Multimodal deep learning of fundus abnormalities and traditional risk factors for cardiovascular risk prediction
AI Generated Summary*
Fundus photographs fed through a DenseNet-169 branch were combined with seven clinical risk factors in a fully connected network to flag existing coronary or cerebrovascular disease. Development used 3518 images from a Korean hospital, with 2954 images for internal testing and 11,298 UK Biobank images (613 cases) externally. Adding photographs lifted the AUROC marginally internally, from 0.766 to 0.781 (p = 0.047), and from 0.849 to 0.872 in the UK Biobank, where the best configuration reached 0.905 and the Pooled Cohort Equation reached 0.677. Restricted to confidently classified patients, a non-invasive variant matched the full model near 0.9, and its positive predictions were associated with a hazard ratio of 6.28 for incident events among those initially free of disease.
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