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Time and person sensitive foundation model for disease prediction and risk stratification - PubMed

2 days ago
  • #risk stratification
  • #medical AI
  • #disease prediction
  • RETFound Plus is a foundation model (FM) for disease prediction and risk stratification using temporal modeling on fundus photographs.
  • Trained on 1,304,292 fundus photographs from 304,345 participants across multiple visits to learn progression-aware representations.
  • Improves 5-year risk prediction for systemic diseases (stroke, myocardial infarction, diabetes, hypertension) by +4-10% c-index and ocular diseases (diabetic retinopathy, glaucoma) by +3-7% c-index.
  • Enhances risk stratification for systemic diseases with 1.2-2.1-fold higher hazard-ratio trend.
  • Validated across multi-regional, multi-ethnic datasets from the UK, US, Singapore, Hong Kong, and Denmark.
  • Authors have various competing interests, including consultancy roles and equity in medical technology companies.
  • Funded by multiple grants including Wellcome Award, National Science and Technology Major Project, and National Key Research and Development Program of China.