Evidence map›Paper›PMID 39856403›Full record

ArticleNPJ digital medicine2025

A multimodal transformer system for noninvasive diabetic nephropathy diagnosis via retinal imaging.

Zheyi Dong, Xiaofei Wang, Sai Pan, Taohan Weng, Xiaoniao Chen, Shuangshuang Jiang, Ying Li, Zonghua Wang, Xueying Cao, Qian Wang and 20 more

Registry-linked trialAbstract read
In one paragraph

Article in NPJ digital medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03865914 (Correlation Study Between Clinical Phenotype and Pathology of Type 2 Diabetic Nephropathy), which is not on this map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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.

NCT03865914 recruitingnot on this map

Correlation Study Between Clinical Phenotype and Pathology of Type 2 Diabetic Nephropathy

TypeobservationalSponsorChinese PLA General HospitalRan2017 to 2030Enrolled2,000ConditionsDiabetic Kidney Disease
3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. A brief review of some artificial intelligence methods in nephrology.Pediatric nephrology (Berlin, Germany) · 2026
    Review
  5. Review
  6. Review
  7. Article
  8. Article
  9. Article
  10. 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

30 authors.

Zheyi Dong *Department of Nephrology, First Medical Center of Chinese People's Liberation Army General Hospital, Beijing, China.
Xiaofei Wang *Department of Clinical Neurosciences, University of Cambridge, Cambridge, UK.
Sai Pan *Department of Nephrology, First Medical Center of Chinese People's Liberation Army General Hospital, Beijing, China.
Taohan Weng *School of Electronic and Information Engineering, Beihang University, Beijing, China.
Xiaoniao Chen *Senior Department of Ophthalmology, Third Medical Center of Chinese PLA General Hospital, Beijing, China.
Shuangshuang JiangDepartment of Nephrology, First Medical Center of Chinese People's Liberation Army General Hospital, Beijing, China.
Ying LiDepartment of Ophthalmology, First Medical Center of Chinese PLA General Hospital, Beijing, China.
Zonghua WangDepartment of Ophthalmology, Seventh Medical Center of Chinese PLA General Hospital, Beijing, China.
Xueying CaoDepartment of Nephrology, First Medical Center of Chinese People's Liberation Army General Hospital, Beijing, China.
Qian WangDepartment of Nephrology, First Medical Center of Chinese People's Liberation Army General Hospital, Beijing, China.
Pu ChenDepartment of Nephrology, First Medical Center of Chinese People's Liberation Army General Hospital, Beijing, China.
Lai JiangSchool of Electronic and Information Engineering, Beihang University, Beijing, China.
Guangyan CaiDepartment of Nephrology, First Medical Center of Chinese People's Liberation Army General Hospital, Beijing, China.
Li ZhangDepartment of Nephrology, First Medical Center of Chinese People's Liberation Army General Hospital, Beijing, China.
Yong WangDepartment of Nephrology, First Medical Center of Chinese People's Liberation Army General Hospital, Beijing, China.
Jinkui YangBeijing Key Laboratory of Diabetes Research and Care, Beijing Diabetes Institute, Beijing Tongren Hospital, Capital Medical University, Beijing, China.
Yani HeDepartment of nephrology, Daping Hospital, Army Medical University, Chongqing, China.
Hongli LinThe First Affiliated Hospital of Dalian Medical UniversityKey Laboratory of Kidney Disease, Center for the Transformation Medicine of Kidney Disease, Dalian, China.
Jie WuDepartment of Nephrology, First Medical Center of Chinese People's Liberation Army General Hospital, Beijing, China.
Li TangDepartment of Nephrology, First Medical Center of Chinese People's Liberation Army General Hospital, Beijing, China.
Jianhui ZhouDepartment of Nephrology, First Medical Center of Chinese People's Liberation Army General Hospital, Beijing, China.
Shengxi LiSchool of Electronic and Information Engineering, Beihang University, Beijing, China.
Zhaohui LiSchool of Clinical Medicine, Guangdong Pharmaceutical University, Guangzhou, China.
Yibing FuSchool of Electronic and Information Engineering, Beihang University, Beijing, China.
Xinyue YuSchool of Clinical Medicine, Guangdong Pharmaceutical University, Guangzhou, China.
Yanqiu GengDepartment of Nephrology, Third Medical Center of Chinese PLA General Hospital, Beijing, China.
Yingjie ZhangDepartment of Nephrology, First Medical Center of Chinese People's Liberation Army General Hospital, Beijing, China.
Liqiang WangSenior Department of Ophthalmology, Third Medical Center of Chinese PLA General Hospital, Beijing, China. liqiangw301@163.com.
Mai XuSchool of Electronic and Information Engineering, Beihang University, Beijing, China. MaiXu@buaa.edu.cn.
Xiangmei ChenDepartment of Nephrology, First Medical Center of Chinese People's Liberation Army General Hospital, Beijing, China. xmchen301@126.com.

Funding

National Natural Science Foundation of China (National Science Foundation of China) 62250001, 62231002Natural Science Foundation of Beijing Municipality (Beijing Natural Science Foundation) 7244305Natural Science Foundation of Beijing Municipality (Beijing Natural Science Foundation) L223021
6 · The paper itself

Abstract

Differentiating between diabetic nephropathy (DN) and non-diabetic renal disease (NDRD) without a kidney biopsy remains a major challenge, often leading to missed opportunities for targeted treatments that could greatly improve NDRD outcomes. To reform the traditional biopsy-all diagnostic paradigm and avoid unnecessary biopsy, we developed a transformer-based deep learning (DL) system for detecting DN and NDRD upon non-invasive multi-modal data of fundus images and clinical characteristics. Our Trans-MUF achieved an AUC of 0.980 (95% CI: 0.979 to 0.980) over the internal retrospective set and also had superior generalizability over a prospective dataset (AUC: 0.989, 95% CI: 0.987 to 0.990) and a multicenter, cross-machine and multi-operator dataset (AUC: 0.932, 95% CI: 0.931 to 0.939). Moreover, the nephrologists' diagnosis accuracy can be improved by 21%, through visualization assistance of the DL system. This paper lays a foundation for automatically differentiating DN and NDRD without biopsy. (Registry name: Correlation Study Between Clinical Phenotype and Pathology of Type 2 Diabetic Nephropathy. ID: NCT03865914. Date: 2017-11-30).

Identifiers

PMID39856403
PMCPMC11759696

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Registered trials

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.