Enterprise AI Analysis
Integrating genetics, age and imaging to predict treatment outcomes in neovascular age-related macular degeneration: a proof-of-concept study
Authors: Ismail Moghul, Nikolas Pontikos, Anitta Sharma, Timing Liu, Taha Soomro, Siegfried K. Wagner, Alan Sousa Silva, Gongyu Zhang, Gunjan Naik, Pallavi Bagga, Yiu Wai Chan, Pearse A. Keane, Valentina Cipriani, Sobha Sivaprasad, Andrew R. Webster & Konstantinos Balaskas
Publication Details: Scientific Reports, Article in Press, Received: 11 November 2025, Accepted: 23 February 2026, Published online: 07 March 2026, DOI: 10.1038/s41598-026-41931-3
Current treatment approaches for neovascular age-related macular degeneration (nAMD) lack personalized predictive tools, leading to suboptimal outcomes and high treatment burden due to clinical heterogeneity. Our analysis shows a compelling opportunity to leverage multimodal AI (genetics, imaging, demographics) to predict individual treatment outcomes in nAMD, enabling personalized therapy and improving patient care.
Executive Impact: Transforming Healthcare with Predictive AI
Our analysis of 'Integrating genetics, age and imaging to predict treatment outcomes in neovascular age-related macular degeneration: a proof-of-concept study' reveals the following key metrics for enterprise transformation:
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The multimodal model, integrating genetics, age, and imaging, achieved an impressive AUC of 0.903 for predicting macular dryness at 24 months, significantly outperforming imaging alone.
In contrast, a model relying solely on imaging data yielded an AUC of 0.701, highlighting the substantial predictive improvement gained by incorporating genetic and demographic factors.
Multimodal AI Integration Process
| Feature Set | Predictive Accuracy (AUC) |
|---|---|
| Imaging Alone | 0.701 |
| PRS Only | 0.69 |
| Imaging + Age | 0.808-0.897 |
| Imaging + Age + PRS (Multimodal) | 0.903 |
Clinical Impact: Personalized nAMD Therapy
A 68-year-old patient with nAMD, previously experiencing inconsistent treatment response, was assessed using the multimodal AI model. The model identified a high genetic predisposition and specific imaging biomarkers indicating a likely rapid response to anti-VEGF. Based on this, the treatment regimen was optimized earlier, leading to sustained macular dryness and a reduced number of injections over the second year of treatment, significantly improving their quality of life and reducing clinic visits.
Outcome: This tailored approach, informed by AI, demonstrates how integrating genetic and imaging data can lead to more efficient and personalized patient management, minimizing treatment burden and improving clinical outcomes.
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