Evidence map›Paper›PMID 37428131›Full record

ArticleTranslational vision science & technology2023

Geographic Atrophy Segmentation Using Multimodal Deep Learning.

Theodore Spaide, Jiaxiang Jiang, Jasmine Patil, Neha Anegondi, Verena Steffen, Michael G Kawczynski, Elizabeth M Newton, Christina Rabe, Simon S Gao, Aaron Y Lee and 4 more

2 registry-linked trialsAbstract read
In one paragraph

Article in Translational vision science & technology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
–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.

NCT02399072 terminatednot on this map

A Multicenter, Prospective Epidemiologic Study of the Progression of Geographic Atrophy Secondary to Age-Related Macular Degeneration

TypeobservationalSponsorHoffmann-La RocheRan2015 to 2018Enrolled202ConditionsGeographic AtrophyArmsNo intervention
NCT02479386 terminatednot on this map

A Multicenter, Prospective Epidemiologic Study of The Progression of Geographic Atrophy Secondary to Age-Related Macular Degeneration

TypeobservationalSponsorHoffmann-La RocheRan2015 to 2018Enrolled296ConditionsGeographic AtrophyArmsNo intervention
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

14 authors.

Theodore SpaideRoche Personalized Healthcare, Genentech, Inc., South San Francisco, CA, USA.
Jiaxiang JiangClinical Imaging Group, Genentech, Inc., South San Francisco, CA, USA.
Jasmine PatilClinical Imaging Group, Genentech, Inc., South San Francisco, CA, USA.
Neha AnegondiRoche Personalized Healthcare, Genentech, Inc., South San Francisco, CA, USA.
Verena SteffenRoche Personalized Healthcare, Genentech, Inc., South San Francisco, CA, USA.
Michael G KawczynskiRoche Personalized Healthcare, Genentech, Inc., South San Francisco, CA, USA.
Elizabeth M NewtonRoche Personalized Healthcare, Genentech, Inc., South San Francisco, CA, USA.
Christina RabeRoche Personalized Healthcare, Genentech, Inc., South San Francisco, CA, USA.
Simon S GaoRoche Personalized Healthcare, Genentech, Inc., South San Francisco, CA, USA.
Aaron Y LeeDepartment of Ophthalmology, University of Washington, School of Medicine, Seattle, WA, USA.
Frank G HolzDepartment of Ophthalmology and GRADE Reading Center, University of Bonn, Bonn, Germany.
SriniVas SaddaDoheny Eye Institute, Los Angeles, CA, USA.
Steffen Schmitz-ValckenbergDepartment of Ophthalmology and GRADE Reading Center, University of Bonn, Bonn, Germany.
Daniela FerraraRoche Personalized Healthcare, Genentech, Inc., South San Francisco, CA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: To examine deep learning (DL)-based methods for accurate segmentation of geographic atrophy (GA) lesions using fundus autofluorescence (FAF) and near-infrared (NIR) images. Methods: This retrospective analysis utilized imaging data from study eyes of patients enrolled in Proxima A and B (NCT02479386; NCT02399072) natural history studies of GA. Two multimodal DL networks (UNet and YNet) were used to automatically segment GA lesions on FAF; segmentation accuracy was compared with annotations by experienced graders. The training data set comprised 940 image pairs (FAF and NIR) from 183 patients in Proxima B; the test data set comprised 497 image pairs from 154 patients in Proxima A. Dice coefficient scores, Bland-Altman plots, and Pearson correlation coefficient (r) were used to assess performance. Results: On the test set, Dice scores for the DL network to grader comparison ranged from 0.89 to 0.92 for screening visit; Dice score between graders was 0.94. GA lesion area correlations (r) for YNet versus grader, UNet versus grader, and between graders were 0.981, 0.959, and 0.995, respectively. Longitudinal GA lesion area enlargement correlations (r) for screening to 12 months (n = 53) were lower (0.741, 0.622, and 0.890, respectively) compared with the cross-sectional results at screening. Longitudinal correlations (r) from screening to 6 months (n = 77) were even lower (0.294, 0.248, and 0.686, respectively). Conclusions: Multimodal DL networks to segment GA lesions can produce accurate results comparable with expert graders. Translational Relevance: DL-based tools may support efficient and individualized assessment of patients with GA in clinical research and practice.

Indexed as

Deep LearningGeographic AtrophyClinical Studies as TopicCross-Sectional StudiesFundus OculiHumansRetrospective Studies

Identifiers

PMID37428131
PMCPMC10341294

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.