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Mobile health-based digital phenotyping for dry eye disease

Research Project

Project/Area Number 21K17311
Research Category

Grant-in-Aid for Early-Career Scientists

Allocation TypeMulti-year Fund
Review Section Basic Section 58030:Hygiene and public health-related: excluding laboratory approach
Research InstitutionJuntendo University

Principal Investigator

Inomata Akie  順天堂大学, 医学部, 非常勤助教 (70876680)

Project Period (FY) 2021-04-01 – 2024-03-31
Project Status Completed (Fiscal Year 2023)
Budget Amount *help
¥4,680,000 (Direct Cost: ¥3,600,000、Indirect Cost: ¥1,080,000)
Fiscal Year 2022: ¥2,210,000 (Direct Cost: ¥1,700,000、Indirect Cost: ¥510,000)
Fiscal Year 2021: ¥2,470,000 (Direct Cost: ¥1,900,000、Indirect Cost: ¥570,000)
Keywordsドライアイ / モバイルヘルス / 層別化 / デジタルフェノタイピング / デジタルヘルス / 個別化 / ネットワーク解析 / 機械学習 / スマホアプリ / 医療ビッグデータ / 患者報告アウトカム / 電子患者報告アウトカム / クラスター解析 / 個別化医療 / 予防医療 / 予測医療 / 参加型医療 / 多様性
Outline of Research at the Start

ドライアイは世界で10億人以上が罹患する最も多い眼疾患であるが、根治療法は存在せず、生涯にわたって生活の質を低下させる。そこで本研究は、独自に開発したスマートフォンアプリケーション(スマホアプリ)を活用し、ドライアイの個々人の多様な症状や原因ならびに生体データを包括的に収集、人工知能(AI)によるデータ駆動型解析を実施する。これにより、スマホアプリによる多様なドライアイに対する層別化・見える化・個別化によるdigital phenotypingが可能となり、ドライアイ診療の向上と予防・予測・個別化・参加型医療という新たな価値を提供する。

Outline of Final Research Achievements

This study utilized an originally developed smartphone application to comprehensively collect various symptoms and causes of dry eye in individual patients as well as biometric data, and conducted data-driven analysis using artificial intelligence. Furthermore, the characteristics of each stratified cluster were visualized and individualized, and a digital phenotyping method using blinking sensing was developed. Developed digital phenotyping method, using a smartphone application, will improve dry eye treatment and provide new values of prevention, prediction, personalization, and participatory medicine.

Academic Significance and Societal Importance of the Research Achievements

ドライアイは多因子疾患であり、環境因子、生活習慣、加齢・性別(女性)・遺伝・家族歴等の宿主因子等が、複合的に関連してドライアイの発症や経過に影響を及ぼす。このようにドライアイは、多様性ある自覚症状や多因子かつ複合的な発症要因をもつ一方、これまで画一的な点眼加療に留まり、個々人にとって最適化された医療(個別化医療)は提供されてこなかった。この問題に対し、個々人の多様な自覚症状や関連する生活習慣情報を含む包括的な情報に対するドライアイ層別化手法の開発は、最適化された複合的なドライアイ対策の提案や、ドライアイの発症・重症化を未然に防ぐ予防医療ならびに個別化医療の実現に資する。

Report

(3 results)
  • 2023 Annual Research Report   Final Research Report ( PDF )
  • 2022 Research-status Report
  • Research Products

    (10 results)

All 2023 2022

All Journal Article (6 results) (of which Int'l Joint Research: 6 results,  Peer Reviewed: 6 results,  Open Access: 6 results) Presentation (4 results) (of which Int'l Joint Research: 1 results)

  • [Journal Article] Clinical utility of maximum blink interval measured by smartphone application DryEyeRhythm to support dry eye disease diagnosis2023

    • Author(s)
      Fujio Kenta、Nagino Ken、Huang Tianxiang、Sung Jaemyoung、Akasaki Yasutsugu、Okumura Yuichi、Midorikawa-Inomata Akie、Fujimoto Keiichi、Eguchi Atsuko、Miura Maria、Hurramhon Shokirova、Yee Alan、Hirosawa Kunihiko、Ohno Mizu、Morooka Yuki、Murakami Akira、Kobayashi Hiroyuki、Inomata Takenori
    • Journal Title

      Scientific Reports

      Volume: 13 Issue: 1

    • DOI

      10.1038/s41598-023-40968-y

    • Related Report
      2023 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] P4 Medicine for Heterogeneity of Dry Eye: A Mobile Health-based Digital Cohort Study2023

    • Author(s)
      INOMATA TAKENORI、SUNG JAEMYOUNG、YEE ALAN、MURAKAMI AKIRA、OKUMURA YUICHI、NAGINO KEN、FUJIO KENTA、AKASAKI YASUTSUGU、MIDORIKAWA-INOMATA AKIE、EGUCHI ATSUKO、FUJIMOTO KEIICHI、HUANG TIANXIANG、MOROOKA YUKI、MIURA MARIA、SHOKIROVA HURRAMHON、HIROSAWA KUNIHIKO、OHNO MIZU、KOBAYASHI HIROYUKI
    • Journal Title

