Evidence map›Paper›PMID 40595009›Full record

ArticleNPJ digital medicine2025

Interpretable longitudinal glaucoma visual field estimation deep learning system from fundus images and clinical narratives.

Xiaoling Huang, Xiangyin Kong, Yan Yan, Zhiyuan Gao, Zihan Li, Chun Zhang, Kai Jin, Juan Ye

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 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
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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

8 authors.

Xiaoling Huang *Zhejiang University, Eye Center of Second Affiliated Hospital, School of Medicine, Zhejiang Provincial Key Laboratory of Ophthalmology. Zhejiang Provincial Clinical Research Center for Eye Diseases. Zhejiang Provincial Engineering Institute on Eye Diseases, Hangzhou, China.
Xiangyin Kong *Department of Chemical and Biomolecular Engineering, National University of Singapore, Singapore, Singapore.
Yan YanZhejiang University, Eye Center of Second Affiliated Hospital, School of Medicine, Zhejiang Provincial Key Laboratory of Ophthalmology. Zhejiang Provincial Clinical Research Center for Eye Diseases. Zhejiang Provincial Engineering Institute on Eye Diseases, Hangzhou, China.
Zhiyuan GaoZhejiang University, Eye Center of Second Affiliated Hospital, School of Medicine, Zhejiang Provincial Key Laboratory of Ophthalmology. Zhejiang Provincial Clinical Research Center for Eye Diseases. Zhejiang Provincial Engineering Institute on Eye Diseases, Hangzhou, China.
Zihan LiDepartment of Ophthalmology, Peking University Third Hospital, Beijing key laboratory of restoration of damaged ocular nerve, Peking University Third hospital, Beijing, China.
Chun ZhangBeijing Tsinghua Changgung Hospital Eye Center, School of Clinical Medicine, Tsinghua Medicine, Tsinghua University, Beijing, China.
Kai JinZhejiang University, Eye Center of Second Affiliated Hospital, School of Medicine, Zhejiang Provincial Key Laboratory of Ophthalmology. Zhejiang Provincial Clinical Research Center for Eye Diseases. Zhejiang Provincial Engineering Institute on Eye Diseases, Hangzhou, China. jinkai@zju.edu.cn.ORCID http://orcid.org/0000-0003-4369-2417
Juan YeZhejiang University, Eye Center of Second Affiliated Hospital, School of Medicine, Zhejiang Provincial Key Laboratory of Ophthalmology. Zhejiang Provincial Clinical Research Center for Eye Diseases. Zhejiang Provincial Engineering Institute on Eye Diseases, Hangzhou, China. yejuan@zju.edu.cn.

Funding

National Natural Science Foundation of China (National Science Foundation of China) 82201195National Science Foundation of China | Key Programme 82330032
6 · The paper itself

Abstract

Glaucoma is a globally prevalent disease that leads irreversible blindness. The visual field (VF) examination is important but time-consuming for visual function evaluation with high requirement of cooperation and reliability of patients. While color fundus photographs (CFPs) are easy to access. Here, we proposed a multi-modal longitudinal estimation deep learning (MLEDL) system, capable of predicting present and future VFs from CFPs and clinical text. This model was developed on 1598 records in cross-sectional and 3278 records in longitudinal dataset, with 446 external testing records. The pointwise mean absolute error across five models ranged from 3.098 to 4.131 dB. Heatmaps demonstrated the spatial relationship between fundus damage and vision loss. VF grading methods were employed for verifying the clinical reliability. Consequently, our MLEDL facilitates VF prediction by CFPs and clinical narratives, offering potential as function assessment tool over the long-duration course of glaucoma and thereby improving clinical practice efficiency.

Identifiers

PMID40595009
PMCPMC12216876

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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.