Abstract
Objective
To
establish
the
normative
range
of
a
comprehensive
set
retinal
vascular
measurements
to
better
understand
their
value
as
biomarkers
for
assessing
ocular
and
systemic
health.
Methods
This
cross-sectional
study
used
data
from
UK
Biobank.
Retina-based
Microvascular
Health
Assessment
System
(RMHAS)
software
was
extract
measurements,
including
Calibre,
Complexity,
Density,
Branching
Angle,
Tortuosity,
differentiating
between
arteries
veins,
macula
periphery.
In
addition,
we
explored
relationships
those
health
metrics,
age,
systolic
blood
pressure
(SBP),
body
mass
index,
glycated
hemoglobin,
intraocular
pressure.
Results
Among
10,151
healthy
participants,
reported
114
stratified
by
sex
age.
The
mean
values
Central
Retinal
Artery
Equivalent
(CRAE)
Vein
(CRVE)
were
152
(standard
deviation=14.9)
μm
233
(21.5)
respectively.
Fractal
Dimension
(FD)
1.77
(0.032),
with
arterial
FD
1.53
(0.039)
venular
1.56
(0.025).
Age
SBP
showed
strongest
associations
most
parameters
among
metrics.
CRAE,
CRVE,
Complexity
decreased
increasing
age
SBP.
Changes
in
generally
greater
than
venous
measurements.
Generalized
Additive
Models
further
revealed
that
observed
mainly
linear.
Conclusions
By
establishing
population
our
enables
quantifiable
approaches
changes.
Biomedicines,
Journal Year:
2024,
Volume and Issue:
12(9), P. 2150 - 2150
Published: Sept. 23, 2024
Cardiovascular
diseases
(CVDs)
are
a
major
cause
of
mortality
globally,
emphasizing
the
need
for
early
detection
and
effective
risk
assessment
to
improve
patient
outcomes.
Advances
in
oculomics,
which
utilize
relationship
between
retinal
microvascular
changes
systemic
vascular
health,
offer
promising
non-invasive
approach
assessing
CVD
risk.
Retinal
fundus
imaging
optical
coherence
tomography/angiography
(OCT/OCTA)
provides
critical
information
diagnosis,
with
parameters
such
as
vessel
caliber,
tortuosity,
branching
patterns
identified
key
biomarkers.
Given
large
volume
data
generated
during
routine
eye
exams,
there
is
growing
automated
tools
aid
diagnosis
prediction.
The
study
demonstrates
that
AI-driven
analysis
images
can
accurately
predict
cardiovascular
factors,
events,
metabolic
diseases,
surpassing
traditional
diagnostic
methods
some
cases.
These
models
achieved
area
under
curve
(AUC)
values
ranging
from
0.71
0.87,
sensitivity
71%
89%,
specificity
40%
70%,
This
highlights
potential
component
personalized
medicine,
enabling
more
precise
earlier
intervention.
It
not
only
aids
detecting
abnormalities
may
precede
events
but
also
offers
scalable,
non-invasive,
cost-effective
solution
widespread
screening.
However,
article
emphasizes
further
research
standardize
protocols
validate
clinical
utility
these
biomarkers
across
different
populations.
By
integrating
oculomics
into
practice,
healthcare
providers
could
significantly
enhance
management
ultimately
improving
Fundus
image
thus
represents
valuable
tool
future
precision
medicine
health
management.
Translational Vision Science & Technology,
Journal Year:
2024,
Volume and Issue:
13(1), P. 2 - 2
Published: Jan. 2, 2024
Purpose:
This
study
aimed
to
investigate
the
association
between
quantitative
retinal
vascular
measurements
and
risk
of
all-cause
premature
mortality.
Methods:
In
this
population-based
cohort
using
UK
Biobank
data,
we
employed
Retina-based
Microvascular
Health
Assessment
System
assess
fundus
images
for
image
quality
extracted
392
per
image.
These
encompass
six
categories
features:
caliber,
density,
length,
tortuosity,
branching
angle,
complexity.
Univariate
Cox
regression
models
were
used
identify
potential
indicators
mortality
data
on
from
death
registries.
Multivariate
then
test
these
associations
while
controlling
confounding
factors.
Results:
The
final
analysis
included
66,415
participants.
After
adjusting
demographic,
health,
lifestyle
factors
genetic
score,
18
10
significantly
associated
with
mortality,
respectively.
fully
adjusted
model,
following
different
features
mortality:
arterial
bifurcation
density
(branching
angle),
number
segments
(complexity),
interquartile
range
median
absolute
deviation
curve
angle
(tortuosity),
mean
values
pixel
widths
all
in
each
(caliber),
skeleton
arteries
macular
area
(density),
minimum
venular
arc
length
(length).
Conclusions:
revealed
Those
identified
parameters
should
be
further
studied
biological
mechanisms
connecting
them
increased
risk.
Translational
Relevance:
identifies
biomarkers
provides
novel
targets
investigating
underlying
mechanisms.
Ophthalmology and Therapy,
Journal Year:
2024,
Volume and Issue:
13(6), P. 1427 - 1451
Published: April 17, 2024
Chronic,
non-communicable
diseases
present
a
major
barrier
to
living
long
and
healthy
life.
In
many
cases,
early
diagnosis
can
facilitate
prevention,
monitoring,
treatment
efforts,
improving
patient
outcomes.
There
is
therefore
critical
need
make
screening
techniques
as
accessible,
unintimidating,
cost-effective
possible.
