清晨好,您是今天最早来到科研通的研友!由于当前在线用户较少,发布求助请尽量完整地填写文献信息,科研通机器人24小时在线,伴您科研之路漫漫前行!

Association of Cardiovascular Mortality and Deep Learning-Funduscopic Atherosclerosis Score derived from Retinal Fundus Images

医学 队列 回顾性队列研究 危险系数 眼底(子宫) 接收机工作特性 置信区间 弗雷明翰风险评分 冠状动脉疾病 内科学 眼科 心脏病学 疾病
作者
Jooyoung Chang,Ahryoung Ko,Sang Min Park,Seulggie Choi,Kyuwoong Kim,Sung Min Kim,Jae Moon Yun,Ук Канг,Il Hyung Shin,Joo Young Shin,Taehoon Ko,Jinho Lee,Baek‐Lok Oh,Ki Ho Park
出处
期刊:American Journal of Ophthalmology [Elsevier BV]
卷期号:217: 121-130 被引量:82
标识
DOI:10.1016/j.ajo.2020.03.027
摘要

•Retinal fundus imaging and deep learning may be used for stratification of CVD risk. •Deep learning added predictive value compared with conventional CVD risk scoring methods. •The developed model was verified in a large cohort of 30,000 Koreans. Purpose The prediction of atherosclerosis using retinal fundus images and deep learning has not been shown possible. The purpose of this study was to develop a deep learning model which predicted atherosclerosis by using retinal fundus images and to verify its clinical implications by conducting a retrospective cohort analysis. Design Retrospective cohort study. Methods The database at the Health Promotion Center of Seoul National University Hospital (HPC-SNUH) was used. The deep learning model was trained using 15,408 images to predict carotid artery atherosclerosis, which was named the deep-learning funduscopic atherosclerosis score (DL-FAS). A retrospective cohort was constructed of participants 30-80 years old who had completed elective health examinations at HPC-SNUH. Using DL-FAS as the main exposure, participants were followed for the primary outcome of death due to CVD until Dec. 31, 2017. Results For predicting carotid artery atherosclerosis among subjects, the model achieved an area under receiver operating curve (AUROC) and area under the precision-recall curve (AUPRC), accuracy, sensitivity, specificity, positive and negative predictive values of 0.713, 0.569, 0.583, 0.891, 0.404, 0.465, and 0.865 respectively. The cohort consisted of 32,227 participants, 78 cardiovascular disease (CVD) deaths, and 7.6-year median follow-up visits. Those with DL-FAS greater than 0.66 had an increased risk of CVD deaths compared to those with DL-FAS <0.33 (hazard ratio: 8.33; 95% confidence interval [CI], 3.16-24.7). Risk association was significant among intermediate and high Framingham risk score (FRS) subgroups. The DL-FAS improved the concordance by 0.0266 (95% CI, 0.0043-0.0489) over the FRS-only model. The relative integrated discrimination index was 20.45% and net reclassification index was 29.5%. Conclusions A deep learning model was developed which could predict atherosclerosis from retinal fundus images. The resulting DL-FAS was an independent predictor of CVD deaths when adjusted for FRS and added predictive value over FRS. The prediction of atherosclerosis using retinal fundus images and deep learning has not been shown possible. The purpose of this study was to develop a deep learning model which predicted atherosclerosis by using retinal fundus images and to verify its clinical implications by conducting a retrospective cohort