Identification of factors to increase efficacy of telemedicine screening for diabetic retinopathy in endocrinology practices using the Intelligent Retinal Imaging System (IRIS) platform

Naik, Sapna; Wykoff, Charles C.; Ou, William C.; Stevenson, Jonathan; Gupta, Sunil; Shah, Ankoor

doi:10.1016/j.diabres.2018.04.011

Cited by 20 publications

(13 citation statements)

References 15 publications

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“…In the one study from Canada [25] including only type 2 diabetes the prevalence of any DR, NPDR and PDR was 25.1%, 23.6% and 6.5% respectively. The 2 other studies from Alaska [26] and the USA [27] where the type of diabetes was either not recorded or the population was mixed the prevalence of any DR was 20.2% and 33.9%, NPDR 17.6% and 32.8%, PDR 2.3% and 1.2%, DME 2.3% and 4.3% respectively.…”

Section: Resultsmentioning

confidence: 94%

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IDF Diabetes Atlas: A review of studies utilising retinal photography on the global prevalence of diabetes related retinopathy between 2015 and 2018

Thomas

Halim

Gurudas

et al. 2019

Diabetes Research and Clinical Practice

284

151

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The purpose of this study is to assess the prevalence of diabetic retinopathy (DR) worldwide from articles published since 2015 where the assessment of the presence and severity of DR was based on retinal images. Methods: A total of 4 databases were searched for the MESH terms diabetic retinopathy and prevalence. Of 112 publications 32 studies were included and individual data pooled for analysis. The presence of any DR or diabetic macular edema (DME) was recorded and severity as mild, moderate or severe non-proliferative DR (NPDR), proliferative DR (PDR) and DME and/or clinically significant macular edema (CSME). The level of severity of DR reported refer to persons with diabetes and not individual eyes.

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Section: Resultsmentioning

confidence: 94%

“…In North America & Caribbean, Region 4, there were a total of 3 studies [25][26][27] involving 56,518 people with diabetes examined from 2007, 2011 and 2013 onwards, with periods extending over 4-6 years duration ( Table 3). The overall prevalence of any DR, was 21.9%, NPDR 19.5%, PDR 2.5% and DME at 2.5%.…”

Section: Resultsmentioning

confidence: 99%

IDF Diabetes Atlas: A review of studies utilising retinal photography on the global prevalence of diabetes related retinopathy between 2015 and 2018

Thomas

Halim

Gurudas

et al. 2019

Diabetes Research and Clinical Practice

284

151

View full text Add to dashboard Cite

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“…21,22 Although this study used the gold standard doubleread ETDRS 7-field photography, we would expect similar results using dilated fundus examinations and simpler photographic methods assuming a substantial correlation between these techniques and the gold standard. 23 With advances in technology used to obtain high quality color fundus photographs [24][25][26] and the use of artificial intelligence algorithms to classify these photographs, 7,8,26,[28][29][30] large scale programs to identify the need of patients to see a retinal specialist have been implemented to reduce morbidity associated with diabetic retinopathy. 6 Technological advances in clinical electroretinography have also made this test much better suited to aid in the detection of diabetic retinopathy.…”

Section: Discussionmentioning

confidence: 99%

Enhancing Risk Assessment in Patients with Diabetic Retinopathy by Combining Measures of Retinal Function and Structure

Brigell

Chiang

Maa

et al. 2020

Trans. Vis. Sci. Tech.

