Evidence mapPaperPMID 41883753Full record

Trial reportFrontiers in artificial intelligence2026

Clinical validation of artificial intelligence algorithms for the detection of different central-involved retinal pathologies and glaucoma from non-mydriatic images.

Josep Vidal-Alaball, Alba Arocas Bonache, Jordi Solé-Casals, Didac Royo Fibla, Francesc Xavier Marin-Gomez, Laura Natalia Distéfano, Anna Boixadera, Ángela Casado-García, Manuel García-Domínguez, Adrián Inés and 2 more

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in Frontiers in artificial intelligence, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04132401 (Artificial Intelligence for the Detection of Central Retinal Disease and Non-mydriatic Glaucoma in the Context of Patients With Diabetes Mellitus in Primary Care), which is not on this 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.

NCT04132401 completednot on this map

Artificial Intelligence for the Detection of Central Retinal Disease and Non-mydriatic Glaucoma in the Context of Patients With Diabetes Mellitus in Primary Care: A Prospective Study Comparing the Diagnostic Capacity of an AI Algorithm

TypeobservationalSponsorFundacio d'Investigacio en Atencio Primaria Jordi Gol i GurinaRan2021 to 2023Enrolled902ConditionsDiabetic Retinopathy, Glaucoma, Age-Related Macular Degeneration, Choroidal NevusArmsalgorithm
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

12 authors.

Josep Vidal-AlaballInnovation and Research Unit, Heath Catalan Institute, Manresa, Spain.
Alba Arocas BonacheIntelligence for Primary Care Research Group, The Foundation University Institute for Primary Health Care Research Jordi Gol i Gurina, Manresa, Spain.
Jordi Solé-CasalsData and Signal Processing Group, Faculty of Science, Technology and Engineering, University of Vic - Central University of Catalonia, Vic, Spain.
Didac Royo FiblaUPRetina, Barcelona, Spain.
Francesc Xavier Marin-GomezIntelligence for Primary Care Research Group, The Foundation University Institute for Primary Health Care Research Jordi Gol i Gurina, Manresa, Spain.
Laura Natalia DistéfanoOphthalmology Department, University Hospital Vall d'Hebron, Barcelona, Spain.
Anna BoixaderaOphthalmology Department, University Hospital Vall d'Hebron, Barcelona, Spain.
Ángela Casado-GarcíaDepartment of Mathematics and Computer Science, University of La Rioja, Logroño, Spain.
Manuel García-DomínguezDepartment of Mathematics and Computer Science, University of La Rioja, Logroño, Spain.
Adrián InésDepartment of Mathematics and Computer Science, University of La Rioja, Logroño, Spain.
Jonathan HerasDepartment of Mathematics and Computer Science, University of La Rioja, Logroño, Spain.
Miguel Angel ZapataUPRetina, Barcelona, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The use of Artificial intelligence (AI) algorithms for detecting different ophthalmic diseases, especially diabetic retinopathy (DR), has become increasingly popular. In this paper, we evaluate the screening performance of different AI algorithms based on convolutional neural networks (CNNs) in a real-world scenario. To that aim, we conducted an observational and cross-sectional study on patients aged ≥18 years with type-2 diabetes mellitus, who had undergone fundus examination for DR screening using a teleophthalmology program. We used the UPRETINA diagnostic system, which consists of 8 AI algorithms based on CNNs. A total of 1,652 eyes from 871 patients were analyzed. The AI algorithms had a sensitivity/specificity of 86.8%/95.6% for detecting DR; 94.9%/94.3% for detecting age-related macular degeneration (AMD); 82.7%/92.4% for detecting glaucomatous optic neuropathy (GON); 87.0%/87.5% for detecting epiretinal membrane; and 89.7%/98.0% for detecting nevus. Additionally, the sensitivity/specificity for correctly classifying images as right eye/left eye and to correctly classifying images gradeability (medium or high quality) were 100% /100 and 92.9%/90.5%, respectively. The AUROC of the AI algorithms ranged between 0.9777 (AMD) and 0.9122 (GON). UPRETINA system was capable of automatically and accurately classifying the screening retinographies, reducing workload and leading to a scenario of more efficient optimization of resources. Clinical trial registration: https://clinicaltrials.gov/study/NCT04132401 NCT04132401.

Indexed as

artificial intelligenceclinical validationcomputer visionretinal diseasesretinal fundus image

Identifiers

PMID41883753
PMCPMC13008691

What Socratic holds

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Registered trials

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.