SCREEN-DR: Collaborative platform for diabetic retinopathy

Pedrosa, Micael; Silva, Jorge Miguel; Silva, João Figueira; Matos, Sérgio; Costa, Carlos

doi:10.1016/j.ijmedinf.2018.10.005

Cited by 17 publications

(17 citation statements)

References 28 publications

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“…Several DR telescreening models have been implemented. Retinal images are generally acquired by trained primary care physicians, technicians, ophthalmic photographers and nurses [ 7 , 10 , 12 , 13 , 15 , 17 , 18 , 20 , 22 , 23 , 25 – 27 , 27 – 31 , 53 – 60 , 63 – 65 , 68 – 72 , 51 – 53 , 53 , 97 – 101 , 57 , 58 , 58 , 59 , 26 – 30 , 64 , 64 , 65 , 65 , 48 – 55 , 58 – 60 , 63 – 67 , 81 , 82 , 82 , 83 , 79 – 83 ].…”

Section: Resultsmentioning

confidence: 99%

“…Pedrosa et al [ 57 ] presented a multidisciplinary collaborative platform based on machine learning to create an algorithm to help diagnose DR by evaluating image quality, discarding healthy eyes and DR grading. The results were presented as average time needed for image evaluation, with shorter time for bad image quality and longer time for good quality.…”

Section: Resultsmentioning

confidence: 99%

“…There were also significant problems regarding telemedicine programs associated with a growing demand for trained/certified eye fundus photographers [ 81 ] and image readers [ 18 , 63 ]. As a solution to that problem, training in picture-taking could be offered to nurses and technicians [ 12 , 15 , 18 , 22 , 23 , 27 , 31 – 34 , 38 , 42 – 45 , 47 , 48 , 50 , 52 – 57 , 60 , 63 , 64 , 68 , 70 – 72 , 74 , 79 – 81 , 98 – 100 ]. One promising solution was in-home testing, where patients themselves took pictures of their retinas [ 97 ].…”

Section: Resultsmentioning

confidence: 99%

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The Role of Telemedicine, In-Home Testing and Artificial Intelligence to Alleviate an Increasingly Burdened Healthcare System: Diabetic Retinopathy

2021

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

The Role of Telemedicine, In-Home Testing and Artificial Intelligence to Alleviate an Increasingly Burdened Healthcare System: Diabetic Retinopathy

2021

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“…After the retinographies are performed they are analysed and graded by ophthalmologists [ 39 ]. ARSN is conducting a research aiming the introduction of automatic image reading software in DR screening programme, however, this technology is still experimental [ 42 ]. After the grading, positive cases are referred to the hospital for treatment.…”

Section: Resultsmentioning

confidence: 99%

Five regions, five retinopathy screening programmes: a systematic review of how Portugal addresses the challenge

Pereira

Laureano

Neto

2021

BMC Health Serv Res

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Background The implementation of a population-based screening programme for diabetic retinopathy involves several challenges, often leading to postponements and setbacks at high human and material costs. Thus, it is of the utmost importance to promote the sharing of experiences, successes, and difficulties. However, factors such as the existence of regional programmes, specificities of each country’s health systems, organisational and even linguistic barriers, make it difficult to create a solid framework that can be used as a basis for future projects. Methods Web of Science and PubMed platforms were searched using appropriate key words. The review process resulted in 423 articles adherent to the search criteria, 28 of which were accepted and analysed. Web sites of all Portuguese governmental and non-governmental organisations, with a relevant role on the research topic, were inspected and 75 official documents were retrieved and analysed. Results Since 2001, five regional screening programmes were gradually implemented under the guidelines of Portuguese General Health Department. However, complete population coverage was still not achieved. Among the main difficulties reported are the complex articulation between different levels of care providers, the low number of orthoptic technician in the national health system, the high burden that images grading, and treatment of positive cases represents for hospitals ophthalmology services, and low adherence rates. Yet, the comparison between strategies adopted in the different regions allowed the identification of potential solutions: hire orthoptic technician for primary health care units, eliminating the dependence of hospital professionals; use artificial intelligence algorithms for automatic retinographies grading, avoiding ophthalmologists overload; adoption of proximity strategies, as the use of portable retinographers, to promote adherence to screening. Conclusion Access to diabetic retinopathy screening remains remarkably variable in Portugal and needs urgent attention. However, several characteristics of effective screening programmes were found in Portuguese screening programmes, what seems to point toward promising outcomes, especially if each other highlights are considered. The findings of this research could be very useful for the other countries with similar socio-political characteristics. Trial registration PROSPERO registration ID CRD42020200115.

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“…DICOM structures the data and associated metadata in its information model denominated DIM [33]. The organization is hierarchical and Patientoriented [41].…”

Section: Pacs and Dicom Integrationmentioning

confidence: 99%

Pathobox: The Collaborative Tele-pathology Platform with Access Management

Lebre

Jesus

Nunes

et al. 2021

Biomedical Engineering Systems and Technologies

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Recent technological advances in medical informatics led to the adoption of new technologies in pathology clinical area. Digital pathology is allowing the acquisition, storage, and distribution of pathological digital samples, which are gathered by scanners and displayed in network workstations. This paper discusses the opportunities and challenges of digital pathology, and how it is changing education, training, and medical practice nowadays. A new paradigm of collaborative telepathology is proposed through a cloud-based architecture, fully compliant with the DICOM standard, that integrates a cross-platform pathology viewer, collaborative tools, virtual work-spaces, and personal storage areas. Data management and privacy are ensured through the implementation of a role-based access control mechanism. The solution was designed to serve distinct use cases, including telepathology and eacademy.

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SCREEN-DR: Collaborative platform for diabetic retinopathy

Cited by 17 publications

References 28 publications

The Role of Telemedicine, In-Home Testing and Artificial Intelligence to Alleviate an Increasingly Burdened Healthcare System: Diabetic Retinopathy

The Role of Telemedicine, In-Home Testing and Artificial Intelligence to Alleviate an Increasingly Burdened Healthcare System: Diabetic Retinopathy

Five regions, five retinopathy screening programmes: a systematic review of how Portugal addresses the challenge

Pathobox: The Collaborative Tele-pathology Platform with Access Management

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