Diabetic retinopathy screening in adults with diabetes focusing on detection of referable cases comparing AI assisted workflows using web based JPEG platform and DICOM PACS system. Diabetic Retinopathy, Screening, Artificial Intelligence, Deep Learning, DICOM, PACS, Implementation
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients with diabetes mellitus aged 18 years or older 2. Patients with diabetes mellitus who are registered in the civil registration system and are eligible for diabetic retinopathy screening according to the Ministry of Public Health policy 3. Patients who are able to undergo retinal imaging in at least one eye
Exclusion criteria
Exclusion criteria: 1. Patients with a prior diagnosis of the following conditions: macular edema from causes other than diabetic retinopathy, such as age-related macular degeneration (AMD), radiation retinopathy, or retinal vein occlusion 2. History of retinal laser treatment or prior retinal surgery 3. Presence of other ocular diseases (non-diabetic retinopathy) requiring referral to an ophthalmologist 4. Inability to obtain retinal images in both eyes (for any reason) 5. Patients who are unable to provide informed consent or make decisions independently
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Screening efficiency During study period Composite outcome including screening time, number of patients screened per day, and workflow steps | — |
Secondary
| Measure | Time frame |
|---|---|
| Diagnostic performance At time of screening Sensitivity and specificity for detection of referable diabetic retinopathy compared with reference standard | — |
Countries
Thailand
Contacts
Rajavithi Hospital