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Retinal hemodynamic changes in diabetic macular edema

2009· article· en· W2006336554 on OpenAlexaff
Christopher Hudson, K. Guan, Wai‐Ching Lam, Mark S. Mandelcorn, R.G. Devenyi, JG FLANAGAN

Bibliographic record

VenueActa Ophthalmologica · 2009
Typearticle
Languageen
FieldMedicine
TopicRetinal Imaging and Analysis
Canadian institutionsUniversity of TorontoUniversity of Waterloo
Fundersnot available
KeywordsHemodynamicsMedicineDiabetic retinopathyRetinalBlood flowDiabetes mellitusBlood pressureOphthalmologyCardiologyInternal medicineEndocrinology

Abstract

fetched live from OpenAlex

Abstract Purpose To report the 1 year prospective hemodynamic results in a cohort of patients with varying levels of risk for the development of diabetic macular edema (DME) and to correlate these parameters to systemic changes in blood pressure and diabetes control. Methods The sample comprised 4 groups. Group 1: 37 non‐diabetic controls; Group 2: 42 patients with no diabetic retinopathy (DR); Group 3: 38 patients with DR but no DME; Group 4: 27 patients with DME. Retinal arteriolar diameter, velocity, maximum‐to‐minimum (max:min) velocity ratio and flow were measured using the Canon Laser Blood Flowmeter. Blood pressure, blood and urine tests were taken and correlated to changes in retinal hemodynamics. A sub‐group of patients with progressive DR was analyzed separately. Results There was a trend for elevation of the max:min velocity ratio (p=0.060) with increasing risk of DME at baseline which was significant on follow‐up (p=0.020). Diameter decreased for all groups (p<0.056) except for patients with DME. Changes in retinal blood velocity, max:min velocity ratio and flow were correlated to blood pressure mostly in patients with DR and DME. Blood albumin level was negatively correlated to retinal blood velocity and flow in the DME group. Patients with progressive DME had elevated blood velocity and flow. Conclusion Patients with DME have a higher max:min velocity ratio. Changes in retinal hemodynamics were correlated to changes in blood pressure and were negatively correlated to changes in blood albumin. The results indicate a loss of vascular compliance with diabetes, particularly in patients with DME, and elevated retinal perfusion in patients with progressive DME.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.407
Threshold uncertainty score0.552

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.021
GPT teacher head0.298
Teacher spread0.277 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations1
Published2009
Admission routes1
Has abstractyes

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