Evidence map›Paper›PMID 38693205›Full record

ArticleNPJ digital medicine2024

RETFound-enhanced community-based fundus disease screening: real-world evidence and decision curve analysis.

Juzhao Zhang, Senlin Lin, Tianhao Cheng, Yi Xu, Lina Lu, Jiangnan He, Tao Yu, Yajun Peng, Yuejie Zhang, Haidong Zou and 1 more

Abstract read
In one paragraph

Article in NPJ digital medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
–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

23 citing papers in PubMed.

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  12. Letter to the Editor concerning "Age-based prediction of non-routine discharge after anterior cervical discectomy and fusion using machine learning" by G. Mastrokostas, et al. (Eur Spine J [2025]: doi: 10.1007/s00586-025-09303-z).European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2025
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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

11 authors.

Juzhao Zhang *Shanghai Eye Disease Prevention & Treatment Center/ Shanghai Eye Hospital, School of Medicine, Tongji University, Shanghai, China.ORCID http://orcid.org/0000-0002-8420-8276
Senlin Lin *Shanghai Eye Disease Prevention & Treatment Center/ Shanghai Eye Hospital, School of Medicine, Tongji University, Shanghai, China.
Tianhao Cheng *School of Computer Science, Shanghai Key Laboratory of Intelligent Information Processing, Fudan University, Shanghai, China.
Yi XuShanghai Eye Disease Prevention & Treatment Center/ Shanghai Eye Hospital, School of Medicine, Tongji University, Shanghai, China.
Lina LuShanghai Eye Disease Prevention & Treatment Center/ Shanghai Eye Hospital, School of Medicine, Tongji University, Shanghai, China.
Jiangnan HeShanghai Eye Disease Prevention & Treatment Center/ Shanghai Eye Hospital, School of Medicine, Tongji University, Shanghai, China.
Tao YuShanghai Eye Disease Prevention & Treatment Center/ Shanghai Eye Hospital, School of Medicine, Tongji University, Shanghai, China.
Yajun PengShanghai Eye Disease Prevention & Treatment Center/ Shanghai Eye Hospital, School of Medicine, Tongji University, Shanghai, China.
Yuejie ZhangSchool of Computer Science, Shanghai Key Laboratory of Intelligent Information Processing, Fudan University, Shanghai, China. yjzhang@fudan.edu.cn.ORCID http://orcid.org/0000-0001-7993-7223
Haidong ZouShanghai Eye Disease Prevention & Treatment Center/ Shanghai Eye Hospital, School of Medicine, Tongji University, Shanghai, China. zouhaidong@sjtu.edu.cn.ORCID http://orcid.org/0000-0002-6831-7560
Yingyan MaShanghai Eye Disease Prevention & Treatment Center/ Shanghai Eye Hospital, School of Medicine, Tongji University, Shanghai, China. mYy_29@163.com.ORCID http://orcid.org/0000-0003-4250-0356

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Visual impairments and blindness are major public health concerns globally. Effective eye disease screening aided by artificial intelligence (AI) is a promising countermeasure, although it is challenged by practical constraints such as poor image quality in community screening. The recently developed ophthalmic foundation model RETFound has shown higher accuracy in retinal image recognition tasks. This study developed an RETFound-enhanced deep learning (DL) model for multiple-eye disease screening using real-world images from community screenings. Our results revealed that our DL model improved the sensitivity and specificity by over 15% compared with commercial models. Our model also shows better generalisation ability than AI models developed using traditional processes. Additionally, decision curve analysis underscores the higher net benefit of employing our model in both urban and rural settings in China. These findings indicate that the RETFound-enhanced DL model can achieve a higher net benefit in community-based screening, advocating its adoption in low- and middle-income countries to address global eye health challenges.

Identifiers

PMID38693205
PMCPMC11063045

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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.