Evidence map›Paper›PMID 40615666›Full record

ArticleNPJ digital medicine2025

Development and multicenter validation of an AI driven model for quantitative meibomian gland evaluation.

Li Li, Kunhong Xiao, Taichen Lai, Kunfeng Lai, Jiawen Lin, Zongyuan Ge, Lingyi Liang, Hao Huang, Xiaoshan Zhang, Li Liu 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 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
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.

Li LiCentre for Eye Research Australia, Royal Victorian Eye and Ear Hospital, East Melbourne, VIC, Australia.
Kunhong XiaoDepartment of Ophthalmology and Optometry, Fujian Medical University, Fuzhou, China.
Taichen LaiDepartment of Ophthalmology, Shengli Clinical Medical College of Fujian Medical University, Fujian Provincial Hospital, Fuzhou University Affiliated Provincial Hospital, Fuzhou, China.
Kunfeng LaiCollege of Computer and Data Science, Fuzhou University, Fuzhou, China.
Jiawen LinCollege of Computer and Data Science, Fuzhou University, Fuzhou, China.
Zongyuan GeMonash e-Research Centre, Monash University, Melbourne, VIC, Australia.
Lingyi LiangState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangzhou, China.
Hao HuangDepartment of Ophthalmology, Zhuzhou Hospital Affiliated to Xiangya School of Medicine, Central South University, Zhuzhou, China.
Xiaoshan ZhangDongguan Huaxia Eye Hospital, Dongguan, China.
Li LiuHuaxia Eye Hospital Group Putian Eye Hospital, Putian, China.
Yujie WangCentre for Eye Research Australia, Royal Victorian Eye and Ear Hospital, East Melbourne, VIC, Australia.
Xianwen ShangSchool of Optometry, The Hong Kong Polytechnic University, Hong Kong, China.
Mingguang HeSchool of Optometry, The Hong Kong Polytechnic University, Hong Kong, China. mingguang.he@unimelb.edu.au.
Ying XueDepartment of Ophthalmology, Shengli Clinical Medical College of Fujian Medical University, Fujian Provincial Hospital, Fuzhou University Affiliated Provincial Hospital, Fuzhou, China. 502873740@qq.com.
Zhuoting ZhuCentre for Eye Research Australia, Royal Victorian Eye and Ear Hospital, East Melbourne, VIC, Australia. lisa.zhu@unimelb.edu.au.

Funding

Fujian Science and Technology Innovation Joint Fund Program, China 2023Y9346Natural Science Foundation of Fujian Province, China 2024J011019
6 · The paper itself

Abstract

This multicenter retrospective study developed and validated an AI driven model for automated segmentation and quantitative evaluation of meibomian glands using infrared meibography images acquired by the Keratograph 5M device. A total of 1350 infrared meibography images were collected and annotated for model training and validation. The model demonstrated high segmentation performance, with an Intersection over Union of 81.67% (95% Confidence Interval [CI]: 81.03-82.31) and accuracy of 97.49% (95% CI: 97.38-97.62), outperforming conventional algorithms. The agreement was observed between AI-based and manual gland grading (Kappa = 0.93) and gland counting (Spearman r = 0.9334). Repeatability analysis confirmed the model's stability, and external validation across four independent centers yielded consistent results with AUCs exceeding 0.99. This AI tool offers a standardized, efficient, and objective method for meibography image analysis, which may improve diagnostic precision and assist in the clinical management of meibomian gland dysfunction across diverse populations.

Identifiers

PMID40615666
PMCPMC12227535

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.