Evidence map›Paper›PMID 40434370›Full record

ArticleTranslational vision science & technology2025

Novel Artificial Intelligence-Based Quantification of Anterior Chamber Inflammation Using Vision Transformers.

Carlos Cifuentes-González, Laura Gutiérrez-Sinisterra, William Rojas-Carabali, Joewee Boon, Atharva Hudlikar, Xin Wei, Leonid Shchurov, Hnin Hnin Oo, Nicholas Chieh Loh, Choo Sheriel Shannon and 4 more

Abstract read
In one paragraph

Article in Translational vision science & technology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Review
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

14 authors.

Carlos Cifuentes-GonzálezDepartment of Ophthalmology, National Healthcare Group Eye Institute, Tan Tock Seng Hospital, Singapore.
Laura Gutiérrez-SinisterraDepartment of Ophthalmology, National Healthcare Group Eye Institute, Tan Tock Seng Hospital, Singapore.
William Rojas-CarabaliDepartment of Ophthalmology, National Healthcare Group Eye Institute, Tan Tock Seng Hospital, Singapore.
Joewee BoonDepartment of Ophthalmology, National Healthcare Group Eye Institute, Tan Tock Seng Hospital, Singapore.
Atharva HudlikarDepartment of Ophthalmology, National Healthcare Group Eye Institute, Tan Tock Seng Hospital, Singapore.
Xin WeiDepartment of Ophthalmology, National Healthcare Group Eye Institute, Tan Tock Seng Hospital, Singapore.
Leonid ShchurovFaculty of Engineering and Information Technology, University of Technology Sydney (UTS), Sydney, Australia.
Hnin Hnin OoDepartment of Ophthalmology, National Healthcare Group Eye Institute, Tan Tock Seng Hospital, Singapore.
Nicholas Chieh LohYong Loo Lin School of Medicine, National University of Singapore, Singapore.
Choo Sheriel ShannonDepartment of Ophthalmology, National Healthcare Group Eye Institute, Tan Tock Seng Hospital, Singapore.
Laura Daniela Rodríguez-CameloNeuroscience (NEUROS) Research Group, Neurovitae Research Center, Institute of Translational Medicine (IMT), Escuela de Medicina y Ciencias de la Salud, Universidad del Rosario, Bogotá, Colombia.
Bernett LeeLee Kong Chian School of Medicine, Nanyang Technological University, Singapore.
Alejandra de-la-TorreNeuroscience (NEUROS) Research Group, Neurovitae Research Center, Institute of Translational Medicine (IMT), Escuela de Medicina y Ciencias de la Salud, Universidad del Rosario, Bogotá, Colombia.
Rupesh AgrawalDepartment of Ophthalmology, National Healthcare Group Eye Institute, Tan Tock Seng Hospital, Singapore.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Quantitative assessment of inflammation is critical for the accurate diagnosis and effective management of uveitis. This study aims to introduce a novel three-dimensional vision transformer approach using anterior segment optical coherence tomography (AS-OCT) to quantify anterior chamber (AC) inflammation in uveitis patients. Methods: This cross-sectional study was conducted from January 2022 to December 2023 at a single tertiary eye center in Singapore, analyzing 830 AS-OCT B-scans from 180 participants, including uveitis patients at various stages of inflammation and healthy controls. The primary outcomes measured were central corneal thickness (CCT), Iris Vascularity Index (IVI), and Anterior Chamber Particle Index (ACPI). These parameters were assessed using the Swin Transformer V2 artificial intelligence algorithm on AS-OCT images. Results: The study included 180 participants, including uveitis patients and healthy controls. We observed significant differences between these groups in CCT (P = 0.01), ACPI (P < 0.001), and IVI (P < 0.001). Affected eyes showed elevated CCT and ACPI, along with a significant decrease in IVI, especially in severe inflammation cases. Linear regression analysis underscored a robust correlation between these biometric parameters and inflammation severity in the AC (R = 0.481, P < 0.001). A 6-month longitudinal study further validated the stability and repeatability of these measurements, affirming their reliability over time. Conclusions: This study introduces a novel, objective method to quantify ocular inflammation using ACPI, IVI, and CCT, which enhances the precision of assessments over traditional subjective methods prone to interobserver variability. Demonstrated through significant biomarker stability over a 6-month period, our findings support the use of these metrics for reliable long-term monitoring of inflammation progression and treatment efficacy in clinical practice. Translational Relevance: Our artificial intelligence algorithm objectively quantifies AC inflammation reliably over the time and could be used in the clinic as well as in clinical trials as an objective biomarker.

Indexed as

Anterior ChamberArtificial IntelligenceInflammationTomography, Optical CoherenceUveitisAdultAgedCross-Sectional StudiesFemaleHumansMaleMiddle Aged

Identifiers

PMID40434370
PMCPMC12126123

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LicenceCC BY-NC-ND
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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.