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Training in cortically-blind fields confers patient-specific benefit against retinal thinning after occipital stroke 大脑皮层盲区训练能使患者在枕叶中风后视网膜变薄方面受益
Pub Date : 2023-12-20 DOI: 10.1101/2023.12.19.23298260
Berkeley K Fahrenthold, Matthew R Cavanaugh, Madhura Tamhankar, Byron L Lam, Steven E Feldon, Brent A Johnson, Krystel R Huxlin
Purpose: Damage to the adult primary visual cortex (V1) causes vision loss in the contralateral hemifield, initiating a process of trans-synaptic retrograde degeneration (TRD). Here, we examined retinal correlates of TRD using a new metric to account for global changes in inner retinal thickness, and asked if perceptual training in the intact or blind field impacts its progression.Methods: We performed a meta-analysis of optical coherence tomography (OCT) data in 48 participants with unilateral V1 stroke and homonymous visual defects, who completed clinical trial NCT03350919. After measuring the thickness of the macular ganglion cell and inner plexiform layers (GCL-IPL), and the peripapillary retinal nerve fiber layer (RNFL), we computed individual laterality indices (LI) at baseline and after ~6 months of daily motion discrimination training in the intact- or blind-field. Increasingly positive LI denoted greater layer thinning in retinal regions affected versus unaffected by the cortical damage.Results: Pre-training, the affected GCL-IPL and RNFL were thinner than their unaffected counterparts, generating LI values positively correlated with time since stroke. Participants trained in their intact-field exhibited increased LIGCL-IPL. Those trained in their blind-field had no significant change in LIGCL-IPL. LIRNFL did not change in either group.Conclusions: Relative shrinkage of the affected versus unaffected macular GCL-IPL can be reliably measured at an individual level and increases with time post-V1 stroke. Relative thinning progressed during intact-field training, but appeared to be halted by training within the blind field, suggesting a potentially neuroprotective effect of this simple behavioral intervention.
目的:成人初级视觉皮层(V1)受损会导致对侧半视野视力下降,从而启动跨突触逆行变性(TRD)过程。在这里,我们使用一种新的指标来解释视网膜内层厚度的整体变化,研究了TRD的视网膜相关性,并询问在完整视野或盲区进行的知觉训练是否会影响TRD的进展:我们对完成了 NCT03350919 临床试验的 48 名单侧 V1 中风和同性视觉缺陷患者的光学相干断层扫描(OCT)数据进行了荟萃分析。在测量了黄斑神经节细胞层和内丛状层(GCL-IPL)以及毛细血管周围视网膜神经纤维层(RNFL)的厚度后,我们计算了基线时和在完好视场或盲场进行每日运动分辨训练约 6 个月后的个体侧向指数(LI)。LI指数越高,表示受皮层损伤影响的视网膜区域与未受皮层损伤影响的视网膜区域的视网膜层越薄:结果:训练前,受影响的 GCL-IPL 和 RNFL 比未受影响的薄,产生的 LI 值与中风后的时间呈正相关。在完好视场接受训练的学员表现出 LIGCL-IPL 增加。接受盲区训练的人 LIGCL-IPL 没有明显变化。两组的 LIRNFL 均无变化:结论:受影响黄斑 GCL-IPL 相对于未受影响黄斑 GCL-IPL 的相对萎缩可在个体水平上进行可靠测量,并随着 V1 中风后时间的推移而增加。在完整视野训练过程中,相对变薄的程度不断加深,但在盲视野内进行训练后,这种现象似乎会停止,这表明这种简单的行为干预具有潜在的神经保护作用。
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引用次数: 0
Equitable Artificial Intelligence for Glaucoma Screening with Fair Identity Normalization 公平身份归一化的人工智能青光眼筛查
Pub Date : 2023-12-14 DOI: 10.1101/2023.12.13.23299931
Min Shi, Yan Luo, Yu Tian, Lucy Shen, Tobias Elze, Nazlee Zebardast, Mohammad Eslami, Saber Kazeminasab, Michael V. Boland, David S. Friedman, Louis R. Pasquale, Mengyu Wang
Objective To develop an equitable artificial intelligence model for glaucoma screening.
