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Table 1 Summary of studies in the current literature (neurodegenerative diseases)

From: Prognostic potentials of AI in ophthalmology: systemic disease forecasting via retinal imaging

Author

Study year

Key findings

Retinal biomarker

Dataset

Total No. of participants

Adjusted variables

Study design

Cheung et al. [12]

Between August 2010 and December 2018

Narrower retinal arteriolar calibre and wider retinal venular calibre were associated with an increased risk of cognitive decline and incident dementia.

SIVA-DLS

Participants from National University Hospital and St Luke’s Hospital in Singapore

491

Age

Gender

Ethnicity

Education

Cerebrovascular disease status

Hypertension

Hyperlipidaemia

Diabetes

Smoking

Prospective cohort study

Hu et al. [13]

Between 2006 and 2010

Each one-year increase in retinal age gap was independently associated with a 10% increase in the risk of incident PD.

Retinal age gap

UK Biobank

35,834

Age

Gender

Ethnicity

Townsend deprivation

Smoking status

Drinking status

Obesity

Physical activity

History of stroke

History of diabetes mellitus

Hypertension

Use of psychotropic Medication

Prospective cohort study

Wagner et al. [14]

Between 1st January 2008 and 1st April 2018

Patients with AMD and DR were at a higher risk of developing AD compared to those without these eye diseases. These findings suggest that ophthalmic imaging (e.g., OCT and fundus photography) could be used as non-invasive tools for early detection and monitoring of AD.

Retinal photographs

Moorfields Eye Hospital in London, UK

353,157

Age

Gender

Ethnicity

Retrospective cohort study

Cheung et al. [15]

-

The DL model achieved high accuracy in detecting AD in testing datasets, even when the datasets were from different populations and had different imaging protocols.

The system could be used as a non-invasive, low-cost, and scalable tool for AD screening and monitoring.

Retinal photographs

MACC

Novel Retinal Imaging Biomarkers for Cognitive Decline, Hong Kong

Queen’s University of Belfast, UK

SEED

HKCES

University of Hong Kong Volunteer Cohort

3,888 (648 with AD, 3240 without AD)

Age

Gender

Presence of hypertension

Presence of diabetes

Retrospective multicenter case control study

  1. AMD = age-related macular degeneration; AD = Alzheimer’s disease; DL = deep learning; DR = diabetic retinopathy; HKCES = Hong Kong Children Eye Study; MACC = Memory, Ageing and Cognition Center; OCT = optical coherence tomography; PD = Parkinson’s disease; SEED = Singapore Epidemiology of Eye Diseases; SIVA-DLS = Singapore I Vessel Analyzer Deep-Learning System