Evidence map›Paper›PMID 37109349›Full record

ArticleJournal of clinical medicine2023

A Multi-Modal AI-Driven Cohort Selection Tool to Predict Suboptimal Non-Responders to Aflibercept Loading-Phase for Neovascular Age-Related Macular Degeneration: PRECISE Study Report 1.

Michal Chorev, Jonas Haderlein, Shruti Chandra, Geeta Menon, Benjamin J L Burton, Ian Pearce, Martin McKibbin, Sridevi Thottarath, Eleni Karatsai, Swati Chandak and 12 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 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Review
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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

22 authors.

Michal ChorevCentre for Applied Research, IBM Australia, Southbank, VIC 3006, Australia.ORCID 0000-0003-3533-2913
Jonas HaderleinCentre for Applied Research, IBM Australia, Southbank, VIC 3006, Australia.
Shruti ChandraNational Institute of Health Research, Moorfields Biomedical Research Centre, Moorfields Eye Hospital, London EC1V 2PD, UK.ORCID 0000-0002-2634-9775
Geeta MenonFrimley Health NHS Foundation Trust, Surrey GU16 7UJ, UK.
Benjamin J L BurtonDepartment of Ophthalmology, James Paget University Hospitals NHS Foundation Trust, Norfolk NR31 6LA, UK.
Ian PearceClinical Eye Research Centre, St. Paul's Eye Unit, The Royal Liverpool and Broadgreen University Hospitals NHS Foundation Trust, Liverpool L7 8YE, UK.
Martin McKibbinLeeds Teaching Hospitals NHS Trust, Leeds LS1 3EX, UK.
Sridevi ThottarathNational Institute of Health Research, Moorfields Biomedical Research Centre, Moorfields Eye Hospital, London EC1V 2PD, UK.
Eleni KaratsaiNational Institute of Health Research, Moorfields Biomedical Research Centre, Moorfields Eye Hospital, London EC1V 2PD, UK.
Swati ChandakNational Institute of Health Research, Moorfields Biomedical Research Centre, Moorfields Eye Hospital, London EC1V 2PD, UK.
Ajay KotagiriSouth Tyneside and Sunderland NHS Foundation Trust, Sunderland SR4 7TP, UK.
James TalksNewcastle Hospitals NHS Foundation Trust, Newcastle upon Tyne NE1 4LP, UK.
Anna GrabowskaKing's College Hospital NHS Foundation Trust, London SE5 9RS, UK.
Faruque GhanchiBradford Teaching Hospitals NHS Foundation Trust, Bradford BD9 6RJ, UK.
Richard GaleYork Teaching Hospital NHS Foundation Trust, York YO31 8HE, UK.
Robin HamiltonNational Institute of Health Research, Moorfields Biomedical Research Centre, Moorfields Eye Hospital, London EC1V 2PD, UK.ORCID 0000-0003-2861-8761
Bhavna AntonyCentre for Applied Research, IBM Australia, Southbank, VIC 3006, Australia.ORCID 0000-0002-6882-2444
Rahil GarnaviCentre for Applied Research, IBM Australia, Southbank, VIC 3006, Australia.
Iven MareelsCentre for Applied Research, IBM Australia, Southbank, VIC 3006, Australia.
Andrea GianiBoehringer Ingelheim, 55218 Ingelheim am Rhein, Germany.
Victor ChongInstitute of Ophthalmology, University College London, London NW3 2PF, UK.ORCID 0000-0002-7693-522X
Sobha SivaprasadNational Institute of Health Research, Moorfields Biomedical Research Centre, Moorfields Eye Hospital, London EC1V 2PD, UK.ORCID 0000-0001-8952-0659

Funding

Australian Research Council Training Centre in Cognitive Computing ICI70200030
6 · The paper itself

Abstract

Patients diagnosed with exudative neovascular age-related macular degeneration are commonly treated with anti-vascular endothelial growth factor (anti-VEGF) agents. However, response to treatment is heterogeneous, without a clinical explanation. Predicting suboptimal response at baseline will enable more efficient clinical trial designs for novel, future interventions and facilitate individualised therapies. In this multicentre study, we trained a multi-modal artificial intelligence (AI) system to identify suboptimal responders to the loading-phase of the anti-VEGF agent aflibercept from baseline characteristics. We collected clinical features and optical coherence tomography scans from 1720 eyes of 1612 patients between 2019 and 2021. We evaluated our AI system as a patient selection method by emulating hypothetical clinical trials of different sizes based on our test set. Our method detected up to 57.6% more suboptimal responders than random selection, and up to 24.2% more than any alternative selection criteria tested. Applying this method to the entry process of candidates into randomised controlled trials may contribute to the success of such trials and further inform personalised care.

Indexed as

afliberceptage-related macular degenerationloading-phasemultimodal artificial intelligencepredictive modelling

Identifiers

PMID37109349
PMCPMC10142969

What OpenQuestion holds

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LicenceCC BY
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.