目标 为青光眼筛查开发一个公平的人工智能模型。
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引用次数: 0
Analyzing morphological alternations of vessels in multiple Sclerosis using SLO images of the eyes 利用眼部 SLO 图像分析多发性硬化症的血管形态变化
Pub Date : 2023-12-14 DOI: 10.1101/2023.12.12.23299846
Asieh Soltanipour, Roya Arian, Ali Aghababaei, Raheleh Kafieh, Fereshteh Ashtari
Background Our purpose was to investigate the most relevant and discriminating clinical feature set of Scanning laser ophthalmoscopy (SLO) images, which could differentiate multiple sclerosis (MS) and healthy control (HC) patients.
背景 我们的目的是研究扫描激光眼底镜(SLO)图像中最具相关性和鉴别性的临床特征集,以区分多发性硬化症(MS)患者和健康对照组(HC)患者。
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引用次数: 0
Multiple genome-wide association studies of type 2 diabetes implicate several genes are associated with diabetic retinopathy based on UK Biobank 基于UK Biobank的多项2型糖尿病全基因组关联研究表明,几个基因与糖尿病视网膜病变相关
Pub Date : 2023-12-03 DOI: 10.1101/2023.12.02.23299320
Tengda Cai, Qi Pan, Yiwen Tao, Charvi Nangia, Aravind Lathika Rajendrakumar, Tania Dottorini, Mainul Haque, Colin Palmer, Weihua Meng
PurposeTo identify the genetic variants associated with diabetic retinopathy in type 2 patients from the UK Biobank cohort (n = 17,015) and supporting replication cohorts GODARTS (n = 5,013), GOSHARE (n = 1,754), Caucasian Australians (n = 518), FinnGen (n = 206,664) and Chinese (n = 1,007). MethodsTotally eleven genome-wide association studies were applied to search for significant genetic variants. ResultsWe found 5 different loci associated with type 2 diabetic retinopathy in or nearest gene EYA2, MPDZ, NTNG1, CTAGE14P and MREGP1. In the primary GWAS, a significant SNP rs6066146 located in gene EYA2 showed a p value of 4.21 x 10-8 and may play a role in the development of the disease, with "spleen" reaching a significant level produced by tissue expression analysis. Corresponding heritability of DR was estimated to be 26.73% by SumHer. Among five genes, we found that genes EYA2, MPDZ, NTNG1 had genetic interactions and may affect the complex development of retinal blood vessels. ConclusionDiabetic retinopathy is a complication of diabetes that affects the eyes. It is highly likely to occur when high blood sugar damages the retinal blood vessels. There is limited awareness regarding the pathogenesis of DR. Our study identified multiple loci associated with diabetic retinopathy, which may lead to personalized treatments to reduce the burden of the disease.Keywords: Diabetic retinopathy; UK Biobank; genome-wide association study; tissue expression analysis; heritability.
目的:从英国生物库队列(n = 17015)和支持复制队列GODARTS (n = 5013)、GOSHARE (n = 1754)、Caucasian australian (n = 518)、FinnGen (n = 206664)和Chinese (n = 1007)中确定与糖尿病视网膜病变相关的2型患者的遗传变异。方法采用11项全基因组关联研究,寻找显著的遗传变异。结果在EYA2、MPDZ、NTNG1、CTAGE14P和MREGP1基因中发现了5个与2型糖尿病视网膜病变相关的位点。在原发性GWAS中,位于EYA2基因的显著SNP rs6066146显示p值为4.21 × 10-8,可能在疾病的发展中发挥作用,组织表达分析产生的“脾”达到显著水平。SumHer估计DR的遗传率为26.73%。在5个基因中,我们发现EYA2、MPDZ、NTNG1基因存在遗传相互作用,可能影响视网膜血管的复杂发育。结论糖尿病视网膜病变是糖尿病累及眼部的并发症。当高血糖损害视网膜血管时,极有可能发生。我们的研究发现了与糖尿病视网膜病变相关的多个基因座,这可能导致个性化治疗以减轻疾病负担。关键词:糖尿病视网膜病变;英国生物库;全基因组关联研究;组织表达分析;遗传。
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引用次数: 0
The Natural History of Vision-Related Quality of Life after Unilateral Occipital Stroke 单侧枕部中风后视力相关生活质量的自然史
Pub Date : 2023-12-01 DOI: 10.1101/2023.11.29.23299210
Neil Dogra, Bryan V. Redmond, Selena Lilley, Brent A. Johnson, Byron L. Lam, Madhura Tamhankar, Steven E. Feldon, Berkeley Fahrenthold, Jingyi Yang, Krystel R. Huxlin, Matthew R. Cavanaugh
Background/Objectives Stroke damage to the primary visual cortex induces large, homonymous visual field defects that impair daily living. Here, we asked if vision-related quality of life (V-QoL) is impacted by time since stroke.
