Evidence map›Paper›PMID 37945665›Full record

ArticleScientific reports2023

Automated deep learning-based AMD detection and staging in real-world OCT datasets (PINNACLE study report 5).

Oliver Leingang, Sophie Riedl, Julia Mai, Gregor S Reiter, Georg Faustmann, Philipp Fuchs, Hendrik P N Scholl, Sobha Sivaprasad, Daniel Rueckert, Andrew Lotery and 2 more

Abstract read
In one paragraph

Article in Scientific reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing 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.

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

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

  1. Pooled it
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  6. Imaging biomarkers and artificial intelligence for diagnosis, prediction, and therapy of macular fibrosis in age-related macular degeneration: Narrative review and future directions.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2025
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  12. Role of Artificial Intelligence in Retinal Diseases.Klinische Monatsblatter fur Augenheilkunde · 2024
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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

12 authors.

Oliver LeingangDepartment of Ophthalmology and Optometry, Medical University of Vienna, Vienna, Austria.
Sophie RiedlDepartment of Ophthalmology and Optometry, Medical University of Vienna, Vienna, Austria.
Julia MaiDepartment of Ophthalmology and Optometry, Medical University of Vienna, Vienna, Austria.
Gregor S ReiterDepartment of Ophthalmology and Optometry, Medical University of Vienna, Vienna, Austria.
Georg FaustmannDepartment of Ophthalmology and Optometry, Medical University of Vienna, Vienna, Austria.
Philipp FuchsDepartment of Ophthalmology and Optometry, Medical University of Vienna, Vienna, Austria.
Hendrik P N SchollInstitute of Molecular and Clinical Ophthalmology Basel, Basel, Switzerland.
Sobha SivaprasadNIHR Moorfields Biomedical Research Centre, Moorfields Eye Hospital NHS Foundation Trust, London, UK.
Daniel RueckertBioMedIA, Imperial College London, London, UK.
Andrew LoteryClinical and Experimental Sciences, Faculty of Medicine, University of Southampton, Southampton, UK.
Ursula Schmidt-ErfurthDepartment of Ophthalmology and Optometry, Medical University of Vienna, Vienna, Austria.
Hrvoje BogunovićDepartment of Ophthalmology and Optometry, Medical University of Vienna, Vienna, Austria. hrvoje.bogunovic@meduniwien.ac.at.

Funding

Wellcome Trust 10572/Z/18/Z.Wellcome Trust 210572/Z/18/Z
6 · The paper itself

Abstract

Real-world retinal optical coherence tomography (OCT) scans are available in abundance in primary and secondary eye care centres. They contain a wealth of information to be analyzed in retrospective studies. The associated electronic health records alone are often not enough to generate a high-quality dataset for clinical, statistical, and machine learning analysis. We have developed a deep learning-based age-related macular degeneration (AMD) stage classifier, to efficiently identify the first onset of early/intermediate (iAMD), atrophic (GA), and neovascular (nAMD) stage of AMD in retrospective data. We trained a two-stage convolutional neural network to classify macula-centered 3D volumes from Topcon OCT images into 4 classes: Normal, iAMD, GA and nAMD. In the first stage, a 2D ResNet50 is trained to identify the disease categories on the individual OCT B-scans while in the second stage, four smaller models (ResNets) use the concatenated B-scan-wise output from the first stage to classify the entire OCT volume. Classification uncertainty estimates are generated with Monte-Carlo dropout at inference time. The model was trained on a real-world OCT dataset, 3765 scans of 1849 eyes, and extensively evaluated, where it reached an average ROC-AUC of 0.94 in a real-world test set.

Indexed as

Deep LearningMacular DegenerationHumansNeural Networks, ComputerRetrospective StudiesTomography, Optical Coherence

Identifiers

PMID37945665
PMCPMC10636170

What OpenQuestion holds

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Registered trials

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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.