Assessment of image-based technology: impact of referral cutoff on accuracy and reliability of remote retinopathy of prematurity diagnosis.

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dc.contributor.authorChiang, Michael F
dc.contributor.authorKeenan, Jeremy D
dc.contributor.authorDu, Yunling E
dc.contributor.authorSchiff, William
dc.contributor.authorBarile, Gaetano
dc.contributor.authorLi, Joan
dc.contributor.authorHess, Ditte J
dc.contributor.authorJohnson, Rose Anne
dc.contributor.authorFlynn, John T
dc.contributor.authorStarren, Justin
dc.date.accessioned2020-02-10T17:30:37Z
dc.date.available2020-02-10T17:30:37Z
dc.date.issued2006-06-16
dc.description.abstractTelemedicine has potential to improve the delivery quality and accessibility of ophthalmic care for infants with Retinopathy of Prematurity ROP Using a telemedicine screening strategy three potential diagnostic cutoffs may be used to define disease that warrants ophthalmologic referral presence of any ROP presence of moderate type 2 prethreshold ROP or presence of severe ROP requiring treatment This study examines the relationship between accuracy and reliability of diagnosis by three masked ophthalmologist graders at each of these diagnostic cutoffs The sensitivity specificity inter grader reliability and intra grader reliability showed significant variation depending on the diagnostic cutoff with best results at cutoffs of type 2 prethreshold ROP or treatment requiring ROP Before the large scale adoption of telemedicine for image based screening of diseases such as ROP standards defining clinically relevant referral cutoffs must be established and diagnostic accuracy and reliability at these cutoffs must be characterized
dc.identifier.urihttp://dx.doi.org/Not available
dc.identifier.urihttps://lib.digitalsquare.io/xmlui/handle/123456789/26926
dc.relation.uriAMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium
dc.titleAssessment of image-based technology: impact of referral cutoff on accuracy and reliability of remote retinopathy of prematurity diagnosis.en
dcterms.abstractTelemedicine has potential to improve the delivery quality and accessibility of ophthalmic care for infants with Retinopathy of Prematurity ROP Using a telemedicine screening strategy three potential diagnostic cutoffs may be used to define disease that warrants ophthalmologic referral presence of any ROP presence of moderate type 2 prethreshold ROP or presence of severe ROP requiring treatment This study examines the relationship between accuracy and reliability of diagnosis by three masked ophthalmologist graders at each of these diagnostic cutoffs The sensitivity specificity inter grader reliability and intra grader reliability showed significant variation depending on the diagnostic cutoff with best results at cutoffs of type 2 prethreshold ROP or treatment requiring ROP Before the large scale adoption of telemedicine for image based screening of diseases such as ROP standards defining clinically relevant referral cutoffs must be established and diagnostic accuracy and reliability at these cutoffs must be characterized
dcterms.contributorChiang, Michael F
dcterms.contributorKeenan, Jeremy D
dcterms.contributorDu, Yunling E
dcterms.contributorSchiff, William
dcterms.contributorBarile, Gaetano
dcterms.contributorLi, Joan
dcterms.contributorHess, Ditte J
dcterms.contributorJohnson, Rose Anne
dcterms.contributorFlynn, John T
dcterms.contributorStarren, Justin
dcterms.identifierhttp://dx.doi.org/Not available
dcterms.relationAMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium
dcterms.titleAssessment of image-based technology: impact of referral cutoff on accuracy and reliability of remote retinopathy of prematurity diagnosis.en
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