Evidence map›Paper›PMID 40603524›Full record

ArticleNPJ digital medicine2025

Generative artificial intelligence for fundus fluorescein angiography interpretation and human expert evaluation.

An Shao, Xiaocong Liu, Wenyue Shen, Yingyu Li, Hongkang Wu, Xiangji Pan, Zexin Yang, Yufeng Xu, Tiepei Zhu, Yao Wang and 5 more

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 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

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

  1. Pooled it
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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

15 authors.

An Shao *Zhejiang University, Eye Center of Second Affiliated Hospital, School of Medicine, China. Zhejiang Provincial Key Laboratory of Ophthalmology. Zhejiang Provincial Clinical Research Center for Eye Diseases. Zhejiang Provincial Engineering Institute on Eye Diseases, Hangzhou, China.
Xiaocong Liu *School of Public Health, State Key Laboratory of Transvascular Implantation Devices and TIDRI, Hangzhou, China, Institute of Wenzhou, Zhejiang University, Wenzhou, China.
Wenyue Shen *Zhejiang University, Eye Center of Second Affiliated Hospital, School of Medicine, China. Zhejiang Provincial Key Laboratory of Ophthalmology. Zhejiang Provincial Clinical Research Center for Eye Diseases. Zhejiang Provincial Engineering Institute on Eye Diseases, Hangzhou, China.
Yingyu LiZhejiang University, Eye Center of Second Affiliated Hospital, School of Medicine, China. Zhejiang Provincial Key Laboratory of Ophthalmology. Zhejiang Provincial Clinical Research Center for Eye Diseases. Zhejiang Provincial Engineering Institute on Eye Diseases, Hangzhou, China.
Hongkang WuZhejiang University, Eye Center of Second Affiliated Hospital, School of Medicine, China. Zhejiang Provincial Key Laboratory of Ophthalmology. Zhejiang Provincial Clinical Research Center for Eye Diseases. Zhejiang Provincial Engineering Institute on Eye Diseases, Hangzhou, China.
Xiangji PanZhejiang University, Eye Center of Second Affiliated Hospital, School of Medicine, China. Zhejiang Provincial Key Laboratory of Ophthalmology. Zhejiang Provincial Clinical Research Center for Eye Diseases. Zhejiang Provincial Engineering Institute on Eye Diseases, Hangzhou, China.
Zexin YangCollege of Economics and Management, China Jiliang University, Hangzhou, China.
Yufeng XuZhejiang University, Eye Center of Second Affiliated Hospital, School of Medicine, China. Zhejiang Provincial Key Laboratory of Ophthalmology. Zhejiang Provincial Clinical Research Center for Eye Diseases. Zhejiang Provincial Engineering Institute on Eye Diseases, Hangzhou, China.
Tiepei ZhuZhejiang University, Eye Center of Second Affiliated Hospital, School of Medicine, China. Zhejiang Provincial Key Laboratory of Ophthalmology. Zhejiang Provincial Clinical Research Center for Eye Diseases. Zhejiang Provincial Engineering Institute on Eye Diseases, Hangzhou, China.
Yao WangZhejiang University, Eye Center of Second Affiliated Hospital, School of Medicine, China. Zhejiang Provincial Key Laboratory of Ophthalmology. Zhejiang Provincial Clinical Research Center for Eye Diseases. Zhejiang Provincial Engineering Institute on Eye Diseases, Hangzhou, China.
Jie YangDivision of Pharmacoepidemiology and Pharmacoeconomics, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts, US.
Yih Chung ThamCentre for Innovation and Precision Eye Health, National University of Singapore, Singapore, Republic of Singapore.
Jian WuSchool of Public Health, State Key Laboratory of Transvascular Implantation Devices and TIDRI, Hangzhou, China, Institute of Wenzhou, Zhejiang University, Wenzhou, China. wujian2000@zju.edu.cn.
Kai JinZhejiang University, Eye Center of Second Affiliated Hospital, School of Medicine, China. 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.
Juan YeZhejiang University, Eye Center of Second Affiliated Hospital, School of Medicine, China. 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

Key Program of the National Natural Science Foundation of China 82330032National Natural Science Foundation of China 82201195National Natural Science Foundation Regional Innovation and Development Joint Fund U20A20386
6 · The paper itself

Abstract

Fundus fluorescein angiography (FFA) is the gold standard for diagnosing chorioretinal diseases, but its interpretation requires significant expertise and time. Despite generative AI's enormous potential in medical report generation, automatic FFA interpretation lacks robust models and sufficient evaluation metrics. This study introduces InterpreFFA, a diagnosis-supervised contrastive learning framework, to emulate ophthalmologists' decision-making process in FFA report generation. Validated on multi-center datasets, InterpreFFA demonstrated superior performance and generalization compared to baseline models. In a simulated clinical setting, two residents used InterpreFFA to diagnose and report FFA cases, with six board-certified ophthalmologists rating the generated reports based on a five-point Likert scale. InterpreFFA significantly improved diagnostic accuracy (85.55 to 90.34%, p < 0.05) and shortened reporting time (153.93 to 108.08 s, p < 0.001). Although AI-generated reports scored slightly lower than manual reports (4.12 vs. 4.38, p < 0.01), InterpreFFA proves to be a promising and cost-effective ancillary tool for enhancing clinical efficiency.

Identifiers

PMID40603524
PMCPMC12222453

What OpenQuestion holds

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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.