Evidence map›Paper›PMID 36246007›Full record

ArticleOphthalmology science2021

A Deep Learning Architecture for Vascular Area Measurement in Fundus Images.

Kanae Fukutsu, Michiyuki Saito, Kousuke Noda, Miyuki Murata, Satoru Kase, Ryosuke Shiba, Naoki Isogai, Yoshikazu Asano, Nagisa Hanawa, Mitsuru Dohke and 2 more

Open access · goldAbstract read
In one paragraph

Article in Ophthalmology science, 2021. 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
1.5field-weighted citation impact, top 18% 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, 19 citations in OpenAlex.

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  11. Why Ophthalmology Science?Ophthalmology science · 2021
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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

12 authors at 3 institutions in 1 country.

Kanae FukutsuDepartment of Ophthalmology, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Japan.
Michiyuki SaitoDepartment of Ophthalmology, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Japan.
Kousuke NodaDepartment of Ophthalmology, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Japan.
Miyuki MurataDepartment of Ophthalmology, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Japan.
Satoru KaseDepartment of Ophthalmology, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Japan.
Ryosuke ShibaNIDEK Co., Ltd., Gamagori, Japan.
Naoki IsogaiNIDEK Co., Ltd., Gamagori, Japan.
Yoshikazu AsanoKeijinkai Maruyama Clinic, Sapporo, Japan.
Nagisa HanawaKeijinkai Maruyama Clinic, Sapporo, Japan.
Mitsuru DohkeKeijinkai Maruyama Clinic, Sapporo, Japan.
Manabu KaseDepartment of Ophthalmology, Teine Keijinkai Hospital, Sapporo, Japan.
Susumu IshidaDepartment of Ophthalmology, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Japan.
Hokkaido University · JPTeine Keijinkai Hospital · JPNidek (Japan) · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: To develop a novel evaluation system for retinal vessel alterations caused by hypertension using a deep learning algorithm. Design: Retrospective study. Participants: Fundus photographs (n = 10 571) of health-check participants (n = 5598). Methods: The participants were analyzed using a fully automatic architecture assisted by a deep learning system, and the total area of retinal arterioles and venules was assessed separately. The retinal vessels were extracted automatically from each photograph and categorized as arterioles or venules. Subsequently, the total arteriolar area (AA) and total venular area (VA) were measured. The correlations among AA, VA, age, systolic blood pressure (SBP), and diastolic blood pressure were analyzed. Six ophthalmologists manually evaluated the arteriovenous ratio (AVR) in fundus images (n = 102), and the correlation between the SBP and AVR was evaluated manually. Main Outcome Measures: Total arteriolar area and VA. Results: The deep learning algorithm demonstrated favorable properties of vessel segmentation and arteriovenous classification, comparable with pre-existing techniques. Using the algorithm, a significant positive correlation was found between AA and VA. Both AA and VA demonstrated negative correlations with age and blood pressure. Furthermore, the SBP showed a higher negative correlation with AA measured by the algorithm than with AVR. Conclusions: The current data demonstrated that the retinal vascular area measured with the deep learning system could be a novel index of hypertension-related vascular changes.

Indexed as

AA, total arteriolar areaArteriosclerosisAUC, area under the receiver operating characteristic curveAVR, arteriovenous ratioBP, blood pressureDBP, diastolic blood pressureDeep learning systemDRIVE, Digital Retinal Images for Vessel ExtractionFN, false-negativeFPa, FP arteriolesFP, false-positiveFPv, FP venulesHypertensive retinopathyImagingMISCa, misclassification rates of arteriolesMISCv, misclassification rates of venulesRetinal arteriolar narrowingRGB, red-green-blueSBP, systolic blood pressureTN, true-negativeTPa, TP arteriolesTP, true-positiveTPv, TP venulesVA, total venular area

Identifiers

PMID36246007
PMCPMC9560649
OpenAlexW3130204642

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.