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Table 1 Summary of the data obtained from the included studies

From: The efficacy of artificial intelligence in diabetic retinopathy screening: a systematic review and meta-analysis

Author

Year

Country

Sample size (patient)

Eye disease

Reference standard (RS)

SN and SP of (RS)

OCT or funds image

AI system

Country of AI system

SN and SP of AI

Lim JI et al. [6]

2022

US

521

DR and ME

General ophthalmologists and retina specialists

Retina specialists: SN 59.5%, SP 98.9%

General ophthalmologists: SN 20.6%, SP 99.8%

fundus image

EyeArt

US

SN: 96.4%, SP: 88.4%

Zhang Wf et al. [7]

2022

China

630

DR and ME

Ophthalmologists

N/A

Funds image

EyeWisdom V1

China

SN: 98.23%

SP: 74.45

Liu R et al. [8]

2022

China

600

DR and ME

Retina specialists

N/A

OCT and fundus image

Faster R-CNN

China

?

Li N et al. [9]

2021

China

1147

DR

Retina specialist

N/A

Funds image

VoxelCloud

China

SN:85.1%

SP:95.6%

Dow ER et al. [10]

2023

US

1222

DR

Retina specialists

SN: 69.5% SP: 96.9%

Funds image

IDx-DR

Us

SN: 95.5%

SP: 60.3%

Vebraak Fd et al. [11]

2019

?

1425

DR

Retina specialists

N/A

Funds image

IDx-DR-EU-2.1

The Netherlands

SN: 79.4% SP: 93.8%

Wintergerst Mwm et al. [12]

2021

Germany

75

DR and ME

Trained graders and ophthalmologist experts

SN: 67% SP:74

Funds image

EyeArt version 2.1.

US

SN: 100%

SP: 98

Abràmoff Md et al. [13]

2018

US

819

DR and ME

Trained grader

N/A

OCT and fundus

IDx-D

US

SN: 87.2%

SP: 90.7

Quellec [14]

2019

France

164,660 (procedures)

DR

Certified ophthalmologists

N/A

Funds image

OphthAI

France

SN:99% SP:90.2

Wang Y et al. [15]

2021

China

4900

DR

Trained graders and licensed and senior ophthalmologists

N/A

Funds image

DLA based on inceotion -V3 convolutional neural networks

China

SN: 97% and SP: 87.9%

Baget-Bernaldiz M et al. [16]

2021

Spain

7164

DR

Retina specialists

N/A

Funds image

DLA built on convolutional neural networks.

Spain

SN: 97.92% SP:99.91

Nunez do Rio JM et al. [17]

2022

India

11,199

DR

Trained optometrists and ophthalmologists

N/A

Funds image

Zeiss VISUHEALTH-AI DR

Singapore

SN: 72.08%

SP: 85.65

Gulshan V et al. [18]

2019

India

3049

DR and ME

Trained graders and retinal specialist

Retinal Specialist (Aravind):

SN: 89.8%

Sp: 83.5%

Retinal Specialist (Sankara):

SN: 73.4%

SP: 98.7%

Trained Grader (Aravind):

SN: 75.7%

Sp: 94.2%

Trained Grader (Sankara):

SN: 84.2%

Sp: 98.6

Funds image

Automated DR grading system based on deep learning algorithms

USA

?

Rogers T.W et al. [19]

2020

Mexico

5752

DR

Board od experts

N/A

Funds image

Pegasus, Visulytix Ltd., U

UK

SN:81.6% SP:81.7

Scheetz J et al. [20]

2021

China

203

DR

NHS-certified retinal grader

N/A

Funds image

?

Australia

SN:96.9% SP:87.7

Zhang Y et al. [21]

2020

China

4726

DR and ME

Ophthalmologis

N/A

Funds image

VoxelCloud

China

SN: 83.3%. SP: 92.5

Wongchaisuwat et al. [22]

2021

Thailand

Nidek:

3515 Eidon:2663

DR and ME

Retinal experts

N/A

Funds image by Nidek and Eidon cameras

DL based on convolutional neural networks

Thailand

SN of AI:

Nidek: 93%

Eidon: 88%

SP of AI:

Nidek: 91%

Eidon: 85

Ming s et al. [23]

2021

China

193

DR

Retinal experts

N/A

Funds image

China

Eye wisdom

SN: 83.3% SP: 97.9%