Evidence map›Paper›PMID 39406933›Full record

Trial reportEye (London, England)2025

Artificial intelligence-based analysis of retinal fluid volume dynamics in neovascular age-related macular degeneration and association with vision and atrophy.

Siqing Yu, Ian Lloyd Jones, Andreas Maunz, Isabel Bachmeier, Thomas Albrecht, Andreas Ebneter, Martin Gliem, Giovanni Staurenghi, SriniVas R Sadda, Usha Chakravarthy and 1 more

Erratum issuedAbstract readClinical Trial, Phase IIIRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Eye (London, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Siqing Yu *F. Hoffmann-La Roche Ltd, Basel, Switzerland.ORCID 0000-0002-8360-5552
Ian Lloyd Jones *F. Hoffmann-La Roche Ltd, Basel, Switzerland.
Andreas MaunzF. Hoffmann-La Roche Ltd, Basel, Switzerland.
Isabel BachmeierF. Hoffmann-La Roche Ltd, Basel, Switzerland.
Thomas AlbrechtF. Hoffmann-La Roche Ltd, Basel, Switzerland.ORCID 0000-0002-6727-7819
Andreas EbneterF. Hoffmann-La Roche Ltd, Basel, Switzerland.ORCID 0000-0001-6666-2558
Martin GliemF. Hoffmann-La Roche Ltd, Basel, Switzerland.
Giovanni StaurenghiDepartment of Biomedical and Clinical Science, Luigi Sacco Hospital University of Milan, Milan, Italy.
SriniVas R SaddaDoheny Image Reading Center, Doheny Eye Institute, Pasadena, CA, USA.ORCID 0000-0002-4939-3306
Usha ChakravarthyQueens University of Belfast, Belfast, Northern Ireland.ORCID 0000-0002-2606-3734
Sascha FauserF. Hoffmann-La Roche Ltd, Basel, Switzerland. sascha.fauser@roche.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesTo characterise morphological changes in neovascular age-related macular degeneration (nAMD) during anti-angiogenic therapy and explore relationships with best-corrected visual acuity (BCVA) and development of macular atrophy (MA). SUBJECTS/

methodsPost-hoc analysis of the phase III HARBOR trial. SD-OCT scans from 1097 treatment-naïve nAMD eyes were analysed. Volumes of intraretinal cystoid fluid (ICF), subretinal hyperreflective material (SHRM), subretinal fluid (SRF), pigment epithelial detachment (PED) and cyst-free retinal volume (CFRV) were measured by deep-learning model. Volumes were analysed by treatment regimen, macular neovascularisation (MNV) subtypes and topographic location. Associations of volumetric features with BCVA and MA development were quantified at month 12/24.

resultsDifferences in feature volume changes by treatment regimens and MNV subtypes were observed. Each additional 100 nanolitre unit (AHNU) of residual ICF, SHRM and CFRV at month 1 in the fovea was associated with deficits of 10.3, 7.3 and 12.2 letters at month 12. Baseline AHNUs of ICF, CFRV and PED were associated with increased odds of MA development at month 12 by 10%, 4% and 3%. While that of SRF was associated with a decrease in odds of 5%. Associations at month 24 were similar to those at month 12.

conclusionEyes with different MNV subtypes showed distinct trajectories of feature volume response to treatment. Higher baseline volumes of ICF or PED and lower baseline volume of SRF were associated with higher likelihoods of MA development over 24 months. Residual intraretinal fluid, including ICF and CFRV, along with SHRM were predictors of poor visual outcomes.

Indexed as

Artificial IntelligenceRetinaSubretinal FluidVisual AcuityWet Macular DegenerationAgedAged, 80 and overAngiogenesis InhibitorsAtrophyFemaleHumansIntravitreal InjectionsMaleRanibizumabTomography, Optical CoherenceVascular Endothelial Growth Factor AAngiogenesis InhibitorsRanibizumabVascular Endothelial Growth Factor A

Identifiers

PMID39406933
PMCPMC11732971

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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.