Evidence map›Paper›PMID 38416330›Full record

ArticleOphthalmology and therapy2024

Automatic Detection of 30 Fundus Diseases Using Ultra-Widefield Fluorescein Angiography with Deep Experts Aggregation.

Xiaoling Wang, He Li, Hongmei Zheng, Gongpeng Sun, Wenyu Wang, Zuohuizi Yi, A'min Xu, Lu He, Haiyan Wang, Wei Jia and 5 more

Open access · goldAbstract read
In one paragraph

Article in Ophthalmology and therapy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 7% 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, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
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  3. 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 3 institutions in 1 country.

Xiaoling Wang *Eye Center, Renmin Hospital of Wuhan University, No. 9 ZhangZhiDong Street, Wuhan, 430060, Hubei, China.
He Li *National Engineering Research Center for Multimedia Software, School of Computer Science, Wuhan University, Wuhan, 430072, Hubei, China.
Hongmei Zheng *Eye Center, Renmin Hospital of Wuhan University, No. 9 ZhangZhiDong Street, Wuhan, 430060, Hubei, China.
Gongpeng SunEye Center, Renmin Hospital of Wuhan University, No. 9 ZhangZhiDong Street, Wuhan, 430060, Hubei, China.
Wenyu WangEye Center, Renmin Hospital of Wuhan University, No. 9 ZhangZhiDong Street, Wuhan, 430060, Hubei, China.
Zuohuizi YiEye Center, Renmin Hospital of Wuhan University, No. 9 ZhangZhiDong Street, Wuhan, 430060, Hubei, China.
A'min XuEye Center, Renmin Hospital of Wuhan University, No. 9 ZhangZhiDong Street, Wuhan, 430060, Hubei, China.
Lu HeEye Center, Renmin Hospital of Wuhan University, No. 9 ZhangZhiDong Street, Wuhan, 430060, Hubei, China.
Haiyan WangShaanxi Eye Hospital, Xi'an People's Hospital (Xi'an Fourth Hospital), No. 21, Jiefang Road, Xi'an, 710004, Shaanxi, China.
Wei JiaShaanxi Eye Hospital, Xi'an People's Hospital (Xi'an Fourth Hospital), No. 21, Jiefang Road, Xi'an, 710004, Shaanxi, China.
Zhiqing LiTianjin Medical University Eye Hospital, No. 251, Fukang Road, Nankai District, Tianjin, 300384, China.
Chang LiTianjin Medical University Eye Hospital, No. 251, Fukang Road, Nankai District, Tianjin, 300384, China.
Mang YeNational Engineering Research Center for Multimedia Software, School of Computer Science, Wuhan University, Wuhan, 430072, Hubei, China. yemang@whu.edu.cn.
Bo DuNational Engineering Research Center for Multimedia Software, School of Computer Science, Wuhan University, Wuhan, 430072, Hubei, China. dubo@whu.edu.cn.
Changzheng ChenEye Center, Renmin Hospital of Wuhan University, No. 9 ZhangZhiDong Street, Wuhan, 430060, Hubei, China. chenchangzheng@whu.edu.cn.ORCID http://orcid.org/0000-0002-7281-552X
Wuhan University · CNShanxi Eye Hospital · CNTianjin Medical University Eye Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionInaccurate, untimely diagnoses of fundus diseases leads to vision-threatening complications and even blindness. We built a deep learning platform (DLP) for automatic detection of 30 fundus diseases using ultra-widefield fluorescein angiography (UWFFA) with deep experts aggregation.

methodsThis retrospective and cross-sectional database study included a total of 61,609 UWFFA images dating from 2016 to 2021, involving more than 3364 subjects in multiple centers across China. All subjects were divided into 30 different groups. The state-of-the-art convolutional neural network architecture, ConvNeXt, was chosen as the backbone to train and test the receiver operating characteristic curve (ROC) of the proposed system on test data and external test date. We compared the classification performance of the proposed system with that of ophthalmologists, including two retinal specialists.

resultsWe built a DLP to analyze UWFFA, which can detect up to 30 fundus diseases, with a frequency-weighted average area under the receiver operating characteristic curve (AUC) of 0.940 in the primary test dataset and 0.954 in the external multi-hospital test dataset. The tool shows comparable accuracy with retina specialists in diagnosis and evaluation.

conclusionsThis is the first study on a large-scale UWFFA dataset for multi-retina disease classification. We believe that our UWFFA DLP advances the diagnosis by artificial intelligence (AI) in various retinal diseases and would contribute to labor-saving and precision medicine especially in remote areas.

Indexed as

Artificial intelligenceDeep neural networksFundus/retinal diseasesLong tailUltra-widefield fluorescein angiography

Identifiers

PMID38416330
PMCPMC11039585
OpenAlexW4392239400

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.