Evidence map›Paper›PMID 38049470›Full record

ArticleNature biomedical engineering2023

Dermal features derived from optoacoustic tomograms via machine learning correlate microangiopathy phenotypes with diabetes stage.

Angelos Karlas, Nikoletta Katsouli, Nikolina-Alexia Fasoula, Michail Bariotakis, Nikolaos-Kosmas Chlis, Murad Omar, Hailong He, Dimitrios Iakovakis, Christoph Schäffer, Michael Kallmayer and 5 more

Open access · hybridAbstract read
In one paragraph

Article in Nature biomedical engineering, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.6field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 33 citations in OpenAlex.

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  15. Collection on clinical photoacoustic imaging.European journal of nuclear medicine and molecular imaging · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 3 institutions in 4 countries.

Angelos Karlas *Institute of Biological and Medical Imaging, Helmholtz Zentrum München, Neuherberg, Germany.
Nikoletta Katsouli *Institute of Biological and Medical Imaging, Helmholtz Zentrum München, Neuherberg, Germany.ORCID 0000-0003-4839-3029
Nikolina-Alexia FasoulaInstitute of Biological and Medical Imaging, Helmholtz Zentrum München, Neuherberg, Germany.ORCID 0000-0003-3891-7298
Michail BariotakisInstitute of Biological and Medical Imaging, Helmholtz Zentrum München, Neuherberg, Germany.
Nikolaos-Kosmas ChlisInstitute of Biological and Medical Imaging, Helmholtz Zentrum München, Neuherberg, Germany.ORCID 0000-0002-6712-8346
Murad OmarInstitute of Biological and Medical Imaging, Helmholtz Zentrum München, Neuherberg, Germany.
Hailong HeInstitute of Biological and Medical Imaging, Helmholtz Zentrum München, Neuherberg, Germany.
Dimitrios IakovakisDepartment of Biomedical Engineering, Healthcare Engineering Innovation Center (HEIC), Khalifa University, Abu Dhabi, United Arab Emirates.
Christoph SchäfferDepartment for Vascular and Endovascular Surgery, Klinikum rechts der Isar, Technical University of Munich (TUM), Munich, Germany.
Michael KallmayerDepartment for Vascular and Endovascular Surgery, Klinikum rechts der Isar, Technical University of Munich (TUM), Munich, Germany.
Martin FüchtenbuschDiabetes Center at Marienplatz, Munich, Germany.
Annette ZieglerForschergruppe Diabetes e.V., Helmholtz Zentrum München, Neuherberg, Germany.
Hans-Henning EcksteinDepartment for Vascular and Endovascular Surgery, Klinikum rechts der Isar, Technical University of Munich (TUM), Munich, Germany.
Leontios Hadjileontiadis *Department of Biomedical Engineering, Healthcare Engineering Innovation Center (HEIC), Khalifa University, Abu Dhabi, United Arab Emirates.ORCID 0000-0002-9932-9302
Vasilis Ntziachristos *Institute of Biological and Medical Imaging, Helmholtz Zentrum München, Neuherberg, Germany. bioimaging.translatum@tum.de.ORCID 0000-0002-9988-0233
Helmholtz Zentrum München · DETUM Klinikum · DEKhalifa University of Science and Technology · AE

Funding

EC | EU Framework Programme for Research and Innovation H2020 | H2020 Priority Excellent Science | H2020 European Research Council (H2020 Excellent Science - European Research Council) 694968, PREMSOTEC | Horizon 2020 Framework Programme (EU Framework Programme for Research and Innovation H2020) 871763, WINTHER
6 · The paper itself

Abstract

Skin microangiopathy has been associated with diabetes. Here we show that skin-microangiopathy phenotypes in humans can be correlated with diabetes stage via morphophysiological cutaneous features extracted from raster-scan optoacoustic mesoscopy (RSOM) images of skin on the leg. We obtained 199 RSOM images from 115 participants (40 healthy and 75 with diabetes), and used machine learning to segment skin layers and microvasculature to identify clinically explainable features pertaining to different depths and scales of detail that provided the highest predictive power. Features in the dermal layer at the scale of detail of 0.1-1 mm (such as the number of junction-to-junction branches) were highly sensitive to diabetes stage. A 'microangiopathy score' compiling the 32 most-relevant features predicted the presence of diabetes with an area under the receiver operating characteristic curve of 0.84. The analysis of morphophysiological cutaneous features via RSOM may allow for the discovery of diabetes biomarkers in the skin and for the monitoring of diabetes status.

Indexed as

Diabetes MellitusPhotoacoustic TechniquesHumansMachine LearningPhenotypeSkin

Identifiers

PMID38049470
PMCPMC10727986
OpenAlexW4389304755

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.