Evidence map›Paper›PMID 42846562›Full record

ReviewCureus2026

Deep Learning Algorithms for the Diagnosis and Staging of Retinopathy of Prematurity: A Systematic Review and Meta-Analysis.

Anna Nikolaidou, Stella Moutzouri, Konstantinos Benekos, Theodora Gianni, Christos Frantzidis, Eirini Maliagkani, Andreas Symeonidis, Christos Bergeles, Anna-Bettina Haidich, Asimina Mataftsi

Abstract readReview
In one paragraph

Review in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Anna NikolaidouInstitute for Ophthalmic Research, University of Tübingen, Tübingen, DEU.
Stella Moutzouri2nd Department of Ophthalmology, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki, GRC.
Konstantinos BenekosDepartment of Ophthalmology, University Hospital of Ioannina, Ioannina, GRC.
Theodora GianniDepartment of Ophthalmology, "Agia Sophia" Children's Hospital, Athens, GRC.
Christos FrantzidisSchool of Computer Science, University of Lincoln, Lincoln, GBR.
Eirini Maliagkani1st Department of Ophthalmology, National and Kapodistrian University of Athens, School of Medicine, Athens, GRC.
Andreas SymeonidisSchool of Electrical and Computer Engineering, Aristotle University of Thessaloniki, Thessaloniki, GRC.
Christos BergelesKing's College London, School of Biomedical Engineering and Imaging Sciences, London, GBR.
Anna-Bettina HaidichDepartment of Hygiene, Social-Preventive Medicine and Medical Statistics, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki, GRC.
Asimina Mataftsi2nd Department of Ophthalmology, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki, GRC.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The objective of this systematic review and meta-analysis is to evaluate artificial intelligence (AI) algorithms that diagnose and stage retinopathy of prematurity (ROP). Diagnostic accuracy studies reporting metrics of algorithms using fundus images for ROP identification and staging were included and evaluated. Meta-analysis was conducted for ROP identification studies. Fourteen studies were included in the systematic review and ten studies in the meta-analysis. In total, the studies included in the meta-analysis dealt with 37,057 images. AI showed a high performance in detecting ROP with pooled sensitivity equal to 95% (95% CI 91.5%-97.1%), while the respective value concerning specificity was 97.4% (95% CI 95.3%-98.6%) for ROP identification. The heterogeneity index I² showed a moderate level of heterogeneity, equal to 0.75. Most of the studies lacked bias control for participants' selection to allow clinical setting applicability. Our research demonstrates that AI algorithms have the potential to become a useful tool in accurately diagnosing and grading ROP. ROP screening can be enhanced by the application of AI but requires special attention regarding bias and real-world implementation.

Indexed as

artificial intelligencedeep learning (dl)diagnosispediatric ophthalmologyretinopathy of prematurity (rop)staging

Identifiers

PMID42846562
PMCPMC13644644

What OpenQuestion holds

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Registered trials

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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.