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Chronicles

The story behind the story

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Researchers develop RETFound, an AI tool capable of predicting the risk of ocular diseases, heart failure, Parkinson's disease, and more based on retinal images

I'm learning so much every day.πŸ™πŸ» πŸ‘ RETFound is the 1st open-source foundation model for retinal imagingβ€”diagnosing eye diseases... Eric Topol / @erictopol : Just published @Nature 1st major large language model in medicine Self-supervised #AI of 2 million retina images to predict many diseases beyond the eye, such as heart attack, stroke, heart failure, Parkinson's disease https://www.nature.com/... led by @pearsekeane @Yukunzhou19 [image] Forums: r/science : AI detects eye disease and risk of Parkinson's from retinal images

Nature Mariana Lenharo

Context & Ripple Effects

Retinal-image AI had already been explored through DeepMind’s NHS eye-scan project and Verily’s work inferring cardiovascular risk factors from retinal scans. RETFound packages that line of research into an open-source foundation model rather than a single narrowly defined task.

The story matters because it extends retinal imaging from detecting eye conditions toward estimating risks associated with diseases elsewhere in the body. That broadens the potential research utility of a routine imaging modality, while leaving clinical validation and deployment as separate steps.

First-order effects

  • Researchers and developers can use RETFound as a shared pretrained starting point for retinal-imaging models, reducing the need to build a model from scratch for each target condition.
  • The model creates a common research asset for testing whether retinal signals can support risk prediction across ocular, cardiovascular and neurological conditions; it does not by itself establish a clinical diagnostic workflow.

Second-order effects

  • Developers of single-purpose retinal tools face pressure to show whether specialized models outperform or complement a reusable foundation model, particularly on clinically meaningful validation tasks.
  • Health systems and regulators considering such tools will need to distinguish research risk scores from cleared diagnostic use, a boundary underscored by the earlier FDA-cleared autonomous diabetic-retinopathy device.

Third-order effects

  • If foundation models generalize reliably across retinal tasks, retinal imaging could increasingly become a platform for multi-condition screening research rather than a collection of isolated eye-disease algorithms.
  • That shift would make dataset provenance, external validation and public-safety oversight more central, since one model’s outputs could influence multiple clinical use cases.

The trend: RETFound is part of the move from disease-specific medical AI toward reusable foundation models trained on large clinical data modalities.

Discussion

  • @pearsekeane Pearse Keane on x
    5/ The need for expert human labelling is a significant barrier to AI-enabled healthcare By being much more label efficient, RETFound opens the possibility of applying AI in rare disease Roll on application in genetic eye disease, ocular inflammatory disease and oculomics! [image…
  • @yukunzhou19 Yukun Zhou on x
    Privileged to work with all team members for RETFound, and thanks for great mentorship from all senior researchers. Looking forward to more exciting work down the road!πŸ₯‚
  • @pearsekeane Pearse Keane on x
    1/ 🚨🚨 New paper alert 🚨🚨 Introducing RETFound, a foundation model for ophthalmology We're super excited about this and hope it will act as a #Cornerstone for global efforts to prevent blindness through #AI @UCLeye @Moorfields #OpenAccess @Nature https://www.nature.com/...
  • @yukunzhou19 Yukun Zhou on x
    We are thrilled to share that our new retinal foundation model, β€œRETFound” published today in @Nature! To our knowledge, RETFound is the first #opensource foundation model for retinal images and one of the earliest across all medical imaging fields. https://www.nature.com/...
  • @erictopol Eric Topol on x
    Just published @Nature 1st major large language model in medicine Self-supervised #AI of 2 million retina images to predict many diseases beyond the eye, such as heart attack, stroke, heart failure, Parkinson's disease https://www.nature.com/... led by @pearsekeane @Yukunzhou19 […
  • @vivnat Vivek Natarajan on x
    The RETFound @Nature paper is a milestone for Medical AI - extremely impressive performance across a suite of retinal imaging and oculomics tasks. Model also open source! Hearty congratulations @Yukunzhou19 @markachia @sktywagner @pearsekeane and team!!
  • @faresantaki Fares Antaki on x
    Excited to spotlight this work led by @pearsekeane & @Yukunzhou19, published in @Nature today. Honoured to have joined this world-class team in Julyβ€”I'm learning so much every day.πŸ™πŸ» πŸ‘ RETFound is the 1st open-source foundation model for retinal imagingβ€”diagnosing eye diseases...
  • r/science r on reddit
    AI detects eye disease and risk of Parkinson's from retinal images