      Juntendo Medical Journal

      Volume: 69 Issue: 1 Pages: 2-13

    • DOI

      10.14789/jmj.JMJ22-0032-R

    • ISSN
      2187-9737, 2188-2126
    • Related Report
      2023 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Symptom-based stratification algorithm for heterogeneous symptoms of dry eye disease: a feasibility study2023

    • Author(s)
      Nagino K、Inomata T、Nakamura M、Sung J、Midorikawa-Inomata A、Iwagami M、Fujio K、Akasaki Y、Okumura Y、Huang T、Fujimoto K、Eguchi A、Miura M、Hurramhon S、Zhu J、Ohno M、Hirosawa K、Morooka Y、Dana R、Murakami A、Kobayashi H
    • Journal Title

      Eye

      Volume: - Issue: 16 Pages: 3484-3491

    • DOI

      10.1038/s41433-023-02538-4

    • Related Report
      2023 Annual Research Report 2022 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Smartphone App-Based and Paper-Based Patient-Reported Outcomes Using a Disease-Specific Questionnaire for Dry Eye Disease: Randomized Crossover Equivalence Study2023

    • Author(s)
      Nagino Ken、Okumura Yuichi、Akasaki Yasutsugu、Fujio Kenta、Huang Tianxiang、Sung Jaemyoung、Midorikawa-Inomata Akie、Fujimoto Keiichi、Eguchi Atsuko、Hurramhon Shokirova、Yee Alan、Miura Maria、Ohno Mizu、Hirosawa Kunihiko、Morooka Yuki、Murakami Akira、Kobayashi Hiroyuki、Inomata Takenori
    • Journal Title

      Journal of Medical Internet Research

      Volume: 25 Pages: e42638-e42638

    • DOI

      10.2196/42638

    • Related Report
      2023 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Diagnostic Ability of a Smartphone App for Dry Eye Disease: Protocol for a Multicenter, Open-Label, Prospective, and Cross-sectional Study2023

    • Author(s)
      Nagino K、Okumura Y、Yamaguchi M、Sung J、Nagao M、Fujio K、Akasaki Y、Huang Ti、Hirosawa K、Iwagami M、Midorikawa-Inomata A、Fujimoto K、Eguchi A、Okajima Y、Kakisu Ki、Tei Y、Yamaguchi T、Tomida D、Fukui M、Yagi-Yaguchi Y、Hori Y、Shimazaki J、Nojiri S、Morooka Y、Yee A、Miura M、Ohno M、Inomata T
    • Journal Title

      JMIR Research Protocols

      Volume: 12 Pages: e45218-e45218

    • DOI

      10.2196/45218

    • Related Report
      2023 Annual Research Report 2022 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] DryEyeRhythm: A reliable and valid smartphone application for the diagnosis assistance of dry eye2022

    • Author(s)
      Okumura Yuichi、Inomata Takenori、Midorikawa-Inomata Akie、Sung Jaemyoung、Fujio Kenta、Akasaki Yasutsugu、Nakamura Masahiro、Iwagami Masao、Fujimoto Keiichi、Eguchi Atsuko、Miura Maria、Nagino Ken、Hirosawa Kunihiko、Huang Tianxiang、Kuwahara Mizu、Dana Reza、Murakami Akira
    • Journal Title

      The Ocular Surface

      Volume: 25 Pages: 19-25

    • DOI

      10.1016/j.jtos.2022.04.005

    • Related Report
      2022 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Presentation] Association between severe dry eye and individual lifestyle habits: an app-based cross-sectional observational study2023

    • Author(s)
      Morooka, Y, Inomata T, Nagino K, Midorikawa-Inomata A, Eguchi A, Okumura Y, Fujio K, Akasaki Y, Huang T, Nakao S
    • Organizer
      16th Joint Meeting of Korea-China-Japan Ophthalmologists, Seoul, Korea
    • Related Report
      2023 Annual Research Report
    • Int'l Joint Research
  • [Presentation] ドライアイ自覚症状とライフスタイルの関連: アプリを用いた大規模臨床研究2023

    • Author(s)
      諸岡裕城, 猪俣武範, 梛野健, 猪俣明恵, 江口敦子, 奥村雄一, 藤尾謙太, 赤崎安序, 黄 天翔, 中尾新太郎
    • Organizer
      第77回日本臨床眼科学会, 東京
    • Related Report
      2023 Annual Research Report
  • [Presentation] ドライアイ自覚症状の重症度を評価するドライアイQOL問診票のカットオフ値の検討2023

    • Author(s)
      梛野健, 鄒新蓉, Yee Alan, 奥村雄一, 藤尾謙太, 赤崎安序, 猪俣明恵, 江口敦子, 廣澤邦彦, 黄天翔, 中尾新太郎, 小林弘幸, 猪俣武範
    • Organizer
      第11回日本涙道・涙液学会総会, 大阪
    • Related Report
      2023 Annual Research Report
  • [Presentation] The optimal cut-off value of Dry Eye-Related Quality-of-Life Score for diagnosing dry eye disease2023

    • Author(s)
      Zou X, Nagino K, Midorikawa-Inomata A, Eguchi A, Yee A, Tianxiang H, Miura M, Okumura Y, Akasaki Y, Inomata T
    • Organizer
      角膜カンファランス 2023, 横浜
    • Related Report
      2023 Annual Research Report

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Published: 2021-04-28   Modified: 2025-01-30  

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