Evidence map›Paper›PMID 40110918›Full record

ArticleThe Australian journal of rural health2025

Implementation of A New, Mobile Diabetic Retinopathy Screening Model Incorporating Artificial Intelligence in Remote Western Australia.

Qiang Li, Jocelyn J Drinkwater, Kerry Woods, Emma Douglas, Alex Ramirez, Angus W Turner

Abstract read
In one paragraph

Article in The Australian journal of rural health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Article
  6. Article
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

6 authors.

Qiang LiLions Eye Institute, Lions Outback Vision, Nedlands, Western Australia, Australia.ORCID 0000-0002-2211-7504
Jocelyn J DrinkwaterLions Eye Institute, Lions Outback Vision, Nedlands, Western Australia, Australia.
Kerry WoodsLions Eye Institute, Lions Outback Vision, Nedlands, Western Australia, Australia.
Emma DouglasLions Eye Institute, Lions Outback Vision, Nedlands, Western Australia, Australia.
Alex RamirezLions Eye Institute, Lions Outback Vision, Nedlands, Western Australia, Australia.
Angus W TurnerLions Eye Institute, Lions Outback Vision, Nedlands, Western Australia, Australia.

Funding

Department of Health, Government of Western Australia 'The Challenge'Fred Hollows FoundationMcCusker Charitable Foundation
6 · The paper itself

Abstract

objectiveDiabetic retinopathy (DR) screening rates are poor in remote Western Australia where communities rely on outdated primary care-based retinal cameras. Deep learning systems (DLS) may improve access to screening, however, require validation in real-world settings. This study describes and evaluates the implementation of a new, mobile DR screening model that incorporates artificial intelligence (AI) into routine care.

designProspective, population-based study.

settingThe model was co-designed with local Aboriginal communities and implemented in the remote, Pilbara region of Western Australia. A research officer without formal healthcare qualification performed retinal screening aboard a Mercedes Sprinter Van using an automated retinal camera with integrated AI diagnostics. Patients received their diagnosis on-the-spot and completed an evaluation survey. A remote clinician provided supervision and on-the-spot telehealth consultation for referable disease.

participantsPeople with diabetes from the Pilbara region. MAIN OUTCOME MEASURE(S): Number of people screened, acceptability of AI to patients.

resultsFrom February to August 2024, DR screening was provided to 9 communities across the Pilbara region. 78 patients provided research consent, of which 56.4% were Aboriginal or Torres Strait Islanders. 10.3% of retinal photos had referable DR and 8.4% of photos were ungradable. 96% of patients were 'Happy with the use of AI'.

conclusionOur new model for AI-assisted DR screening was culturally safe, acceptable to patients and effective, demonstrating an 11-fold increase in screening rates compared to 2023 Pilbara data. In remote Australian settings, AI-assisted DR screening may overcome historical barriers to service provision and improve minimisation of preventable blindness.

Indexed as

Artificial IntelligenceDiabetic RetinopathyMass ScreeningAdultAgedFemaleHealth Services, IndigenousHumansMaleMiddle AgedProspective StudiesTelemedicineWestern Australiadeep learning systemdiabetes mellitusdiabetic retinopathyremotescreening

Identifiers

PMID40110918
PMCPMC11924877

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.