Evidence map›Paper›PMID 36302974›Full record

ArticleEye (London, England)2023

Artificial intelligence to distinguish retinal vein occlusion patients using color fundus photographs.

Xiang Ren, Wei Feng, Ruijin Ran, Yunxia Gao, Yu Lin, Xiangyu Fu, Yunhan Tao, Ting Wang, Bin Wang, Lie Ju and 6 more

Abstract read
In one paragraph

Article in Eye (London, England), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–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

18 citing papers in PubMed.

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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

16 authors.

Xiang Ren *Department of Ophthalmology, Ophthalmic Laboratory, West China Hospital, Sichuan University, Chengdu, Sichuan, 610041, P. R. China.
Wei Feng *Beijing Airdoc Technology Co Ltd, Beijing, China.
Ruijin RanDepartment of Ophthalmology, Ophthalmic Laboratory, West China Hospital, Sichuan University, Chengdu, Sichuan, 610041, P. R. China.
Yunxia GaoDepartment of Ophthalmology, Ophthalmic Laboratory, West China Hospital, Sichuan University, Chengdu, Sichuan, 610041, P. R. China.ORCID 0000-0003-3707-812X
Yu LinDepartment of Ophthalmology, Ophthalmic Laboratory, West China Hospital, Sichuan University, Chengdu, Sichuan, 610041, P. R. China.
Xiangyu FuDepartment of Ophthalmology, Ophthalmic Laboratory, West China Hospital, Sichuan University, Chengdu, Sichuan, 610041, P. R. China.
Yunhan TaoDepartment of Ophthalmology, Ophthalmic Laboratory, West China Hospital, Sichuan University, Chengdu, Sichuan, 610041, P. R. China.
Ting WangDepartment of Ophthalmology, Ophthalmic Laboratory, West China Hospital, Sichuan University, Chengdu, Sichuan, 610041, P. R. China.
Bin WangBeijing Airdoc Technology Co Ltd, Beijing, China.
Lie JuBeijing Airdoc Technology Co Ltd, Beijing, China.
Yuzhong ChenBeijing Airdoc Technology Co Ltd, Beijing, China.
Lanqing HeBeijing Airdoc Technology Co Ltd, Beijing, China.
Wu XiChengdu Ikangguobin Health Examination Center Ltd, Chengdu, China.
Xiaorong LiuChengdu Ikangguobin Health Examination Center Ltd, Chengdu, China.
Zongyuan GeECSE, Faculty of Engineering, Monash University, Melbourne, VIC, Australia.
Ming ZhangDepartment of Ophthalmology, Ophthalmic Laboratory, West China Hospital, Sichuan University, Chengdu, Sichuan, 610041, P. R. China. zhangmingscu0905@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeOur aim is to establish an AI model for distinguishing color fundus photographs (CFP) of RVO patients from normal individuals.

methodsThe training dataset included 2013 CFP from fellow eyes of RVO patients and 8536 age- and gender-matched normal CFP. Model performance was assessed in two independent testing datasets. We evaluated the performance of the AI model using the area under the receiver operating characteristic curve (AUC), accuracy, precision, specificity, sensitivity, and confusion matrices. We further explained the probable clinical relevance of the AI by extracting and comparing features of the retinal images.

resultsOur model achieved an average AUC was 0.9866 (95% CI: 0.9805-0.9918), accuracy was 0.9534 (95% CI: 0.9421-0.9639), precision was 0.9123 (95% CI: 0.8784-9453), specificity was 0.9810 (95% CI: 0.9729-0.9884), and sensitivity was 0.8367 (95% CI: 0.7953-0.8756) for identifying fundus images of RVO patients in training dataset. In independent external datasets 1, the AUC of the RVO group was 0.8102 (95% CI: 0.7979-0.8226), the accuracy of 0.7752 (95% CI: 0.7633-0.7875), the precision of 0.7041 (95% CI: 0.6873-0.7211), specificity of 0.6499 (95% CI: 0.6305-0.6679) and sensitivity of 0.9124 (95% CI: 0.9004-0.9241) for RVO group. There were significant differences in retinal arteriovenous ratio, optic cup to optic disc ratio, and optic disc tilt angle (p = 0.001, p = 0.0001, and p = 0.0001, respectively) between the two groups in training dataset.

conclusionWe trained an AI model to classify color fundus photographs of RVO patients with stable performance both in internal and external datasets. This may be of great importance for risk prediction in patients with retinal venous occlusion.

Indexed as

Optic DiskRetinal Vein OcclusionArtificial IntelligenceDiagnostic Techniques, OphthalmologicalFundus OculiHumans

Identifiers

PMID36302974
PMCPMC10333217

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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.