Evidence map›Paper›PMID 38263402›Full record

ArticleInternational journal of retina and vitreous2024

Deep learning-based algorithm for the detection of idiopathic full thickness macular holes in spectral domain optical coherence tomography.

Carolina C S Valentim, Anna K Wu, Sophia Yu, Niranchana Manivannan, Qinqin Zhang, Jessica Cao, Weilin Song, Victoria Wang, Hannah Kang, Aneesha Kalur and 4 more

Open access · goldAbstract read
In one paragraph

Article in International journal of retina and vitreous, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
2.0field-weighted citation impact, top 15% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
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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 at 5 institutions in 1 country.

Carolina C S Valentim *Center for Ophthalmic Bioinformatics, Cole Eye Institute, Cleveland Clinic Foundation, 9500 Euclid Ave. i32, Cleveland, OH, USA.
Anna K Wu *Center for Ophthalmic Bioinformatics, Cole Eye Institute, Cleveland Clinic Foundation, 9500 Euclid Ave. i32, Cleveland, OH, USA.
Sophia YuCarl Zeiss Meditec, Inc, Dublin, CA, USA.
Niranchana ManivannanCarl Zeiss Meditec, Inc, Dublin, CA, USA.
Qinqin ZhangCarl Zeiss Meditec, Inc, Dublin, CA, USA.
Jessica CaoCole Eye Institute, Cleveland Clinic Foundation, Cleveland, OH, USA.
Weilin SongCleveland Clinic Lerner College of Medicine, Cleveland, OH, USA.
Victoria WangCase Western Reserve University School of Medicine, Cleveland, OH, USA.
Hannah KangCase Western Reserve University School of Medicine, Cleveland, OH, USA.
Aneesha KalurCenter for Ophthalmic Bioinformatics, Cole Eye Institute, Cleveland Clinic Foundation, 9500 Euclid Ave. i32, Cleveland, OH, USA.
Amogh I IyerCenter for Ophthalmic Bioinformatics, Cole Eye Institute, Cleveland Clinic Foundation, 9500 Euclid Ave. i32, Cleveland, OH, USA.
Thais ContiCenter for Ophthalmic Bioinformatics, Cole Eye Institute, Cleveland Clinic Foundation, 9500 Euclid Ave. i32, Cleveland, OH, USA.
Rishi P SinghCenter for Ophthalmic Bioinformatics, Cole Eye Institute, Cleveland Clinic Foundation, 9500 Euclid Ave. i32, Cleveland, OH, USA.
Katherine E TalcottCenter for Ophthalmic Bioinformatics, Cole Eye Institute, Cleveland Clinic Foundation, 9500 Euclid Ave. i32, Cleveland, OH, USA. talcotk@ccf.org.
Cleveland Eye Clinic · USCarl Zeiss (United States) · USCase Western Reserve University · USCleveland Clinic Lerner College of Medicine · USUniversity School · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAutomated identification of spectral domain optical coherence tomography (SD-OCT) features can improve retina clinic workflow efficiency as they are able to detect pathologic findings. The purpose of this study was to test a deep learning (DL)-based algorithm for the identification of Idiopathic Full Thickness Macular Hole (IFTMH) features and stages of severity in SD-OCT B-scans.

methodsIn this cross-sectional study, subjects solely diagnosed with either IFTMH or Posterior Vitreous Detachment (PVD) were identified excluding secondary causes of macular holes, any concurrent maculopathies, or incomplete records. SD-OCT scans (512 × 128) from all subjects were acquired with CIRRUS

resultsSix hundred and one SD-OCT cube scans from 601 subjects (299 with IFTMH and 302 with PVD) were used. A total of 76,928 individual SD-OCT B-scans were labeled gradable by the algorithm and yielded an accuracy of 88.5% (test set 1, 33,024 B-scans) and 91.4% (test set 2, 43,904 B-scans) in identifying SD-OCT features of IFTMHs. A Spearman's correlation coefficient of 0.15 was achieved between the algorithm's probability score and the stages of the 299 (47 [15.7%] stage 2, 56 [18.7%] stage 3 and 196 [65.6%] stage 4) IFTMHs cubes studied.

conclusionsThe DL-based algorithm was able to accurately detect IFTMHs features on individual SD-OCT B-scans in both test sets. However, there was a low correlation between the algorithm's probability score and IFTMH severity stages. The algorithm may serve as a clinical decision support tool that assists with the identification of IFTMHs. Further training is necessary for the algorithm to identify stages of IFTMHs.

Indexed as

Artificial IntelligenceDeep learningMacular holeOptical coherence tomography

Identifiers

PMID38263402
PMCPMC10804727
OpenAlexW4391145616

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LicenceCC BY
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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.