annotated by two licensed eyelid specialists with two classes: conjunctiva and meibomian glands. The annotated pictures were used to establish a DL model. An independent test dataset that contained 58 images was used to compare the accuracy and efficiency of the deep learning model with specialists.

resultsThe DL model calculated the ratio of meibomian gland loss with precise values by achieving high accuracy in the identification of conjunctiva (validation loss < 0.35, mAP > 0.976) and meibomian glands (validation loss < 1.0, mAP > 0.92). The comparison between specialists' annotation and the DL model evaluation showed that there is little difference between the gold standard and the model. Each image takes 480 ms for the model to evaluate, almost 21 times faster than specialists.

conclusionsThe DL model can improve the accuracy of meibography image evaluation, help specialists to grade the meibomian glands and save their time to some extent.

Indexed as

Deep LearningDry Eye SyndromesEyelid DiseasesMeibomian Gland DysfunctionArtificial IntelligenceHumansMeibomian GlandsTearsArtificial intelligenceDeep learningDry eyeMeibographyMeibomian gland dysfunction

Identifiers

PMID36121534
OpenAlexW4296322741

What OpenQuestion holds

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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.