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Record W4412506822 · doi:10.3389/fmed.2025.1579562

Cross-sectional study on the association between retinal microcirculation changes based on optical coherence tomography angiography and mild cognitive impairment in patients with type 2 diabetes

2025· article· en· W4412506822 on OpenAlexaboutno aff
Wei Wang, T P Zhang

Bibliographic record

VenueFrontiers in Medicine · 2025
Typearticle
Languageen
FieldMedicine
TopicRetinal Imaging and Analysis
Canadian institutionsnot available
Fundersnot available
KeywordsOptical coherence tomographyMedicineOptical coherence tomography angiographyRetinalMicrocirculationAssociation (psychology)Cross-sectional studyOphthalmologyCognitionDiabetes mellitusCoronary angiographyCognitive impairmentInternal medicineCardiologyPsychologyPathologyPsychiatryEndocrinology

Abstract

fetched live from OpenAlex

Objective To investigate the association between retinal microcirculation changes, assessed using optical coherence tomography angiography (OCTA), and mild cognitive impairment (MCI) in patients with type 2 diabetes mellitus (T2DM), and to determine whether retinal microcirculation changes can serve as a potential biomarker for MCI in these patients. Methods A total of 100 patients with T2DM who visited Hefei Aier Eye Hospital between April 2023 and December 2024 were selected. Retinal microcirculation indicators, including the perfusion density of the superficial capillary plexus (SCP), the perfusion density of the deep capillary plexus (DCP), the central foveal thickness (CMT) and the area of the foveal avascular zone (FAZ), were evaluated using OCTA. The cognitive function of the patients was assessed using the Montreal Cognitive Assessment. The association between retinal microcirculation indicators and MCI was explored using multivariate logistic regression analysis. Results The perfusion density of SCP and DCP in all patients was lower than the normal value. Patients with CMT outside the normal range accounted for 73%, and those with FAZ outside the normal range accounted for 23%. No significant correlation was found between individual retinal microcirculation indicators and MCI. However, a significant association was observed when the four indicators were combined ( p < 0.001), indicating that retinal microcirculation changes based on OCTA are significantly correlated with MCI in patients with T2DM. Conclusion Retinal microcirculation changes based on OCTA are significantly associated with MCI in patients with T2DM, suggesting that retinal microcirculation indicators may serve as potential biomarkers for MCI in these patients.

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)0.001
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 score0.006
Threshold uncertainty score0.363

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0010.001
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 head0.011
GPT teacher head0.276
Teacher spread0.265 · 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
Published2025
Admission routes1
Has abstractyes

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