Evidence map›Paper›PMID 35254422›Full record

ArticleTranslational vision science & technology2022

Evaluation of an OCT-AI-Based Telemedicine Platform for Retinal Disease Screening and Referral in a Primary Care Setting.

Xiaoqiang Liu, Chun Zhao, Lilong Wang, Guanzheng Wang, Bin Lv, Chuanfeng Lv, Guotong Xie, Fang Wang

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Article in Translational vision science & technology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  8. AI and Primary Care: Scoping Review.Journal of medical Internet research · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Xiaoqiang LiuDepartment of Ophthalmology, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, China.
Chun ZhaoDepartment of Ophthalmology, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, China.
Lilong WangPing An Healthcare Technology, Beijing, China.
Guanzheng WangPing An Healthcare Technology, Beijing, China.
Bin LvPing An Healthcare Technology, Beijing, China.
Chuanfeng LvPing An Healthcare Technology, Beijing, China.
Guotong XiePing An Healthcare Technology, Beijing, China.
Fang WangDepartment of Ophthalmology, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the performance of a telemedicine platform integrated with optical coherence tomography (OCT) and artificial intelligence (AI) techniques for retinal disease screening and referral.

methodsWe constructed an OCT-AI-based telemedicine platform and deployed it at four primary care stations located in Jing'an district, Shanghai, to detect retinal disease cases among aged groups and refer them to Shanghai Tenth People's Hospital (TENTH Hospital). Two ophthalmologists jointly graded the data set collected from this pilot application, and then the performance of this platform was analyzed from multiple aspects.

resultsThis study included 1257 participants between July 2020 and September 2020, of whom 394 had retinal pathologies and 146 were even considered urgent cases by the ophthalmologists. The OCT-AI models achieved a sensitivity of 96.6% (95% confidence interval [CI], 91.8%-98.7%) and specificity of 98.8% (95% CI, 98.0%-99.3%) for detecting urgent cases and a sensitivity of 98.5% (95% CI, 96.5%-99.4%) and specificity of 96.2% (95% CI, 94.6%-97.3%) for detecting both urgent and routine cases. Coupled with AI, our platform reduced the workload of human consultation by 96.2% for massive normal cases. The detected disease cases received online medical suggestions at an average time of 21.4 hours via this platform.

conclusionsThis platform can automatically identify patients with retinal disease with high sensitivity and specificity, support timely human consultation, and bring necessary referrals. TRANSLATIONAL RELEVANCE: The OCT-AI-based telemedicine platform shows great practical value for retinal disease screening and referral in a real-world primary care setting.

Indexed as

Retinal DiseasesTelemedicineAgedArtificial IntelligenceChinaHumansPrimary Health CareReferral and ConsultationTomography, Optical Coherence

Identifiers

PMID35254422
PMCPMC8914565

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.