Evidence map›Paper›PMID 38971902›Full record

ArticleNPJ digital medicine2024

Deep learning for multi-type infectious keratitis diagnosis: A nationwide, cross-sectional, multicenter study.

Zhongwen Li, He Xie, Zhouqian Wang, Daoyuan Li, Kuan Chen, Xihang Zong, Wei Qiang, Feng Wen, Zhihong Deng, Limin Chen and 10 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 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing 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

18 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Artificial intelligence in microbial keratitis.Indian journal of ophthalmology · 2026
    Article
  5. Effective automatic classification methods via deep learning for multi-type infectious keratitis diagnosis.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
    Article
  6. Article
  7. Review
  8. Article
  9. Deep learning radiomics andTranslational lung cancer research · 2025
    Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
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

20 authors.

Zhongwen Li *Ningbo Key Laboratory of Medical Research on Blinding Eye Diseases, Ningbo Eye Institute, Ningbo Eye Hospital, Wenzhou Medical University, Ningbo, 315000, China.ORCID http://orcid.org/0000-0001-9759-7461
He Xie *National Clinical Research Center for Ocular Diseases, Eye Hospital, Wenzhou Medical University, Wenzhou, 325027, China.
Zhouqian WangNational Clinical Research Center for Ocular Diseases, Eye Hospital, Wenzhou Medical University, Wenzhou, 325027, China.
Daoyuan LiDepartment of Ophthalmology, The Affiliated Hospital of Guizhou Medical University, Guiyang, 550004, China.
Kuan ChenDepartment of Ophthalmology, Cangnan Hospital, Wenzhou Medical University, Wenzhou, 325000, China.
Xihang ZongNingbo Key Laboratory of Medical Research on Blinding Eye Diseases, Ningbo Eye Institute, Ningbo Eye Hospital, Wenzhou Medical University, Ningbo, 315000, China.
Wei QiangNingbo Key Laboratory of Medical Research on Blinding Eye Diseases, Ningbo Eye Institute, Ningbo Eye Hospital, Wenzhou Medical University, Ningbo, 315000, China.
Feng WenNingbo Key Laboratory of Medical Research on Blinding Eye Diseases, Ningbo Eye Institute, Ningbo Eye Hospital, Wenzhou Medical University, Ningbo, 315000, China.
Zhihong DengDepartment of Ophthalmology, The Third Xiangya Hospital, Central South University, Changsha, 410013, China.
Limin ChenDepartment of Ophthalmology, The First Affiliated Hospital of Fujian Medical University, Fuzhou, 350000, China.
Huiping LiDepartment of Ophthalmology, People's Hospital of Ningxia Hui Autonomous Region, Ningxia Medical University, Yinchuan, 750001, China.
He DongThe Third People's Hospital of Dalian & Dalian Municipal Eye Hospital, Dalian, 116033, China.
Pengcheng WuDepartment of Ophthalmology, The Second Hospital of Lanzhou University, Lanzhou, 730030, China.
Tao SunThe Affiliated Eye Hospital of Nanchang University, Jiangxi Clinical Research Center for Ophthalmic Disease, Jiangxi Research Institute of Ophthalmology and Visual Science, Jiangxi Provincial Key Laboratory for Ophthalmology, Nanchang, 330006, China.
Yan ChengXi'an No.1 Hospital, Shaanxi Institute of Ophthalmology, Shaanxi Key Laboratory of Ophthalmology, The First Affiliated Hospital of Northwestern University, Xi'an, 710002, China.
Yanning YangDepartment of Ophthalmology, Renmin Hospital of Wuhan University, Wuhan, 430060, China.
Jinsong XueAffiliated Eye Hospital of Nanjing Medical University, Nanjing, 210029, China.
Qinxiang ZhengNingbo Key Laboratory of Medical Research on Blinding Eye Diseases, Ningbo Eye Institute, Ningbo Eye Hospital, Wenzhou Medical University, Ningbo, 315000, China. zhengqinxiang@aliyun.com.ORCID http://orcid.org/0000-0003-0011-3702
Jiewei JiangSchool of Electronic Engineering, Xi'an University of Posts and Telecommunications, Xi'an, 710121, China. jiangjw924@126.com.ORCID http://orcid.org/0000-0002-4306-793X
Wei ChenNingbo Key Laboratory of Medical Research on Blinding Eye Diseases, Ningbo Eye Institute, Ningbo Eye Hospital, Wenzhou Medical University, Ningbo, 315000, China. chenweimd@wmu.edu.cn.ORCID http://orcid.org/0000-0002-4040-6721

Funding

National Natural Science Foundation of China (National Science Foundation of China) 62276210National Natural Science Foundation of China (National Science Foundation of China) 82201148
6 · The paper itself

Abstract

The main cause of corneal blindness worldwide is keratitis, especially the infectious form caused by bacteria, fungi, viruses, and Acanthamoeba. The key to effective management of infectious keratitis hinges on prompt and precise diagnosis. Nevertheless, the current gold standard, such as cultures of corneal scrapings, remains time-consuming and frequently yields false-negative results. Here, using 23,055 slit-lamp images collected from 12 clinical centers nationwide, this study constructed a clinically feasible deep learning system, DeepIK, that could emulate the diagnostic process of a human expert to identify and differentiate bacterial, fungal, viral, amebic, and noninfectious keratitis. DeepIK exhibited remarkable performance in internal, external, and prospective datasets (all areas under the receiver operating characteristic curves > 0.96) and outperformed three other state-of-the-art algorithms (DenseNet121, InceptionResNetV2, and Swin-Transformer). Our study indicates that DeepIK possesses the capability to assist ophthalmologists in accurately and swiftly identifying various infectious keratitis types from slit-lamp images, thereby facilitating timely and targeted treatment.

Identifiers

PMID38971902
PMCPMC11227533

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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.