The
association
between
ocular
biomarkers
systemic
health
disease
(oculomics)
presents
an
attractive
opportunity
for
detection
of
diseases,
ophthalmic
are
often
relatively
low-cost,
fast,
non-invasive.
this
review,
we
highlight
the
key
associations
structural
in
eye
four
globally
leading
causes
morbidity
mortality:
cardiovascular
disease,
cancer,
neurodegenerative
metabolic
disease.
We
observe
that
particularly
promising
target
oculomics,
with
detected
multiple
structures.
Cardiovascular
choroid,
retinal
vasculature,
nerve
fiber
layer,
eyelid,
tear
fluid,
lens,
vasculature.
contrast,
only
fluid
emerged
cancer.
retina
rich
source
oculomics
data,
analysis
which
has
been
enhanced
by
artificial
intelligence-based
tools.
Although
not
all
disease-specific,
limiting
their
current
diagnostic
utility,
future
research
will
likely
benefit
from
combining
data
various
structures
improve
specificity,
well
active
design,
development,
optimization
instruments
specific
signatures,
thus
facilitating
differential
diagnoses.
Long-term
stop
people
lives.
help
prevent,
monitor,
treat
patients'
health.
order
diagnose
tools
easy
patients
access,
painless,
low-cost.
may
provide
solution.
discuss
link
changes
types
long-term
that,
together,
kill
most
population:
(1)
(affecting
heart
and/or
blood).
(2)
Cancer
(abnormal
growth
cells).
(3)
Neurodegenerative
brain
nervous
system).
(4)
Metabolic
(problems
storing,
accessing,
using
body's
fuel).
show
leaves
tell-tale
signs
lots
different
parts
eye.
Signs
mostly
found
back
eye,
cancer
be
fluid.
seen
them
tell
us
what
is.
believe
understand
more
about
how
detect
it
if
combine
information
within
develop
new
these
BioData Mining,
Journal Year:
2024,
Volume and Issue:
17(1)
Published: April 22, 2024
Abstract
Background
Recent
researches
have
found
a
strong
correlation
between
the
triglyceride-glucose
(TyG)
index
or
atherogenic
of
plasma
(AIP)
and
cardiovascular
disease
(CVD)
risk.
However,
there
is
lack
research
on
non-invasive
rapid
prediction
We
aimed
to
develop
validate
machine-learning
model
for
predicting
risk
based
variables
encompassing
clinical
questionnaires
oculomics.
Methods
collected
data
from
Korean
National
Health
Nutrition
Examination
Survey
(KNHANES).
The
training
dataset
(80%
year
2008
2011
KNHANES)
was
used
machine
learning
development,
with
internal
validation
using
remaining
20%.
An
external
2012
assessed
model’s
predictive
capacity
TyG-index
AIP
in
new
cases.
included
32122
participants
final
dataset.
Machine
models
25
algorithms
were
trained
oculomics
measurements
predict
range
AIP.
area
under
receiver
operating
characteristic
curve
(AUC),
accuracy,
precision,
recall,
F1
score
evaluate
performance
our
models.
Results
Based
large-scale
cohort
studies,
we
determined
cut-off
points
at
8.0,
8.75
(upper
one-third
values),
8.93
one-fourth
cut-offs
0.318,
0.34.
Values
surpassing
these
thresholds
indicated
elevated
best-performing
algorithm
revealed
8.75,
AUCs
0.812,
0.873,
0.911,
respectively.
External
0.809,
0.863,
0.901.
For
0.34,
achieved
similar
0.849
0.842.
Slightly
lower
seen
0.318
cut-off,
0.844
0.836.
Significant
gender-based
variations
noted
8
(male
AUC=0.832,
female
AUC=0.790)
AUC=0.874,
AUC=0.862)
AUC=0.853,
AUC=0.825)
0.34
AUC=0.858,
AUC=0.831).
Gender
similarity
AUC
AUC=0.907
versus
AUC=0.906)
observed
only
when
point
equals
8.93.
Conclusion
established
simple
effective
that
has
good
value
general
population.
Abstract
The
eye
serves
as
a
unique
window
into
systemic
health,
offering
clinicians
valuable
opportunity
for
early
detection
and
targeted
treatment.
Against
this
backdrop,
advancements
in
artificial
intelligence
(AI)
ophthalmic
imaging
are
converging
to
pave
the
way
more
precise
predictive
diagnostics.
This
review
aims
elucidate
transformative
role
of
AI
utilizing
prediction
diseases.
We
begin
by
introducing
advantages
tool
detecting
also
provide
an
overview
various
techniques
that
have
proven
useful
predicting
ailments.
Then,
we
summarize
two
research
patterns
analyzing
ocular
data,
followed
introduction
current
applications
using
images
significantly
increase
diagnostic
precision.
Despite
promise,
challenges
such
data
heterogeneity
model
interpretability
persist,
which
covered
review.
conclude
discussing
future
directions
immense
potential
these
AI‐enabled
approaches
hold
revolutionizing
healthcare.
As
technologies
advance,
their
integration
with
offers
promising
avenues
improving
diagnosis,
prediction,
management
diseases,
thereby
contributing
evolving
landscape
integrated
Ophthalmology Science,
Journal Year:
2023,
Volume and Issue:
4(3), P. 100441 - 100441
Published: Dec. 5, 2023
We
aim
to
use
fundus
fluorescein
angiography
(FFA)
label
the
capillaries
on
color
(CF)
photographs
and
train
a
deep
learning
model
quantify
retinal
noninvasively
from
CF
apply
it
cardiovascular
disease
(CVD)
risk
assessment.