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To determine whether combining measures of retinal structure and function predicts need for intervention for diabetic retinopathy (DR) better than either modality alone. Methods: The study sample consisted of 279 diabetic patients who participated in an earlier cross-sectional study. Patients were excluded if they were previously treated for macular edema or proliferative DR or if they had other retinopathies. Medical records were reviewed for ocular interventions including vitrectomy, intravitreal injection, and laser treatment. Need for intervention was analyzed using Kaplan-Meier analyses and Cox proportional hazards. Baseline electroretinograms and fundus photographs were obtained. Two definitions of structural positive findings were as follows: 1. Early Treatment of Diabetic Retinopathy Study diabetic retinopathy severity scale (ETDRS-DR) severity ≥ level 53 (ETDRS-DR+) and 2. ETDRS-DR+ or clinically significant macular edema (VTDR+). A positive function finding corresponded to a RETeval DR Score >23.5 (RETeval+). Results: For patients with VTDR+ the incidence of intervention was 19%, 31%, and 53% after 1, 2, and 3 years of follow-up. In these patients, intervention incidence increased to 34%, 54%, and 74% the subsequent 1, 2, and 3 years if function was above criterion (RETeval+), whereas RETeval− results reduced the risk to 3%, 4%, and 29%, respectively, reducing risk to similar levels seen for patients with VTDR− results at baseline. Conclusions: Prediction of subsequent intervention was best when combining structural and functional information. Translational Relevance: This study demonstrates that clinical management of diabetic retinopathy is improved by adding electroretinography to fundus photographic information in assessing the risk of the need for intervention.

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“…The current field of ophthalmology is overburdened with a high demand of monthly clinic visits with ophthalmologic imaging required to determine if the patient requires treatment for diabetic retinopathy or age-related macular degeneration. Instead of being done in a clinic environment, a more efficient tele-ophthalmology approach includes pointof-care image acquisition at a local pharmacy or optometrist office, or even at home via imaging devices attached to mobile phones [119,120]. Also as with teledermatology, ophthalmology image data privacy and security are critical, since any images in the glaucoma patient use case above depicting the iris or retina are typically considered PHI [121,122].…”

Section: Ophthalmologymentioning

confidence: 99%

Multispecialty Enterprise Imaging Workgroup Consensus on Interactive Multimedia Reporting Current State and Road to the Future: HIMSS-SIIM Collaborative White Paper

Roth

Clunie²,

Vining

et al. 2021

J Digit Imaging

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Diagnostic and evidential static image, video clip, and sound multimedia are captured during routine clinical care in cardiology, dermatology, ophthalmology, pathology, physiatry, radiation oncology, radiology, endoscopic procedural specialties, and other medical disciplines. Providers typically describe the multimedia findings in contemporaneous electronic health record clinical notes or associate a textual interpretative report. Visual communication aids commonly used to connect, synthesize, and supplement multimedia and descriptive text outside medicine remain technically challenging to integrate into patient care. Such beneficial interactive elements may include hyperlinks between text, multimedia elements, alphanumeric and geometric annotations, tables, graphs, timelines, diagrams, anatomic maps, and hyperlinks to external educational references that patients or provider consumers may find valuable. This HIMSS-SIIM Enterprise Imaging Community workgroup white paper outlines the current and desired clinical future state of interactive multimedia reporting (IMR). The workgroup adopted a consensus definition of IMR as “interactive medical documentation that combines clinical images, videos, sound, imaging metadata, and/or image annotations with text, typographic emphases, tables, graphs, event timelines, anatomic maps, hyperlinks, and/or educational resources to optimize communication between medical professionals, and between medical professionals and their patients.” This white paper also serves as a precursor for future efforts toward solving technical issues impeding routine interactive multimedia report creation and ingestion into electronic health records.

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Identification of factors to increase efficacy of telemedicine screening for diabetic retinopathy in endocrinology practices using the Intelligent Retinal Imaging System (IRIS) platform

Cited by 20 publications

References 15 publications

IDF Diabetes Atlas: A review of studies utilising retinal photography on the global prevalence of diabetes related retinopathy between 2015 and 2018

IDF Diabetes Atlas: A review of studies utilising retinal photography on the global prevalence of diabetes related retinopathy between 2015 and 2018

Enhancing Risk Assessment in Patients with Diabetic Retinopathy by Combining Measures of Retinal Function and Structure

Multispecialty Enterprise Imaging Workgroup Consensus on Interactive Multimedia Reporting Current State and Road to the Future: HIMSS-SIIM Collaborative White Paper

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