Evidence map›Paper›PMID 39896422›Full record

ArticleOphthalmology science

Quantification of Fundus Autofluorescence Features in a Molecularly Characterized Cohort of >3500 Patients with Inherited Retinal Disease from the United Kingdom.

William A Woof, Thales A C de Guimarães, Saoud Al-Khuzaei, Malena Daich Varela, Sagnik Sen, Pallavi Bagga, Bernardo Mendes, Mital Shah, Paula Burke, David Parry and 27 more

Abstract read
In one paragraph

Article in Ophthalmology science. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–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

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  16. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

37 authors.

William A WoofUniversity College London Institute of Ophthalmology, London, United Kingdom.
Thales A C de GuimarãesUniversity College London Institute of Ophthalmology, London, United Kingdom.
Saoud Al-KhuzaeiNuffield Laboratory of Ophthalmology, Nuffield Department of Clinical Neuroscience, University of Oxford, Oxford, United Kingdom.
Malena Daich VarelaUniversity College London Institute of Ophthalmology, London, United Kingdom.
Sagnik SenUniversity College London Institute of Ophthalmology, London, United Kingdom.
Pallavi BaggaUniversity College London Institute of Ophthalmology, London, United Kingdom.
Bernardo MendesUniversity College London Institute of Ophthalmology, London, United Kingdom.
Mital ShahUniversity College London Institute of Ophthalmology, London, United Kingdom.
Paula BurkeSt Paul's Eye Unit, Liverpool University Hospitals NHS Foundation Trust, Liverpool, United Kingdom.
David ParrySt Paul's Eye Unit, Liverpool University Hospitals NHS Foundation Trust, Liverpool, United Kingdom.
Siying LinUniversity College London Institute of Ophthalmology, London, United Kingdom.
Gunjan NaikUniversity College London Institute of Ophthalmology, London, United Kingdom.
Biraja GhoshalUniversity College London Institute of Ophthalmology, London, United Kingdom.
Bart J LiefersMoorfields Eye Hospital NHS Foundation Trust, London, United Kingdom.
Dun Jack FuUniversity College London Institute of Ophthalmology, London, United Kingdom.
Michalis GeorgiouUniversity College London Institute of Ophthalmology, London, United Kingdom.
Quang NguyenUniversity College London Institute of Ophthalmology, London, United Kingdom.
Alan Sousa da SilvaMoorfields Eye Hospital NHS Foundation Trust, London, United Kingdom.
Yichen LiuUniversity College London Institute of Ophthalmology, London, United Kingdom.
Yu Fujinami-YokokawaLaboratory of Visual Physiology, Division of Vision Research, National Institute of Sensory Organs, National Hospital Organization Tokyo Medical Center, Tokyo, Japan.
Dayyanah SumodheeUniversity College London Institute of Ophthalmology, London, United Kingdom.
Praveen PatelUniversity College London Institute of Ophthalmology, London, United Kingdom.
Jennifer FurmanUniversity College London Institute of Ophthalmology, London, United Kingdom.
Ismail MoghulUniversity College London Institute of Ophthalmology, London, United Kingdom.
Mariya MoosajeeUniversity College London Institute of Ophthalmology, London, United Kingdom.
Juliana SallumDepartment of Ophthalmology and Visual Sciences, Escola Paulista de Medicina, Federal University of Sao Paulo, Brazil.
Samantha R De SilvaNuffield Laboratory of Ophthalmology, Nuffield Department of Clinical Neuroscience, University of Oxford, Oxford, United Kingdom.
Birgit LorenzTransmit Centre of Translational Ophthalmology, Justus-Liebig-University Giessen, Germany.
Frank G HolzDepartment of Ophthalmology, University Hospital Bonn, Bonn, Germany.
Kaoru FujinamiLaboratory of Visual Physiology, Division of Vision Research, National Institute of Sensory Organs, National Hospital Organization Tokyo Medical Center, Tokyo, Japan.
Andrew R WebsterUniversity College London Institute of Ophthalmology, London, United Kingdom.
Omar A MahrooUniversity College London Institute of Ophthalmology, London, United Kingdom.
Susan M DownesNuffield Laboratory of Ophthalmology, Nuffield Department of Clinical Neuroscience, University of Oxford, Oxford, United Kingdom.
Savita MadhusudhanSt Paul's Eye Unit, Liverpool University Hospitals NHS Foundation Trust, Liverpool, United Kingdom.
Konstantinos BalaskasUniversity College London Institute of Ophthalmology, London, United Kingdom.
Michel MichaelidesUniversity College London Institute of Ophthalmology, London, United Kingdom.
Nikolas PontikosUniversity College London Institute of Ophthalmology, London, United Kingdom.

Funding

Wellcome Trust
6 · The paper itself

Abstract

Purpose: To quantify relevant fundus autofluorescence (FAF) features cross-sectionally and longitudinally in a large cohort of patients with inherited retinal diseases (IRDs). Design: Retrospective study of imaging data. Participants: Patients with a clinical and molecularly confirmed diagnosis of IRD who have undergone 55° FAF imaging at Moorfields Eye Hospital (MEH) and the Royal Liverpool Hospital between 2004 and 2019. Methods: Five FAF features of interest were defined: vessels, optic disc, perimacular ring of increased signal (ring), relative hypo-autofluorescence (hypo-AF), and hyper-autofluorescence (hyper-AF). Features were manually annotated by 6 graders in a subset of patients based on a defined grading protocol to produce segmentation masks to train an artificial intelligence model, AIRDetect, which was then applied to the entire imaging data set. Main Outcome Measures: Quantitative FAF features, including area and vessel metrics, were analyzed cross-sectionally by gene and age, and longitudinally. AIRDetect feature segmentation and detection were validated with Dice score and precision/recall, respectively. Results: A total of 45 749 FAF images from 3606 patients with IRD from MEH covering 170 genes were automatically segmented using AIRDetect. Model-grader Dice scores for the disc, hypo-AF, hyper-AF, ring, and vessels were, respectively, 0.86, 0.72, 0.69, 0.68, and 0.65. Across patients at presentation, the 5 genes with the largest hypo-AF areas were Conclusions: We have conducted the first large-scale cross-sectional and longitudinal quantitative analysis of FAF features across a diverse range of IRDs using a novel AI approach. Financial Disclosures: Proprietary or commercial disclosure may be found in the Footnotes and Disclosures at the end of this article.

Indexed as

Artificial intelligenceFundus autofluorescenceHyper-autofluorescence (Hyper-AF)Hypo-autofluorescence (Hypo-AF)Inherited retinal disease

Identifiers

PMID39896422
PMCPMC11782848

What OpenQuestion holds

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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.