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A cross population study of retinal aging biomarkers with longitudinal pre-training and label distribution learning
Yu, Zhen ; Chen, Ruiye ; Gui, Peng ; Wang, Wei ; Razzak, Imran ; Alinejad-Rokny, Hamid ; Zeng, Xiaomin ; Shang, Xianwen ; Zhang, Lei ; Yang, Xiaohong ... show 7 more
Yu, Zhen
Chen, Ruiye
Gui, Peng
Wang, Wei
Razzak, Imran
Alinejad-Rokny, Hamid
Zeng, Xiaomin
Shang, Xianwen
Zhang, Lei
Yang, Xiaohong
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Department
Computational Biology
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Journal article
Date
2025
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English
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Abstract
Retinal age has emerged as a promising biomarker of aging, offering a non-invasive and accessible assessment tool We developed a deep learning model to estimate retinal age with enhanced accuracy, leveraging retinal images from diverse populations Our approach integrates self-supervised learning to capture chronological information from both snapshot and sequential images, alongside a progressive label distribution learning module to model biological aging variability Trained and validated on healthy cohorts (34,433 participants from the UK Biobank and three Chinese cohorts), the model achieved a mean absolute error of 279 years, surpassing previous methods When applied to broader populations, analysis of the retinal age gap—the difference between retina-predicted and chronological age—revealed associations with increased risks of all-cause mortality and multiple age-related diseases These findings highlight the potential of retinal age as a reliable biomarker for predicting survival and aging outcomes, supporting targeted risk management and precision health interventions © The Author(s) 2025
Citation
Z. Yu et al., “A cross population study of retinal aging biomarkers with longitudinal pre-training and label distribution learning,” NPJ Digit Med, vol. 8, no. 1, pp. 1–14, Dec. 2025, doi: 10.1038/S41746-025-01751-7
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npj Digital Medicine
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Springer Nature
