Evidence map›Paper›PMID 39112566›Full record

ArticleNPJ digital medicine2024

A deep learning system for myopia onset prediction and intervention effectiveness evaluation in children.

Ziyi Qi, Tingyao Li, Jun Chen, Jason C Yam, Yang Wen, Gengyou Huang, Hua Zhong, Mingguang He, Dan Zhu, Rongping Dai and 36 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 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing 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

26 citing papers in PubMed.

  1. Article
  2. The application of artificial intelligence in myopia prediction for children and adolescents: a review.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
    Review
  3. Article
  4. Artificial intelligence in pediatric myopia - a narrative review.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
    Review
  5. Article
  6. Review
  7. Review
  8. Review
  9. Article
  10. Review
  11. Identifying and Managing Pre-Myopia: A Narrative Review.Clinical ophthalmology (Auckland, N.Z.) · 2026
    Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Review
  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

46 authors.

Ziyi Qi *Department of Clinical Research, Shanghai Eye Disease Prevention and Treatment Center, Shanghai Eye Hospital, Shanghai Vision Health Center & Shanghai Children Myopia Institute, Shanghai, China.ORCID http://orcid.org/0000-0002-3611-8778
Tingyao Li *Department of Computer Science and Engineering, Shanghai Jiao Tong University, Shanghai, China.
Jun Chen *Department of Clinical Research, Shanghai Eye Disease Prevention and Treatment Center, Shanghai Eye Hospital, Shanghai Vision Health Center & Shanghai Children Myopia Institute, Shanghai, China.
Jason C Yam *Department of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Kowloon, Hong Kong.
Yang Wen *Guangdong Provincial Key Laboratory of Intelligent Information Processing, College of Electronic and Information Engineering, Shenzhen University, Shenzhen, China.
Gengyou HuangDepartment of Computer Science and Engineering, Shanghai Jiao Tong University, Shanghai, China.
Hua ZhongDepartment of Ophthalmology, First Affiliated Hospital of Kunming Medical University, Kunming, China.
Mingguang HeExperimental Ophthalmology, The Hong Kong Polytechnic University, Kowloon, Hong Kong.ORCID http://orcid.org/0000-0002-6912-2810
Dan ZhuDepartment of Ophthalmology, The Affiliated Hospital of Inner Mongolia Medical University, Hohhot, Inner Mongolia, China.
Rongping DaiDepartment of Ophthalmology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, China.
Bo QianDepartment of Computer Science and Engineering, Shanghai Jiao Tong University, Shanghai, China.
Jingjing WangDepartment of Clinical Research, Shanghai Eye Disease Prevention and Treatment Center, Shanghai Eye Hospital, Shanghai Vision Health Center & Shanghai Children Myopia Institute, Shanghai, China.
Chaoxu QianDepartment of Ophthalmology, First Affiliated Hospital of Kunming Medical University, Kunming, China.
Wei WangState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, China.
Yanfei ZhengDepartment of Ophthalmology, The Affiliated Hospital of Inner Mongolia Medical University, Hohhot, Inner Mongolia, China.
Jian ZhangDepartment of Ophthalmology, Beijing Friendship Hospital Pinggu Campus, Capital Medical University, Beijing, China.
Xianglong YiDepartment of Ophthalmology, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, China.
Zheyuan WangDepartment of Computer Science and Engineering, Shanghai Jiao Tong University, Shanghai, China.
Bo ZhangDepartment of Clinical Research, Shanghai Eye Disease Prevention and Treatment Center, Shanghai Eye Hospital, Shanghai Vision Health Center & Shanghai Children Myopia Institute, Shanghai, China.
Chunyu LiuDepartment of Computer Science and Engineering, Shanghai Jiao Tong University, Shanghai, China.ORCID http://orcid.org/0009-0000-4809-1675
Tianyu ChengDepartment of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, National Clinical Research Center for Eye Diseases, Center of Eye Shanghai Key Laboratory of Ocular Fundus Diseases, Shanghai Engineering Center for Visual Science and Photomedicine, Shanghai, China.
Xiaokang YangMOE Key Laboratory of AI, School of Electronic, Information, and Electrical Engineering, Shanghai Jiao Tong University, Shanghai, China.
Jun LiAffiliated Hospital of Yunnan University, Kunming, China.
Yan-Ting PanAffiliated Hospital of Yunnan University, Kunming, China.
Xiaohu DingState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, China.
Ruilin XiongState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, China.
Yan WangDepartment of Ophthalmology, The Affiliated Hospital of Inner Mongolia Medical University, Hohhot, Inner Mongolia, China.
Yan ZhouDepartment of Ophthalmology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, China.
Dagan FengSchool of Computer Science, The University of Sydney, Sydney, NSW, Australia.
Sichen LiuDepartment of Clinical Research, Shanghai Eye Disease Prevention and Treatment Center, Shanghai Eye Hospital, Shanghai Vision Health Center & Shanghai Children Myopia Institute, Shanghai, China.
Linlin DuDepartment of Clinical Research, Shanghai Eye Disease Prevention and Treatment Center, Shanghai Eye Hospital, Shanghai Vision Health Center & Shanghai Children Myopia Institute, Shanghai, China.
Jinliuxing YangDepartment of Clinical Research, Shanghai Eye Disease Prevention and Treatment Center, Shanghai Eye Hospital, Shanghai Vision Health Center & Shanghai Children Myopia Institute, Shanghai, China.
Zhuoting ZhuCentre for Eye Research Australia, Ophthalmology, University of Melbourne, Melbourne, VIC, Australia.ORCID http://orcid.org/0000-0002-9897-1192
Lei BiInstitute of Translational Medicine, Shanghai Jiao Tong University, Shanghai, China.
Jinman KimSchool of Computer Science, The University of Sydney, Sydney, NSW, Australia.
Fangyao TangDepartment of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Kowloon, Hong Kong.
Yuzhou ZhangDepartment of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Kowloon, Hong Kong.ORCID http://orcid.org/0000-0001-8515-3388
Xiujuan ZhangDepartment of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Kowloon, Hong Kong.
Haidong ZouDepartment of Clinical Research, Shanghai Eye Disease Prevention and Treatment Center, Shanghai Eye Hospital, Shanghai Vision Health Center & Shanghai Children Myopia Institute, Shanghai, China.ORCID http://orcid.org/0000-0002-6831-7560
Marcus AngSingapore Eye Research Institute, Singapore National Eye Center, Singapore, Singapore.
Clement C ThamDepartment of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Kowloon, Hong Kong.ORCID http://orcid.org/0000-0003-4407-6907
Carol Y CheungDepartment of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Kowloon, Hong Kong.ORCID http://orcid.org/0000-0002-9672-1819
Chi Pui PangDepartment of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Kowloon, Hong Kong. cppang@cuhk.edu.hk.
Bin ShengDepartment of Computer Science and Engineering, Shanghai Jiao Tong University, Shanghai, China. shengbin@sjtu.edu.cn.ORCID http://orcid.org/0000-0001-8510-2556
Xiangui HeDepartment of Clinical Research, Shanghai Eye Disease Prevention and Treatment Center, Shanghai Eye Hospital, Shanghai Vision Health Center & Shanghai Children Myopia Institute, Shanghai, China. xianhezi@163.com.ORCID http://orcid.org/0000-0002-8938-1879
Xun XuDepartment of Clinical Research, Shanghai Eye Disease Prevention and Treatment Center, Shanghai Eye Hospital, Shanghai Vision Health Center & Shanghai Children Myopia Institute, Shanghai, China. drxuxun@sjtu.edu.cn.ORCID http://orcid.org/0000-0002-4246-4343

