Retinal hemorrhage: science versus speculation

Levin, Alex V.

doi:10.1016/j.jaapos.2016.03.001

Cited by 3 publications

(5 citation statements)

References 16 publications

(15 reference statements)

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“…traction by the vitreous body when the head is shaken vigorously [1,8]. Multivariate analysis in this study showed the odds ratio for retinal hemorrhage was 11.26 times higher in the nonaccidental group.…”

Section: Plos Onementioning

confidence: 51%

Correlations of intracranial pathology and cause of head injury with retinal hemorrhage in infants and toddlers: A multicenter, retrospective study by the J-HITs (Japanese Head injury of Infants and Toddlers study) group

Kato¹,

Nonaka

Akutsu

et al. 2023

PLoS ONE

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Introduction In infants who have suffered head trauma there are two possible explanations for retinal hemorrhage (RH): direct vitreous shaking and occurrence in association with intracranial lesions. Which possibility is more plausible was examined. Material and methods This multicenter, retrospective study reviewed the clinical records of children younger than four years with head trauma who had been diagnosed with any findings on head computed tomography (CT) and/or magnetic resonance imaging (MRI). Of 452 cases, 239 underwent an ophthalmological examination and were included in this study. The relationships of RH with intracranial findings and the cause of injury were examined. Result Odds ratios for RH were significant for subdural hematoma (OR 23.41, p = 0.0004), brain edema (OR 5.46, p = 0.0095), nonaccidental (OR 11.26, p<0.0001), and self-inflicted falls (OR 6.22, p = 0.0041) Conclusion Although nonaccidental, brain edema and self-inflicted falls were associated with RH, subdural hematoma was most strongly associated with RH.

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Section: Plos Onementioning

confidence: 51%

Correlations of intracranial pathology and cause of head injury with retinal hemorrhage in infants and toddlers: A multicenter, retrospective study by the J-HITs (Japanese Head injury of Infants and Toddlers study) group

Kato¹,

Nonaka

Akutsu

et al. 2023

PLoS ONE

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“…Speculation is too easily associated with science's Others: intuition, mysticism, myth and metaphysics. Science is often opposed to speculation within the institutional contexts in which it operates, like medicine or law (Chapman 1999;Levin 2016;Sha 2013). Theatre has also shown some ambivalence towards speculation for different reasons.…”

Section: Notesmentioning

confidence: 99%

Science in performance

Parry¹

2020

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This series will offer a space for those people who practise theatre to have a dialogue with those who think and write about it. The series has a flexible format that refocuses the analysis and documentation of performance. It provides, presents and represents material which is written by those who make or create performance history, and offers access to theatre documents, different methodologies and approaches to the art of making theatre. The books in the series are aimed at students, scholars, practitioners and theatre-visiting readers. They encourage reassessments of periods, companies and figures in twentieth-century and twentyfirst-century theatre history, and provoke and take up discussions of cultural strategies and legacies that recognise the heterogeneity of performance studies. also available Directing scenes and senses: The thinking of Regie

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“…Intraretinal hemorrhages that occur in the superficial layers of the retina exhibit a linear streaking appearance, following the pattern of the nerve fibers, often referred to as flame or splinter hemorrhages due to their distinct appearance. On the other hand, intraretinal hemorrhages that occur in the deeper layers of the retina have a more rounded shape and are referred to as dot or blot hemorrhages, depending on their size [2][3][4].…”

Section: Introductionmentioning

confidence: 99%

“…The differential diagnosis of retinal hemorrhages is extensive and includes [3,5] coagulopathy, blood dyscrasia, severe anemia, hemolytic uremic syndrome, endocarditis, vasculitis [2,3], normal birth [6], raised intracranial pressure (ICP), glutaric aciduria type 1, meningitis and Terson syndrome [7]. Retinal hemorrhages can also be diagnostic indicators for severe conditions such as abusive head trauma [1,2,[8][9][10][11].…”

Section: Introductionmentioning

confidence: 99%

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Deep Learning Approach for Differentiating Etiologies of Pediatric Retinal Hemorrhages: A Multicenter Study

Khosravi,

Huck,

Shahraki

et al. 2023

IJMS

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Retinal hemorrhages in pediatric patients can be a diagnostic challenge for ophthalmologists. These hemorrhages can occur due to various underlying etiologies, including abusive head trauma, accidental trauma, and medical conditions. Accurate identification of the etiology is crucial for appropriate management and legal considerations. In recent years, deep learning techniques have shown promise in assisting healthcare professionals in making more accurate and timely diagnosis of a variety of disorders. We explore the potential of deep learning approaches for differentiating etiologies of pediatric retinal hemorrhages. Our study, which spanned multiple centers, analyzed 898 images, resulting in a final dataset of 597 retinal hemorrhage fundus photos categorized into medical (49.9%) and trauma (50.1%) etiologies. Deep learning models, specifically those based on ResNet and transformer architectures, were applied; FastViT-SA12, a hybrid transformer model, achieved the highest accuracy (90.55%) and area under the receiver operating characteristic curve (AUC) of 90.55%, while ResNet18 secured the highest sensitivity value (96.77%) on an independent test dataset. The study highlighted areas for optimization in artificial intelligence (AI) models specifically for pediatric retinal hemorrhages. While AI proves valuable in diagnosing these hemorrhages, the expertise of medical professionals remains irreplaceable. Collaborative efforts between AI specialists and pediatric ophthalmologists are crucial to fully harness AI’s potential in diagnosing etiologies of pediatric retinal hemorrhages.

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Retinal hemorrhage: science versus speculation

Cited by 3 publications

References 16 publications

Correlations of intracranial pathology and cause of head injury with retinal hemorrhage in infants and toddlers: A multicenter, retrospective study by the J-HITs (Japanese Head injury of Infants and Toddlers study) group

Correlations of intracranial pathology and cause of head injury with retinal hemorrhage in infants and toddlers: A multicenter, retrospective study by the J-HITs (Japanese Head injury of Infants and Toddlers study) group

Science in performance

Deep Learning Approach for Differentiating Etiologies of Pediatric Retinal Hemorrhages: A Multicenter Study

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