Evidence map›Paper›PMID 36195457›Full record

ArticleThe British journal of ophthalmology2022

Artificial intelligence-enabled retinal vasculometry for prediction of circulatory mortality, myocardial infarction and stroke.

Alicja Regina Rudnicka, Roshan Welikala, Sarah Barman, Paul J Foster, Robert Luben, Shabina Hayat, Kay-Tee Khaw, Peter Whincup, David Strachan, Christopher G Owen

Abstract read
In one paragraph

Article in The British journal of ophthalmology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 2 pooled it
–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

38 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Effects of firsthand tobacco smoking on retinal vessel caliber: a systematic review and meta-analysis.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2024
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  5. Predicting stroke risk using retinal imaging with artificial intelligence: a scoping review of current evidence.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
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  9. Coronary artery and retinal vascularization by optical coherence tomography angiography: are eyes the window to the heart?Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2025
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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

10 authors.

Alicja Regina RudnickaPopulation Health Research Institute, St George's University of London, London, UK arudnick@sgul.ac.uk.ORCID 0000-0003-0369-8574
Roshan WelikalaFaculty of Science, Engineering and Computing, Kingston University, Kingston-Upon-Thames, UK.
Sarah BarmanFaculty of Science, Engineering and Computing, Kingston University, Kingston-Upon-Thames, UK.
Paul J FosterNIHR Biomedical Research Centre at Moorfields Eye Hospital and UCL Institute of Ophthalmology, University College London, London, UK.ORCID 0000-0002-4755-177X
Robert LubenMRC Epidemiology Unit, Cambridge University, Cambridge, UK.ORCID 0000-0002-5088-6343
Shabina HayatDepartment of Psychiatry, Cambridge Public Health, University of Cambridge School of Clinical Medicine, Cambridge, UK.ORCID 0000-0001-9068-8723
Kay-Tee KhawMRC Epidemiology Unit, Cambridge University, Cambridge, UK.
Peter WhincupPopulation Health Research Institute, St George's University of London, London, UK.
David StrachanPopulation Health Research Institute, St George's University of London, London, UK.
Christopher G OwenPopulation Health Research Institute, St George's University of London, London, UK.ORCID 0000-0003-1135-5977

Funding

British Heart Foundation PG/15/101/31889Cancer Research UK 14136Medical Research Council G0401527Medical Research Council G1000143Medical Research Council MC_PC_17228Medical Research Council MC_QA137853Medical Research Council MR/L02005X/1Medical Research Council MR/N003284/1
6 · The paper itself

Abstract

aimsWe examine whether inclusion of artificial intelligence (AI)-enabled retinal vasculometry (RV) improves existing risk algorithms for incident stroke, myocardial infarction (MI) and circulatory mortality.

methodsAI-enabled retinal vessel image analysis processed images from 88 052 UK Biobank (UKB) participants (aged 40-69 years at image capture) and 7411 European Prospective Investigation into Cancer (EPIC)-Norfolk participants (aged 48-92). Retinal arteriolar and venular width, tortuosity and area were extracted. Prediction models were developed in UKB using multivariable Cox proportional hazards regression for circulatory mortality, incident stroke and MI, and externally validated in EPIC-Norfolk. Model performance was assessed using optimism adjusted calibration, C-statistics and R

resultsUKB prognostic models were developed on 65 144 participants (mean age 56.8; median follow-up 7.7 years) and validated in 5862 EPIC-Norfolk participants (67.6, 9.1 years, respectively). Prediction models for circulatory mortality in men and women had optimism adjusted C-statistics and R

conclusionRV offers an alternative predictive biomarker to traditional risk-scores for vascular health, without the need for blood sampling or blood pressure measurement. Further work is needed to examine RV in population screening to triage individuals at high-risk.

Indexed as

Myocardial InfarctionStrokeArtificial IntelligenceFemaleHumansIncidenceMaleMiddle AgedProportional Hazards ModelsProspective StudiesRisk FactorsDiagnostic tests/InvestigationEpidemiologyImagingPublic healthRetina

Identifiers

PMID36195457
PMCPMC9685715

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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.