背景/目的脑卒中对初级视觉皮层的损伤会导致大面积的视野缺损,从而影响日常生活。在这里,我们询问视力相关的生活质量(V-QoL)是否受到中风后时间的影响。
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引用次数: 0
Central corneal thickness and the risk of primary open-angle glaucoma: a Mendelian randomization mediation analysis 中央角膜厚度与原发性开角型青光眼的风险:孟德尔随机化中介分析
Pub Date : 2023-11-29 DOI: 10.1101/2023.11.28.23299139
Andreas Katsimpris, Sebastian-Edgar Baumeister, Hansjörg Baurecht, Andrew J Tatham, Michael Nolde
The association of central corneal thickness (CCT) with primary open-angle glaucoma (POAG) remains uncertain. Although, several observational studies assessing this relationship, have reported an inverse association between CCT and POAG, this could be the result of collider bias. In this study, we leveraged human genetic data to assess through Mendelian randomization (MR) the effect of CCT on POAG risk, and whether this effect is mediated by intraocular pressure (IOP) changes. We used 24 single-nucleotide polymorphisms (SNPs) associated with CCT (P-value < 5×10-8) from a genome-wide association study (GWAS) (N = 17,803) provided by the International Glaucoma Genetics Consortium and 53 SNPs associated with IOP (P-value < 5×10-8) from a GWAS of UK Biobank (UKBB) (N = 97,653). We related these instruments with POAG using a GWAS meta-analysis of 8,283 POAG cases and 753,827 controls from UKBB and FinnGen. MR analysis suggested a positive association between CCT and POAG (odds ratio of POAG per 50μm increase in CCT: 1.38; 95% confidence interval: 1.18 to 1.61; p-value < 0.01). MR mediation analysis showed that 28.4% of the total effect of CCT on POAG risk was mediated through changes in IOP. The primary results were consistent with estimates of pleiotropy-robust MR methods. In conclusion, contrary to most observational studies, our results support a positive effect of CCT on the risk of POAG.
角膜中央厚度(CCT)与原发性开角型青光眼(POAG)的关系尚不明确。虽然,一些评估这种关系的观察性研究已经报道了CCT和POAG之间的负相关,但这可能是对撞机偏差的结果。在这项研究中,我们利用人类遗传数据,通过孟德尔随机化(MR)评估CCT对POAG风险的影响,以及这种影响是否由眼压(IOP)变化介导。我们使用了24个与CCT相关的单核苷酸多态性(snp) (p值<5×10-8)来自国际青光眼遗传学协会提供的全基因组关联研究(GWAS) (N = 17,803)和53个与IOP相关的snp (P-value <5×10-8)来自UK Biobank (UKBB)的GWAS (N = 97,653)。我们对来自UKBB和FinnGen的8283例POAG病例和753,827例对照进行了GWAS荟萃分析,将这些仪器与POAG联系起来。MR分析显示CCT与POAG呈正相关(CCT每增加50μm POAG的比值比:1.38;95%置信区间:1.18 ~ 1.61;假定值& lt;0.01)。MR中介分析显示,CCT对POAG风险的总影响中有28.4%是通过IOP的变化介导的。初步结果与多效性稳健MR方法的估计一致。总之,与大多数观察性研究相反,我们的结果支持CCT对POAG风险的积极影响。
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引用次数: 0
Evaluation of a digital ophthalmologist app built by GPT4-V(ision) GPT4-V构建的数字眼科医生应用评估(视觉)
Pub Date : 2023-11-29 DOI: 10.1101/2023.11.27.23299056
Pusheng Xu, Xiaolan Chen, Ziwei Zhao, Yingfeng Zheng, Guangming Jin, Danli Shi, Mingguang He
Backgrounds: GPT4-V(ision) has generated great interest across various fields, while its performance in ocular multimodal images is still unknown. This study aims to evaluate the capabilities of a GPT-4V-based chatbot in addressing queries related to ocular multimodal images.Methods: A digital ophthalmologist app was built based on GPT-4V. The evaluation dataset comprised various ocular imaging modalities: slit-lamp, scanning laser ophthalmoscopy (SLO), fundus photography of the posterior pole (FPP), optical coherence tomography (OCT), fundus fluorescein angiography (FFA), and ocular ultrasound (OUS). Each modality included images representing 5 common and 5 rare diseases. The chatbot was presented with ten questions per image, focusing on examination identification, lesion detection, diagnosis, decision support, and the repeatability of diagnosis. The responses of GPT-4V were evaluated based on accuracy, usability, and safety.Results: There was a substantial agreement among three ophthalmologists. Out of 600 responses,30.5% were accurate,22.8% of 540 responses were highly usable, and 55.5% of 540 responses were considered safe by ophthalmologists. The chatbot excelled in interpreting slit-lamp images, with 42.0%,42.2%, and 68.5% of the responses being accurate, highly usable, and no harm, respectively. However, its performance was notably weaker in FPP images, with only 13.7%,3.7%, and 38.5% in the same categories. It correctly identified 95.6% of the imaging modalities. For lesion identification, diagnosis, and decision support, the chatbot's accuracy was 25.6%,16.1%, and 24.0%, respectively. The average proportions of correct answers, highly usable, and no harm for GPT-4V in common diseases were 37.9%,30.5%, and 60.1%, respectively. These proportions were all higher compared to those in rare diseases, which were 23.2% (P<0.001),15.2% (P<0.001), and 51.1% (P=0.032), respectively. The overall repeatability of GPT4-V in diagnosing ocular images was 63% (38/60). Conclusion: Currently, GPT-4V lacks the reliability required for clinical decision-making and patient consultation in ophthalmology. Ongoing refinement and testing are essential for improving the efficacy of large language models in medical applications.
背景:GPT4-V(vision)已经引起了各个领域的极大兴趣,但其在眼多模态图像中的表现仍然未知。本研究旨在评估基于gpt - v4的聊天机器人在处理与眼多模态图像相关的查询方面的能力。方法:基于GPT-4V构建数字眼科医生应用程序。评估数据集包括各种眼部成像方式:裂隙灯、扫描激光眼底镜(SLO)、眼底后极摄影(FPP)、光学相干断层扫描(OCT)、眼底荧光素血管造影(FFA)和眼超声(OUS)。每种模式包括5种常见疾病和5种罕见疾病的图像。每张图像向聊天机器人提出十个问题,重点是检查识别,病变检测,诊断,决策支持和诊断的可重复性。根据准确性、可用性和安全性对GPT-4V的反应进行评估。结果:三位眼科医生的结论基本一致。在600个回答中,30.5%是准确的,540个回答中22.8%是高度可用的,540个回答中55.5%被眼科医生认为是安全的。聊天机器人在解读裂隙灯图像方面表现出色,分别有42.0%、42.2%和68.5%的回答是准确的、高度可用的和无害的。然而,其在FPP图像中的表现明显较弱,在同一类别中仅占13.7%,3.7%和38.5%。它正确识别了95.6%的成像模式。在病变识别、诊断和决策支持方面,聊天机器人的准确率分别为25.6%、16.1%和24.0%。GPT-4V对常见病的正确率、高可用性和无危害的平均比例分别为37.9%、30.5%和60.1%。这些比例均高于罕见病患者,分别为23.2% (P= 0.001)、15.2% (P= 0.001)和51.1% (P=0.032)。GPT4-V诊断眼部图像的总体重复性为63%(38/60)。结论:目前GPT-4V在眼科临床决策和患者会诊中缺乏所需的可靠性。不断的改进和测试对于提高大型语言模型在医学应用中的有效性至关重要。
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引用次数: 0
GPT-4 Multimodal Analysis on Ophthalmology Clinical Cases Including Text and Images 眼科学临床病例的GPT-4多模态分析包括文字和图像
Pub Date : 2023-11-27 DOI: 10.1101/2023.11.24.23298953
Vera Sorin, Noa Kapelushnik, Idan Hecht, Ofira Zloto, Benjamin S. Glicksberg, Hila Bufman, Yiftach Barash, Girish N. Nadkarni, Eyal Klang
Objective Recent advancements in GPT-4 have enabled analysis of text with visual data. Diagnosis in ophthalmology is often based on ocular examinations and imaging, alongside the clinical context. The aim of this study was to evaluate the performance of multimodal GPT-4 (GPT-4V) in an integrated analysis of ocular images and clinical text.
