Evidence mapPaperPMID 40087776Full record

SynthesisBiomedical engineering online2025

Performance and limitation of machine learning algorithms for diabetic retinopathy screening and its application in health management: a meta-analysis.

Mehrsa Moannaei, Faezeh Jadidian, Tahereh Doustmohammadi, Amir Mohammad Kiapasha, Romina Bayani, Mohammadreza Rahmani, Mohammad Reza Jahanbazy, Fereshteh Sohrabivafa, Mahsa Asadi Anar, Amin Magsudy and 2 more

Abstract readMeta-Analysis
In one paragraph

Synthesis in Biomedical engineering online, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

12 authors.

Mehrsa Moannaei *School of Medicine, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.ORCID http://orcid.org/0000-0002-3302-440X
Faezeh Jadidian *School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.ORCID https://orcid.org/0000-0001-8856-4350
Tahereh Doustmohammadi *Department and Faculty of Health Education and Health Promotion, Student Research Committee, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Amir Mohammad Kiapasha *Student Research Committee, School of Medicine, Shahid Beheshti University of Medical Science, Tehran, Iran.
Romina BayaniStudent Research Committee, School of Medicine, Shahid Beheshti University of Medical Science, Tehran, Iran.
Mohammadreza Rahmani *Student Research Committee, Zanjan University of Medical Sciences, Zanjan, Iran.ORCID https://orcid.org/0000-0002-8703-2966
Mohammad Reza Jahanbazy *Student Research Committee, Isfahan University of Medical Sciences, Isfahan, Iran.
Fereshteh SohrabivafaHealth Education and Promotion, Department of Community Medicine, School of Medicine, Dezful University of Medical Sciences, Dezful, Iran.
Mahsa Asadi AnarStudent Research Committee, Shahid Beheshti University of Medical Science, Arabi Ave, Daneshjoo Blvd, Velenjak, Tehran, 19839-63113, Iran. Mahsa.boz@gmail.com.
Amin MagsudyFaculty of Medicine, Islamic Azad University Tabriz Branch, Tabriz, Iran.
Seyyed Kiarash Sadat RafieiStudent Research Committee, Shahid Beheshti University of Medical Science, Arabi Ave, Daneshjoo Blvd, Velenjak, Tehran, 19839-63113, Iran.
Yaser KhakpourFaculty of Medicine, Guilan University of Medical Sciences, Rasht, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn recent years, artificial intelligence and machine learning algorithms have been used more extensively to diagnose diabetic retinopathy and other diseases. Still, the effectiveness of these methods has not been thoroughly investigated. This study aimed to evaluate the performance and limitations of machine learning and deep learning algorithms in detecting diabetic retinopathy.

methodsThis study was conducted based on the PRISMA checklist. We searched online databases, including PubMed, Scopus, and Google Scholar, for relevant articles up to September 30, 2023. After the title, abstract, and full-text screening, data extraction and quality assessment were done for the included studies. Finally, a meta-analysis was performed.

resultsWe included 76 studies with a total of 1,371,517 retinal images, of which 51 were used for meta-analysis. Our meta-analysis showed a significant sensitivity and specificity with a percentage of 90.54 (95%CI [90.42, 90.66], P < 0.001) and 78.33% (95%CI [78.21, 78.45], P < 0.001). However, the AUC (area under curvature) did not statistically differ across studies, but had a significant figure of 0.94 (95% CI [- 46.71, 48.60], P = 1).

conclusionsAlthough machine learning and deep learning algorithms can properly diagnose diabetic retinopathy, their discriminating capacity is limited. However, they could simplify the diagnosing process. Further studies are required to improve algorithms.

Indexed as

Diabetic RetinopathyMachine LearningAlgorithmsHumansArtificial intelligenceDeep learningDiabetic retinopathyMachine learning algorithmsMeta-analysis

Identifiers

PMID40087776
PMCPMC11909973

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

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 Socratic graph.