Diagnostic performance of deep-learning-based screening methods for diabetic retinopathy in primary care-A meta-analysis.
PLoS One
; 16(8): e0255034, 2021.
Article
in English
| MEDLINE | ID: covidwho-1352702
ABSTRACT
BACKGROUND:
Diabetic retinopathy (DR) affects 10-24% of patients with diabetes mellitus type 1 or 2 in the primary care (PC) sector. As early detection is crucial for treatment, deep learning screening methods in PC setting could potentially aid in an accurate and timely diagnosis.PURPOSE:
The purpose of this meta-analysis was to determine the current state of knowledge regarding deep learning (DL) screening methods for DR in PC. DATA SOURCES A systematic literature search was conducted using Medline, Web of Science, and Scopus to identify suitable studies. STUDY SELECTION Suitable studies were selected by two researchers independently. Studies assessing DL methods and the suitability of these screening systems (diagnostic parameters such as sensitivity and specificity, information on datasets and setting) in PC were selected. Excluded were studies focusing on lesions, applying conventional diagnostic imaging tools, conducted in secondary or tertiary care, and all publication types other than original research studies on human subjects. DATA EXTRACTION The following data was extracted from included studies authors, title, year of publication, objectives, participants, setting, type of intervention/method, reference standard, grading scale, outcome measures, dataset, risk of bias, and performance measures. DATA SYNTHESIS ANDCONCLUSION:
The summed sensitivity of all included studies was 87% and specificity was 90%. Given a prevalence of DR of 10% in patients with DM Type 2 in PC, the negative predictive value is 98% while the positive predictive value is 49%.LIMITATIONS:
Selected studies showed a high variation in sample size and quality and quantity of available data.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Primary Health Care
/
Mass Screening
/
Diabetic Retinopathy
/
Deep Learning
Type of study:
Diagnostic study
/
Observational study
/
Prognostic study
/
Randomized controlled trials
/
Reviews
/
Systematic review/Meta Analysis
Limits:
Humans
Language:
English
Journal:
PLoS One
Journal subject:
Science
/
Medicine
Year:
2021
Document Type:
Article
Affiliation country:
Journal.pone.0255034
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