Evidence map›Paper›PMID 38242700›Full record

ArticleThe British journal of ophthalmology2024

Deep learning model for extensive smartphone-based diagnosis and triage of cataracts and multiple corneal diseases.

Yuta Ueno, Masahiro Oda, Takefumi Yamaguchi, Hideki Fukuoka, Ryohei Nejima, Yoshiyuki Kitaguchi, Masahiro Miyake, Masato Akiyama, Kazunori Miyata, Kenji Kashiwagi and 5 more

Open access · hybridAbstract read
In one paragraph

Article in The British journal of ophthalmology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
15.0field-weighted citation impact, top 1% of its field
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

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Deep learning approach for analyzing regional scheimpflug corneal images to assess keratoconus progression.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
    Article
  6. Review
  7. Article
  8. Review
  9. Article
  10. Review
  11. Review
  12. Article
  13. Review
  14. Article
  15. Review
  16. Article
  17. Article
  18. Review
  19. Article
  20. Article
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

15 authors at 11 institutions in 1 country.

Yuta Ueno *Department of Ophthalmology, University of Tsukuba, Tsukuba, Japan.
Masahiro Oda *Information Technology Center, Nagoya University, Nagoya, Japan.ORCID 0000-0001-7714-422X
Takefumi YamaguchiDepartment of Ophthalmology, Tokyo Dental College Ichikawa General Hospital, Ichikawa, Japan yamaguchit@tdc.ac.jp.ORCID 0000-0002-2546-2813
Hideki FukuokaDepartment of Ophthalmology, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Ryohei NejimaMiyata Eye Hospital, Miyakonojo, Japan.
Yoshiyuki KitaguchiDepartment of Ophthalmology, Osaka University Graduate School of Medicine, Osaka, Japan.
Masahiro MiyakeDepartment of Ophthalmology and Vusual Sciences, Kyoto University Graduate School of Medicine, Kyoto, Japan.ORCID 0000-0001-7410-3764
Masato AkiyamaDepartment of Ocular Pathology and Imaging Science, Kyushu University, Fukuoka, Japan.
Kazunori MiyataMiyata Eye Hospital, Miyakonojo, Japan.
Kenji KashiwagiDepartment of Ophthalmology, University of Yamanashi, Kofu, Japan.
Naoyuki MaedaDepartment of Ophthalmology, Osaka University Graduate School of Medicine, Osaka, Japan.ORCID 0000-0001-6509-9054
Jun ShimazakiDepartment of Ophthalmology, Tokyo Dental College Ichikawa General Hospital, Ichikawa, Japan.ORCID 0000-0002-0435-3095
Hisashi NomaDepartment of Data Science, Institute of Statistical Mathematics, Tokyo, Japan.
Kensaku MoriInformation Technology Center, Nagoya University, Nagoya, Japan.ORCID 0000-0002-0100-4797
Tetsuro OshikaDepartment of Ophthalmology, University of Tsukuba, Tsukuba, Japan.ORCID 0000-0002-9071-7018
Miyata Eye Hospital · JPThe University of Osaka · JPTokyo Dental College Ichikawa General Hospital · JPUniversity of Tsukuba · JPKyoto Prefectural University of Medicine · JPKyoto University · JPKyushu University · JPNagoya University · JPNational Institute of Informatics · JPThe Institute of Statistical Mathematics · JPUniversity of Yamanashi · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo develop an artificial intelligence (AI) algorithm that diagnoses cataracts/corneal diseases from multiple conditions using smartphone images.

methodsThis study included 6442 images that were captured using a slit-lamp microscope (6106 images) and smartphone (336 images). An AI algorithm was developed based on slit-lamp images to differentiate 36 major diseases (cataracts and corneal diseases) into 9 categories. To validate the AI model, smartphone images were used for the testing dataset. We evaluated AI performance that included sensitivity, specificity and receiver operating characteristic (ROC) curve for the diagnosis and triage of the diseases.

resultsThe AI algorithm achieved an area under the ROC curve of 0.998 (95% CI, 0.992 to 0.999) for normal eyes, 0.986 (95% CI, 0.978 to 0.997) for infectious keratitis, 0.960 (95% CI, 0.925 to 0.994) for immunological keratitis, 0.987 (95% CI, 0.978 to 0.996) for cornea scars, 0.997 (95% CI, 0.992 to 1.000) for ocular surface tumours, 0.993 (95% CI, 0.984 to 1.000) for corneal deposits, 1.000 (95% CI, 1.000 to 1.000) for acute angle-closure glaucoma, 0.992 (95% CI, 0.985 to 0.999) for cataracts and 0.993 (95% CI, 0.985 to 1.000) for bullous keratopathy. The triage of referral suggestion using the smartphone images exhibited high performance, in which the sensitivity and specificity were 1.00 (95% CI, 0.478 to 1.00) and 1.00 (95% CI, 0.976 to 1.000) for 'urgent', 0.867 (95% CI, 0.683 to 0.962) and 1.00 (95% CI, 0.971 to 1.000) for 'semi-urgent', 0.853 (95% CI, 0.689 to 0.950) and 0.983 (95% CI, 0.942 to 0.998) for 'routine' and 1.00 (95% CI, 0.958 to 1.00) and 0.896 (95% CI, 0.797 to 0.957) for 'observation', respectively.

conclusionsThe AI system achieved promising performance in the diagnosis of cataracts and corneal diseases.

Indexed as

CataractCorneal DiseasesDeep LearningROC CurveSmartphoneTriageAgedAlgorithmsFemaleHumansMaleMiddle AgedSensitivity and SpecificitySlit Lamp MicroscopyCorneaOcular surface

Identifiers

PMID38242700
PMCPMC11503034
OpenAlexW4391022028

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.