Evidence map›Paper›PMID 40264218›Full record

ArticleInternational journal of retina and vitreous2025

The efficacy of artificial intelligence in diabetic retinopathy screening: a systematic review and meta-analysis.

Abdullah S Alqahtani, Wasan M Alshareef, Hanan T Aljadani, Wesal O Hawsawi, Marya H Shaheen

Abstract read
In one paragraph

Article in International journal of retina and vitreous, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

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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

5 authors.

Abdullah S AlqahtaniDepartment of Surgery, Division of Ophthalmology, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Jeddah, Saudi Arabia. Dr-a-saleh@hotmail.com.
Wasan M AlshareefKing Saud Bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia.
Hanan T AljadaniKing Saud Bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia.
Wesal O HawsawiKing Saud Bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia.
Marya H ShaheenKing Saud Bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo evaluate the efficacy of artificial intelligence (AI) in screening for diabetic retinopathy (DR) using fundus images and optical coherence tomography (OCT) in comparison to traditional screening methods.

methodsThis systematic review was registered with PROSPERO (ID: CRD42024560750). Systematic searches were conducted in PubMed Medline, Cochrane Central, ScienceDirect, and Web of Science using keywords such as "diabetic retinopathy," "screening," and "artificial intelligence." Only studies published in English from 2019 to July 22, 2024, were considered. We also manually reviewed the reference lists of relevant reviews. Two independent reviewers assessed the risk of bias using the QUADAS-2 tool, resolving disagreements through discussion with the principal investigator. Meta-analysis was performed using MetaDiSc software (version 1.4). To calculate combined sensitivity, specificity, summary receiver operating characteristic (SROC) plots, forest plots, and subgroup analyses were performed according to clinician type (ophthalmologists vs. retina specialists) and imaging modality (fundus images vs. fundus images + OCT).

results18 studies were included. Meta-analysis showed that AI systems demonstrated superior diagnostic performance compared to doctors, with the pooled sensitivity, specificity, diagnostic odds ratio, and Cochrane Q index of the AI being 0.877, 0.906, 0.94, and 153.79 accordingly. The Fagan nomogram analysis further confirmed the strong diagnostic value of AI. Subgroup analyses revealed that factors like imaging modality, and doctor expertise can influence diagnostic performance.

conclusionAI systems have demonstrated strong diagnostic performance in detecting diabetic retinopathy, with sensitivity and specificity comparable to or exceeding traditional clinicians.

Indexed as

Artificial intelligenceDiabetic retinopathyScreening

Identifiers

PMID40264218
PMCPMC12012971

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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.