Funding

National Natural Science Foundation of China (National Science Foundation of China) 62272298National Natural Science Foundation of China (National Science Foundation of China) 82171100National Natural Science Foundation of China (National Science Foundation of China) 82273648
6 · The paper itself

Abstract

The increasing prevalence of myopia worldwide presents a significant public health challenge. A key strategy to combat myopia is with early detection and prediction in children as such examination allows for effective intervention using readily accessible imaging technique. To this end, we introduced DeepMyopia, an artificial intelligence (AI)-enabled decision support system to detect and predict myopia onset and facilitate targeted interventions for children at risk using routine retinal fundus images. Based on deep learning architecture, DeepMyopia had been trained and internally validated on a large cohort of retinal fundus images (n = 1,638,315) and then externally tested on datasets from seven sites in China (n = 22,060). Our results demonstrated robustness of DeepMyopia, with AUCs of 0.908, 0.813, and 0.810 for 1-, 2-, and 3-year myopia onset prediction with the internal test set, and AUCs of 0.796, 0.808, and 0.767 with the external test set. DeepMyopia also effectively stratified children into low- and high-risk groups (p < 0.001) in both test sets. In an emulated randomized controlled trial (eRCT) on the Shanghai outdoor cohort (n = 3303) where DeepMyopia showed effectiveness in myopia prevention compared to NonCyc-based model, with an adjusted relative reduction (ARR) of -17.8%, 95% CI: -29.4%, -6.4%. DeepMyopia-assisted interventions attained quality-adjusted life years (QALYs) of 0.75 (95% CI: 0.53, 1.04) per person and avoided blindness years of 13.54 (95% CI: 9.57, 18.83) per 1 million persons compared to natural lifestyle with no active intervention. Our findings demonstrated DeepMyopia as a reliable and efficient AI-based decision support system for intervention guidance for children.

Identifiers

PMID39112566
PMCPMC11306751

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.