analysis. Retrospective cohort study. The database at the Health Promotion Center of Seoul National University Hospital (HPC-SNUH) was used. The deep learning model was trained using 15,408 images to predict carotid artery atherosclerosis, which was named the deep-learning funduscopic atherosclerosis score (DL-FAS). A retrospective cohort was constructed of participants 30-80 years old who had completed elective health examinations at HPC-SNUH. Using DL-FAS as the main exposure, participants were followed for the primary outcome of death due to CVD until Dec. 31, 2017. For predicting carotid artery atherosclerosis among subjects, the model achieved an area under receiver operating curve (AUROC) and area under the precision-recall curve (AUPRC), accuracy, sensitivity, specificity, positive and negative predictive values of 0.713, 0.569, 0.583, 0.891, 0.404, 0.465, and 0.865 respectively. The cohort consisted of 32,227 participants, 78 cardiovascular disease (CVD) deaths, and 7.6-year median follow-up visits. Those with DL-FAS greater than 0.66 had an increased risk of CVD deaths compared to those with DL-FAS <0.33 (hazard ratio: 8.33; 95% confidence interval [CI], 3.16-24.7). Risk association was significant among intermediate and high Framingham risk score (FRS) subgroups. The DL-FAS improved the concordance by 0.0266 (95% CI, 0.0043-0.0489) over the FRS-only model. The relative integrated discrimination index was 20.45% and net reclassification index was 29.5%. A deep learning model was developed which could predict atherosclerosis from retinal fundus images. The resulting DL-FAS was an independent predictor of CVD deaths when adjusted for FRS and added predictive value over FRS.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
蝎子莱莱xth完成签到,获得积分10
12秒前
氢锂钠钾铷铯钫完成签到,获得积分10
17秒前
Square完成签到,获得积分10
22秒前
32秒前
叁月二完成签到 ,获得积分10
46秒前
52秒前
1分钟前
wjx完成签到 ,获得积分10
1分钟前
俏皮元珊完成签到 ,获得积分10
1分钟前
1分钟前
大个应助科研通管家采纳,获得20
1分钟前
搜集达人应助科研通管家采纳,获得30
1分钟前
elisa828发布了新的文献求助10
1分钟前
zijingsy完成签到 ,获得积分10
1分钟前
Owen应助像风一样采纳,获得10
1分钟前
单小芫完成签到 ,获得积分10
1分钟前
1分钟前
像风一样完成签到,获得积分20
1分钟前
像风一样发布了新的文献求助10
1分钟前
2分钟前
深情安青应助念臻采纳,获得10
2分钟前
六六吃了梅完成签到,获得积分20
2分钟前
Jally完成签到 ,获得积分10
2分钟前
王洋完成签到,获得积分10
2分钟前
myq完成签到 ,获得积分10
2分钟前
念臻完成签到,获得积分10
2分钟前
2分钟前
枫威完成签到 ,获得积分10
2分钟前
念臻发布了新的文献求助10
2分钟前
lod完成签到,获得积分10
2分钟前
香锅不要辣完成签到 ,获得积分10
2分钟前
2分钟前
elisa828发布了新的文献求助10
2分钟前
Alex-Song完成签到 ,获得积分0
2分钟前
我是老大应助无限的以亦采纳,获得10
2分钟前
门住完成签到 ,获得积分10
3分钟前
elisa828发布了新的文献求助10
3分钟前
胡国伦完成签到 ,获得积分10
3分钟前
科研通AI2S应助科研通管家采纳,获得10
3分钟前
李东东完成签到 ,获得积分10
3分钟前
高分求助中
A new approach to the extrapolation of accelerated life test data 1000
Cognitive Neuroscience: The Biology of the Mind 1000
Technical Brochure TB 814: LPIT applications in HV gas insulated switchgear 1000
Immigrant Incorporation in East Asian Democracies 600
Nucleophilic substitution in azasydnone-modified dinitroanisoles 500
不知道标题是什么 500
A Preliminary Study on Correlation Between Independent Components of Facial Thermal Images and Subjective Assessment of Chronic Stress 500
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 3968521
求助须知:如何正确求助?哪些是违规求助? 3513341
关于积分的说明 11167298
捐赠科研通 3248700
什么是DOI,文献DOI怎么找? 1794434
邀请新用户注册赠送积分活动 875030
科研通“疑难数据库(出版商)”最低求助积分说明 804664