Evidence map›Paper›PMID 36675327›Full record

ArticleJournal of clinical medicine2023

iERM: An Interpretable Deep Learning System to Classify Epiretinal Membrane for Different Optical Coherence Tomography Devices: A Multi-Center Analysis.

Kai Jin, Yan Yan, Shuai Wang, Ce Yang, Menglu Chen, Xindi Liu, Hiroto Terasaki, Tun-Hang Yeo, Neha Gulab Singh, Yao Wang and 1 more

Abstract read
In one paragraph

Article in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing 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

19 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

11 authors.

Kai JinDepartment of Ophthalmology, The Second Affiliated Hospital of Zhejiang University, College of Medicine, Hangzhou 310009, China.ORCID 0000-0003-4369-2417
Yan YanDepartment of Ophthalmology, The Second Affiliated Hospital of Zhejiang University, College of Medicine, Hangzhou 310009, China.
Shuai WangSchool of Mechanical, Electrical and Information Engineering, Shandong University, Weihai 264209, China.ORCID 0000-0003-3730-6401
Ce YangSchool of Mechanical, Electrical and Information Engineering, Shandong University, Weihai 264209, China.
Menglu ChenDepartment of Ophthalmology, The Second Affiliated Hospital of Zhejiang University, College of Medicine, Hangzhou 310009, China.
Xindi LiuDepartment of Ophthalmology, The Second Affiliated Hospital of Zhejiang University, College of Medicine, Hangzhou 310009, China.
Hiroto TerasakiDepartment of Ophthalmology, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima 890-8520, Japan.
Tun-Hang YeoOphthalmology and Visual Sciences, Khoo Teck Puat Hospital, National Healthcare Group, Singapore 768828, Singapore.
Neha Gulab SinghOphthalmology and Visual Sciences, Khoo Teck Puat Hospital, National Healthcare Group, Singapore 768828, Singapore.
Yao WangDepartment of Ophthalmology, The Second Affiliated Hospital of Zhejiang University, College of Medicine, Hangzhou 310009, China.
Juan YeDepartment of Ophthalmology, The Second Affiliated Hospital of Zhejiang University, College of Medicine, Hangzhou 310009, China.

Funding

Clinical Medical Research Center for Eye Diseases of Zhejiang Province 2021E50007National Key Research and Development Program of China 2019YFC0118400National Natural Science Foundation of China 82201195National Natural Science Foundation Regional Innovation and Development Joint Fund U20A20386Zhejiang Provincial Key Research and Development Plan 2019C03020
6 · The paper itself

Abstract

Background: Epiretinal membranes (ERM) have been found to be common among individuals >50 years old. However, the severity grading assessment for ERM based on optical coherence tomography (OCT) images has remained a challenge due to lacking reliable and interpretable analysis methods. Thus, this study aimed to develop a two-stage deep learning (DL) system named iERM to provide accurate automatic grading of ERM for clinical practice. Methods: The iERM was trained based on human segmentation of key features to improve classification performance and simultaneously provide interpretability to the classification results. We developed and tested iERM using a total of 4547 OCT B-Scans of four different commercial OCT devices that were collected from nine international medical centers. Results: As per the results, the integrated network effectively improved the grading performance by 1−5.9% compared with the traditional classification DL model and achieved high accuracy scores of 82.9%, 87.0%, and 79.4% in the internal test dataset and two external test datasets, respectively. This is comparable to retinal specialists whose average accuracy scores are 87.8% and 79.4% in two external test datasets. Conclusion: This study proved to be a benchmark method to improve the performance and enhance the interpretability of the traditional DL model with the implementation of segmentation based on prior human knowledge. It may have the potential to provide precise guidance for ERM diagnosis and treatment.

Indexed as

deep learningepiretinal membranemulti-centeroptical coherence tomography

Identifiers

PMID36675327
PMCPMC9862104

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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.