Evidence map›Paper›PMID 40125479›Full record

ArticleClinical ophthalmology (Auckland, N.Z.)2025

Comparison of the Aireen System with Telemedicine Evaluation by an Ophthalmologist - A Real-World Study.

Martin Šín, Renata Ženíšková, Martin Slíva, Kamila Dvořák, Jozefína Vaľková, Jan Bayer, Barbora Karasová, Jan Tesař, Dana Fillová, Martin Prázný

Abstract read
In one paragraph

Article in Clinical ophthalmology (Auckland, N.Z.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Review
  2. 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

10 authors.

Martin ŠínDepartment of Ophthalmology, Military University Hospital Prague, 1st Faculty of Medicine, Charles University, Prague, Czech Republic.ORCID 0000-0002-5073-9482
Renata ŽeníškováDepartment of Ophthalmology, Military University Hospital Prague, 1st Faculty of Medicine, Charles University, Prague, Czech Republic.
Martin SlívaAireen a.s., Prague, Czech Republic.
Kamila DvořákAireen a.s., Prague, Czech Republic.ORCID 0000-0003-0394-099X
Jozefína VaľkováAireen a.s., Prague, Czech Republic.
Jan BayerAireen a.s., Prague, Czech Republic.
Barbora KarasováAireen a.s., Prague, Czech Republic.
Jan TesařDepartment of Ophthalmology, Military University Hospital Prague, 1st Faculty of Medicine, Charles University, Prague, Czech Republic.
Dana FillováEye Centre Prague a.s., Prague, Czech Republic.
Martin Prázný3rd Department of Internal Medicine, General University Hospital in Prague, Prague, Czech Republic.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: This study aimed to compare general ophthalmologists, retina specialists, and Aireen AI screening system with the clinical reference standard of a three-member high-level expert committee for diabetic retinopathy (DR) in the evaluation of fundus images for DR. Patients and Methods: The study was designed as a diagnostic, multicenter, cross-sectional, non-randomized diagnostic study. The cohort included in the clinical investigation consisted of 1274 patients with diabetes mellitus (DM) type I or II. Each patient underwent one-field fundus photography using a non-mydriatic camera to assess findings of DR. One hundred and nineteen subjects (9.3%) were excluded from the clinical investigation based on Aireen system assessment. In the clinical investigation, all images were assessed at three independent levels of evaluation: 1) general ophthalmologists (GO) - without subspecialty training in the retina; 2) retina specialists (RS); and 3) system Aireen. In cases where there may be disagreements amongst groups, the image is referred for assessment by the Diabetic Retinopathy Board (DRB). Results: The overall prevalence of any DR was 31.9% (368 cases out of 1154 DM), according to the DRB. Overall concordance between AI system Aireen and GO and RS assessments in the detection of DR from fundus photography occurred in 734 cases (63.6%). The number of disagreements between Aireen system, GO and RS evaluation occurred in 420 (36.4%) cases. Sensitivity for GO was 87.0% (95% CI: 83.6; 90.4), for RS was 82.9% (95% CI: 79.1; 86.7), and for AI system Aireen was 92.1% (95% CI: 89.3; 94.9). Specificity was 76.5% (95% CI: 73.5; 79.5), 81.2% (95% CI: 78.5; 83.9), and 90.7% (95% CI: 88.7; 92.7) for GO, RS and AI system Aireen, respectively. Conclusion: This real-world study illustrates the potential use of AI system Aireen in screening for DR. It exhibits higher sensitivity and specificity compared to telemedicine evaluation of one field fundus image.

Indexed as

artificial intelligencediabetic retinopathyfundus imagescreening

Identifiers

PMID40125479
PMCPMC11930250

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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.