Evidence map›Paper›PMID 36246951›Full record

ArticleOphthalmology science2021

Deepfakes in Ophthalmology: Applications and Realism of Synthetic Retinal Images from Generative Adversarial Networks.

Jimmy S Chen, Aaron S Coyner, R V Paul Chan, M Elizabeth Hartnett, Darius M Moshfeghi, Leah A Owen, Jayashree Kalpathy-Cramer, Michael F Chiang, J Peter Campbell

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 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
4.9field-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

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 50 citations in OpenAlex.

  1. Pooled it
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  20. Generative Methods for Pediatric Genetics Education.medRxiv : the preprint server for health sciences · 2023
    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

9 authors at 6 institutions in 1 country.

Jimmy S ChenDepartment of Ophthalmology, Casey Eye Institute, Oregon Health & Science University, Portland, Oregon.
Aaron S CoynerDepartment of Ophthalmology, Casey Eye Institute, Oregon Health & Science University, Portland, Oregon.
R V Paul ChanDepartment of Ophthalmology and Visual Sciences, University of Illinois at Chicago, Chicago, Illinois.
M Elizabeth HartnettDepartment of Ophthalmology, John A. Moran Eye Center, University of Utah, Salt Lake City, Utah.
Darius M MoshfeghiByers Eye Institute, Horngren Family Vitreoretinal Center, Department of Ophthalmology, Stanford University School of Medicine, Palo Alto, California.
Leah A OwenDepartment of Ophthalmology, John A. Moran Eye Center, University of Utah, Salt Lake City, Utah.
Jayashree Kalpathy-CramerDepartment of Radiology, Massachusetts General Hospital/Harvard Medical School, Charlestown, Massachusetts.
Michael F ChiangNational Eye Institute, National Institutes of Health, Bethesda, Maryland.
J Peter CampbellDepartment of Ophthalmology, Casey Eye Institute, Oregon Health & Science University, Portland, Oregon.
Oregon Health & Science University · USUniversity of Utah · USHarvard University · USNational Eye Institute · USStanford University · USUniversity of Illinois Chicago · US

Funding

Proteomics CoreP30EY010572 · NEI · OREGON HEALTH & SCIENCE UNIVERSITY · PI TED S ACOTT · 1995 to 2026
$19.4M
WASHINGTON UNIVERSITY CENTER VISION RESEARCHP30EY002687 · NEI · WASHINGTON UNIVERSITY · PI Philip Andrew Ruzycki · 1985 to 2026
$18.4M
Endothelial Transmigration in Neovascular Age-related Macular DegenerationR01EY017011 · NEI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI HARTNETT, MARY ELIZABETH RUTH · 2007 to 2025
$7.7M
Mechanisms of Angiogenesis of Retinopathy of PrematurityR01EY015130 · NEI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Mary Elizabeth Ruth Hartnett · 2005 to 2026
$7.6M
Clinical and Genetic Analysis of Retinopathy of PrematurityR01EY019474 · NEI · OREGON HEALTH & SCIENCE UNIVERSITY · PI CAMPBELL, JOHN PETER · 2010 to 2020
$7.0M
Robust AI to develop risk models in retinopathy of prematurity using deep learningR21EY031883 · NEI · MASSACHUSETTS GENERAL HOSPITAL · PI KALPATHY-CRAMER, JAYASHREE, RUBIN, DANIEL L · 2020 to 2021
$472k
Artificial intelligence assisted panoramic Optical Coherence Tomography Angiography for Retinopathy of PrematurityR01EY031331 · NEI · OREGON HEALTH & SCIENCE UNIVERSITY · PI CAMPBELL, JOHN PETER, JIAN, YIFAN · 2020 to 2020
$342k
NEI NIH HHS P30 EY002687NEI NIH HHS P30 EY010572NEI NIH HHS R01 EY015130NEI NIH HHS R01 EY017011NEI NIH HHS R01 EY019474NEI NIH HHS R01 EY031331NEI NIH HHS R21 EY031883
6 · The paper itself

Abstract

Purpose: Generative adversarial networks (GANs) are deep learning (DL) models that can create and modify realistic-appearing synthetic images, or deepfakes, from real images. The purpose of our study was to evaluate the ability of experts to discern synthesized retinal fundus images from real fundus images and to review the current uses and limitations of GANs in ophthalmology. Design: Development and expert evaluation of a GAN and an informal review of the literature. Participants: A total of 4282 image pairs of fundus images and retinal vessel maps acquired from a multicenter ROP screening program. Methods: Pix2Pix HD, a high-resolution GAN, was first trained and validated on fundus and vessel map image pairs and subsequently used to generate 880 images from a held-out test set. Fifty synthetic images from this test set and 50 different real images were presented to 4 expert ROP ophthalmologists using a custom online system for evaluation of whether the images were real or synthetic. Literature was reviewed on PubMed and Google Scholars using combinations of the terms Main Outcome Measures: Expert ability to discern real versus synthetic images was evaluated using percent accuracy. Statistical significance was evaluated using a Fisher exact test, with Results: The expert majority correctly identified 59% of images as being real or synthetic ( Conclusions: Generative adversarial networks can create synthetic fundus images that are indiscernible from real fundus images by expert ROP ophthalmologists. Synthetic images may improve dataset augmentation for DL, may be used in trainee education, and may have implications for patient privacy.

Indexed as

Deep learningDL, deep learningDR, diabetic retinopathyGAN, generative adversarial networkGenerative adversarial networksi-ROP, Informatics in ROPOphthalmologyROP, retinopathy of prematuritySynthetic images

Identifiers

PMID36246951
PMCPMC9562356
OpenAlexW3212597048

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.