GPT-4的最新进展使文本分析与视觉数据成为可能。眼科的诊断通常是基于眼部检查和成像,以及临床情况。本研究的目的是评估多模态GPT-4 (GPT-4V)在眼部图像和临床文本的综合分析中的表现。
{"title":"GPT-4 Multimodal Analysis on Ophthalmology Clinical Cases Including Text and Images","authors":"Vera Sorin, Noa Kapelushnik, Idan Hecht, Ofira Zloto, Benjamin S. Glicksberg, Hila Bufman, Yiftach Barash, Girish N. Nadkarni, Eyal Klang","doi":"10.1101/2023.11.24.23298953","DOIUrl":"https://doi.org/10.1101/2023.11.24.23298953","url":null,"abstract":"<strong>Objective</strong> Recent advancements in GPT-4 have enabled analysis of text with visual data. Diagnosis in ophthalmology is often based on ocular examinations and imaging, alongside the clinical context. The aim of this study was to evaluate the performance of multimodal GPT-4 (GPT-4V) in an integrated analysis of ocular images and clinical text.","PeriodicalId":501390,"journal":{"name":"medRxiv - Ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138521637","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Angiographic Report Generation for the 3rd APTOS’s Competition: Dataset and Baseline Methods 第三届APTOS竞赛的血管造影报告生成:数据集和基线方法
Pub Date : 2023-11-27 DOI: 10.1101/2023.11.26.23299021
Weiyi Zhang, Peranut Chotcomwongse, Xiaolan Chen, Florence H.T. Chung, Fan Song, Xueli Zhang, Mingguang He, Danli Shi, Paisan Ruamviboonsuk
Fundus angiography, including fundus fluorescein angiography (FFA) and indocyanine green angiography (ICGA), are essential examination tools for visualizing lesions and changes in retinal and choroidal vasculature. However, the interpretation of angiography images is labor-intensive and time-consuming. In response to this, we are organizing the third APTOS competition for automated and interpretable angiographic report generation. For this purpose, we have released the first angiographic dataset, which includes over 50,000 images labeled by retinal specialists. This dataset covers 24 conditions and provides detailed descriptions of the type, location, shape, size and pattern of abnormal fluorescence to enhance interpretability and accessibility. Additionally, we have implemented two baseline methods that achieve an overall score of 7.966 and 7.947 using the classification method and language generation method in the test set, respectively. We anticipate that this initiative will expedite the application of artificial intelligence in automatic report generation, thereby reducing the workload of clinicians and benefiting patients on a broader scale.
