Evidence map›Paper›PMID 39375513›Full record

ArticleNPJ digital medicine2024

Screening chronic kidney disease through deep learning utilizing ultra-wide-field fundus images.

Xinyu Zhao, Xingwang Gu, Lihui Meng, Yongwei Chen, Qing Zhao, Shiyu Cheng, Wenfei Zhang, Tiantian Cheng, Chuting Wang, Zhengming Shi and 29 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 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

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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

39 authors.

Xinyu Zhao *Department of Ophthalmology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing, China and Key Lab of Ocular Fundus Diseases, Chinese Academy of Medical Sciences, Beijing, China.
Xingwang Gu *Department of Ophthalmology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing, China and Key Lab of Ocular Fundus Diseases, Chinese Academy of Medical Sciences, Beijing, China.
Lihui MengDepartment of Ophthalmology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing, China and Key Lab of Ocular Fundus Diseases, Chinese Academy of Medical Sciences, Beijing, China.
Yongwei ChenDepartment of Research, VoxelCloud, Shanghai, China.
Qing ZhaoDepartment of Ophthalmology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing, China and Key Lab of Ocular Fundus Diseases, Chinese Academy of Medical Sciences, Beijing, China.
Shiyu ChengDepartment of Ophthalmology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing, China and Key Lab of Ocular Fundus Diseases, Chinese Academy of Medical Sciences, Beijing, China.
Wenfei ZhangDepartment of Ophthalmology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing, China and Key Lab of Ocular Fundus Diseases, Chinese Academy of Medical Sciences, Beijing, China.
Tiantian ChengDepartment of Ophthalmology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing, China and Key Lab of Ocular Fundus Diseases, Chinese Academy of Medical Sciences, Beijing, China.
Chuting WangDepartment of Ophthalmology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing, China and Key Lab of Ocular Fundus Diseases, Chinese Academy of Medical Sciences, Beijing, China.
Zhengming ShiDepartment of Ophthalmology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing, China and Key Lab of Ocular Fundus Diseases, Chinese Academy of Medical Sciences, Beijing, China.
Shengyin JiaoDepartment of Research, VoxelCloud, Shanghai, China.
Changlong JiangDepartment of Research, VoxelCloud, Shanghai, China.
Guofang JiaoTonghua Eye Hospital of Jilin Province, Tonghua, Jilin, China.
Da TengDepartment of Ophthalmology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Xiaolei SunEye Hospital of Shandong First Medical University (Shandong Eye Hospital), Jinan, Shandong, China.
Bilei ZhangDepartment of Ophthalmology, Hunan Provincial People's Hospital, The First Affiliated Hospital of Hunan Normal University, Changsha, Hunan, China.
Yakun LiDepartment of Ophthalmology, The Second Affiliated Hospital of Hebei North University, Zhangjiakou, Hebei, China.
Huiqin LuDepartment of Ophthalmology, Xi'an No. 1 Hospital, Xian, Shanxi, China.
Changzheng ChenEye Center, Renmin Hospital of Wuhan University, Wuhan, Hubei, China.
Hao ZhangDepartment of Ophthalmology, The Fourth People's Hospital of Shenyang, China Medical University, Shenyang, Liaoning, China.
Ling YuanDepartment of Ophthalmology, The First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, China.
Chang SuDepartment of Ophthalmology, Affiliated Hospital of Chengde Medical University, Chengde, Hebei, China.
Han ZhangDepartment of Ophthalmology, The First Hospital of China Medical University, Shenyang, Liaoning, China.
Song XiaDepartment of Ophthalmology, Guizhou Provincial People's Hospital, Guiyang, Guizhou, China.
Anyi LiangGuangdong Eye Institute, Department of Ophthalmology, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, Guangdong, China.
Mengda LiEye Center, Beijing Tsinghua Changgung Hospital, Beijing, China and School of Clinical Medicine, Tsinghua University, Beijing, China.
Dan ZhuDepartment of Ophthalmology, The Affiliated Hospital of Inner Mongolia Medical University, Huhhot, Inner Mongolia, China.
Meirong XueDepartment of Ophthalmology, Hainan Hospital of PLA General Hospital, Sanya, Hainan, China.
Dawei SunDepartment of Ophthalmology, The Second Affiliated Hospital, Harbin Medical Medical, Harbin, Heilongjiang, China.
Qiuming LiDepartment of Ophthalmology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China.
Ziwu ZhangDepartment of Ophthalmology, Fujian Medical University Union Hospital, Fuzhou, Fujian, China.
Donglei ZhangDepartment of Ophthalmology, The First Affiliated Hospital of Shanxi Medical University, Taiyuan, Shanxi, China.
Hongbin LvDepartment of Ophthalmology, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan, China.
Rishet AhmatDepartment of Ophthalmology, Bayinguoleng People's Hospital, Korla, Xinjiang, China.
Zilong WangMicrosoft Research Asia (Shanghai), Shanghai, China.
Charumathi SabanayagamSingapore Eye Research Institute, Singapore and National Eye Centre, Singapore, Singapore.ORCID http://orcid.org/0000-0002-4042-4719
Xiaowei DingDepartment of Research, VoxelCloud, Shanghai, China. dingxiaowei@sjtu.edu.cn.
Tien Yin WongEye Center, Beijing Tsinghua Changgung Hospital, Beijing, China and School of Clinical Medicine, Tsinghua University, Beijing, China. wongtienyin@tsinghua.edu.cn.
Youxin ChenDepartment of Ophthalmology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing, China and Key Lab of Ocular Fundus Diseases, Chinese Academy of Medical Sciences, Beijing, China. ChenYX@pumch.cn.ORCID http://orcid.org/0000-0002-7231-5058

Funding

National Natural Science Foundation of China (National Science Foundation of China) 82301241
6 · The paper itself

Abstract

To address challenges in screening for chronic kidney disease (CKD), we devised a deep learning-based CKD screening model named UWF-CKDS. It utilizes ultra-wide-field (UWF) fundus images to predict the presence of CKD. We validated the model with data from 23 tertiary hospitals across China. Retinal vessels and retinal microvascular parameters (RMPs) were extracted to enhance model interpretability, which revealed a significant correlation between renal function and RMPs. UWF-CKDS, utilizing UWF images, RMPs, and relevant medical history, can accurately determine CKD status. Importantly, UWF-CKDS exhibited superior performance compared to CTR-CKDS, a model developed using the central region (CTR) cropped from UWF images, underscoring the contribution of the peripheral retina in predicting renal function. The study presents UWF-CKDS as a highly implementable method for large-scale and accurate CKD screening at the population level.

Identifiers

PMID39375513
PMCPMC11458603

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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.