Evidence map›Paper›PMID 40097590›Full record

ArticleNPJ digital medicine2025

Retinal fundus imaging as biomarker for ADHD using machine learning for screening and visual attention stratification.

Hangnyoung Choi, JaeSeong Hong, Hyun Goo Kang, Min-Hyeon Park, Sungji Ha, Junghan Lee, Sangchul Yoon, Daeseong Kim, Yu Rang Park, Keun-Ah Cheon

Abstract 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. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
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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

10 authors.

Hangnyoung Choi *Department of Child and Adolescent Psychiatry, Autism and Developmental Disorder Center, Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea.
JaeSeong Hong *Department of Biomedical Systems Informatics, Yonsei University College of Medicine, Seoul, Republic of Korea.
Hyun Goo Kang *Department of Ophthalmology, Institute of Vision Research, Severance Eye Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea.
Min-Hyeon ParkDepartment of Psychiatry, Eunpyeong St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, South Korea.
Sungji HaDepartment of Psychiatry and the Institute of Behavioral Science in Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea.
Junghan LeeDepartment of Child and Adolescent Psychiatry, Autism and Developmental Disorder Center, Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea.
Sangchul YoonDepartment of Medical Humanities and Social Sciences, Yonsei University College of Medicine, Seoul, Republic of Korea.
Daeseong KimYonsei University College of Medicine, Severance Hospital, Yonsei University Health System, Seoul, Republic of Korea.
Yu Rang ParkDepartment of Biomedical Systems Informatics, Yonsei University College of Medicine, Seoul, Republic of Korea. yurangpark@yuhs.ac.
Keun-Ah CheonDepartment of Child and Adolescent Psychiatry, Autism and Developmental Disorder Center, Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea. kacheon@yuhs.ac.

Funding

Ministry of Science and ICT, South Korea 1-029-079
6 · The paper itself

Abstract

Attention-deficit/hyperactivity disorder (ADHD), characterized by diagnostic complexity and symptom heterogeneity, is a prevalent neurodevelopmental disorder. Here, we explored the machine learning (ML) analysis of retinal fundus photographs as a noninvasive biomarker for ADHD screening and stratification of executive function (EF) deficits. From April to October 2022, 323 children and adolescents with ADHD were recruited from two tertiary South Korean hospitals, and the age- and sex-matched individuals with typical development were retrospectively collected. We used the AutoMorph pipeline to extract retinal features and used four types of ML models for ADHD screening and EF subdomain prediction, and we adopted the Shapely additive explanation method. ADHD screening models achieved 95.5%-96.9% AUROC. For EF function stratification, the visual and auditory subdomains showed strong (AUROC > 85%) and poor performances, respectively. Our analysis of retinal fundus photographs demonstrated potential as a noninvasive biomarker for ADHD screening and EF deficit stratification in the visual attention domain.

Identifiers

PMID40097590
PMCPMC11914053

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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.