眼底血管造影,包括眼底荧光素血管造影(FFA)和吲哚菁绿血管造影(ICGA),是观察视网膜和脉络膜血管病变和变化的基本检查工具。然而,血管造影图像的解释是劳动密集型和耗时的。为此,我们正在组织第三届APTOS自动和可解释的血管造影报告生成竞赛。为此,我们发布了第一个血管造影数据集,其中包括超过50,000张由视网膜专家标记的图像。该数据集涵盖了24种情况,并提供了异常荧光的类型、位置、形状、大小和模式的详细描述,以增强可解释性和可访问性。此外,我们在测试集中使用分类方法和语言生成方法实现了两种基线方法,分别获得了7.966和7.947的总分。我们预计这一举措将加快人工智能在自动报告生成中的应用,从而减少临床医生的工作量,并在更大范围内使患者受益。
{"title":"Angiographic Report Generation for the 3rd APTOS’s Competition: Dataset and Baseline Methods","authors":"Weiyi Zhang, Peranut Chotcomwongse, Xiaolan Chen, Florence H.T. Chung, Fan Song, Xueli Zhang, Mingguang He, Danli Shi, Paisan Ruamviboonsuk","doi":"10.1101/2023.11.26.23299021","DOIUrl":"https://doi.org/10.1101/2023.11.26.23299021","url":null,"abstract":"Fundus angiography, including fundus fluorescein angiography (FFA) and indocyanine green angiography (ICGA), are essential examination tools for visualizing lesions and changes in retinal and choroidal vasculature. However, the interpretation of angiography images is labor-intensive and time-consuming. In response to this, we are organizing the third APTOS competition for automated and interpretable angiographic report generation. For this purpose, we have released the first angiographic dataset, which includes over 50,000 images labeled by retinal specialists. This dataset covers 24 conditions and provides detailed descriptions of the type, location, shape, size and pattern of abnormal fluorescence to enhance interpretability and accessibility. Additionally, we have implemented two baseline methods that achieve an overall score of 7.966 and 7.947 using the classification method and language generation method in the test set, respectively. We anticipate that this initiative will expedite the application of artificial intelligence in automatic report generation, thereby reducing the workload of clinicians and benefiting patients on a broader scale.","PeriodicalId":501390,"journal":{"name":"medRxiv - Ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138521640","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Using electronic health record data to determine the safety of aqueous humor liquid biopsies for molecular analyses 使用电子健康记录数据确定房水液体活检用于分子分析的安全性
Pub Date : 2023-11-23 DOI: 10.1101/2023.11.22.23298937
Julian Wolf, Teja Chemudupati, Aarushi Kumar, Joel A. Franco, Artis A. Montague, Charles C. Lin, Wen-Shin Lee, A. Caroline Fisher, Jeffrey L. Goldberg, Prithvi Mruthyunjaya, Robert T. Chang, Vinit B. Mahajan
Purpose Knowing the surgical safety of anterior chamber liquid biopsies will support the increased use of proteomics and other molecular analyses to better understand disease mechanisms and therapeutic responses in patients and clinical trials. Manual review of operative notes from different surgeons and procedures in electronic health records (EHR) is cumbersome, but free-text software tools could facilitate efficient searches.
了解前房液体活检的手术安全性将有助于增加蛋白质组学和其他分子分析的使用,以更好地了解患者和临床试验中的疾病机制和治疗反应。在电子健康记录(EHR)中手动审查来自不同外科医生的手术记录和程序是很麻烦的,但自由文本软件工具可以促进有效的搜索。
{"title":"Using electronic health record data to determine the safety of aqueous humor liquid biopsies for molecular analyses","authors":"Julian Wolf, Teja Chemudupati, Aarushi Kumar, Joel A. Franco, Artis A. Montague, Charles C. Lin, Wen-Shin Lee, A. Caroline Fisher, Jeffrey L. Goldberg, Prithvi Mruthyunjaya, Robert T. Chang, Vinit B. Mahajan","doi":"10.1101/2023.11.22.23298937","DOIUrl":"https://doi.org/10.1101/2023.11.22.23298937","url":null,"abstract":"<strong>Purpose</strong> Knowing the surgical safety of anterior chamber liquid biopsies will support the increased use of proteomics and other molecular analyses to better understand disease mechanisms and therapeutic responses in patients and clinical trials. Manual review of operative notes from different surgeons and procedures in electronic health records (EHR) is cumbersome, but free-text software tools could facilitate efficient searches.","PeriodicalId":501390,"journal":{"name":"medRxiv - Ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138525830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
medRxiv - Ophthalmology
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