Comparison of RetCam and Smartphone-Based Photography for Retinopathy of Prematurity Screening

This study aimed to compare the clinical performance between a smartphone-based fundus photography device and a contact imaging device for retinopathy of prematurity (ROP) screening. All patients were first examined with binocular indirect ophthalmoscopy (BIO), which served as the reference standard...

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Main Authors: Jui-Yen Lin, Eugene Yu-Chuan Kang, Alay S. Banker, Kuan-Jen Chen, Yih-Shiou Hwang, Chi-Chun Lai, Jhen-Ling Huang, Wei-Chi Wu
Format: Article
Language:English
Published: MDPI AG 2022-04-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/12/4/945
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author Jui-Yen Lin
Eugene Yu-Chuan Kang
Alay S. Banker
Kuan-Jen Chen
Yih-Shiou Hwang
Chi-Chun Lai
Jhen-Ling Huang
Wei-Chi Wu
author_facet Jui-Yen Lin
Eugene Yu-Chuan Kang
Alay S. Banker
Kuan-Jen Chen
Yih-Shiou Hwang
Chi-Chun Lai
Jhen-Ling Huang
Wei-Chi Wu
author_sort Jui-Yen Lin
collection DOAJ
description This study aimed to compare the clinical performance between a smartphone-based fundus photography device and a contact imaging device for retinopathy of prematurity (ROP) screening. All patients were first examined with binocular indirect ophthalmoscopy (BIO), which served as the reference standard. The patients were then assessed by two devices. Imaging quality, ability to judge the zone and stage of ROP, agreement with the BIO results, vital signs, and pain scores were compared between these two devices. In total, 142 eyes of 71 infants were included. For the smartphone-based fundus photography, image quality was graded excellent or acceptable in 91.4% of examinations, although it was still significantly inferior to that of the contact imaging device (<i>p</i> < 0.001). The smartphone-based fundus photography images had moderate agreement with the BIO results regarding the presence or absence of plus disease (Cohen’s κ = 0.619), but evaluating the zone (<i>p</i> < 0.001) and stage (<i>p</i> < 0.001) of ROP was difficult. Systemic parameters, except for heart rate, were similar between the two imaging devices (all <i>p</i> > 0.05). In conclusion, although the smartphone-based fundus photography showed moderate agreement for determining the presence or absence of plus disease, it failed to identify the zone and stage of ROP.
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spelling doaj.art-5fdb997821a54ce4a63b0bdaa52bde7d2023-12-01T01:34:02ZengMDPI AGDiagnostics2075-44182022-04-0112494510.3390/diagnostics12040945Comparison of RetCam and Smartphone-Based Photography for Retinopathy of Prematurity ScreeningJui-Yen Lin0Eugene Yu-Chuan Kang1Alay S. Banker2Kuan-Jen Chen3Yih-Shiou Hwang4Chi-Chun Lai5Jhen-Ling Huang6Wei-Chi Wu7Department of Ophthalmology, Chang Gung Memorial Hospital, Linkou Medical Center, Taoyuan 333, TaiwanDepartment of Ophthalmology, Chang Gung Memorial Hospital, Linkou Medical Center, Taoyuan 333, TaiwanBanker’s Retina Clinic and Laser Centre, Navrangpura, Ahmedabad 380009, IndiaDepartment of Ophthalmology, Chang Gung Memorial Hospital, Linkou Medical Center, Taoyuan 333, TaiwanDepartment of Ophthalmology, Chang Gung Memorial Hospital, Linkou Medical Center, Taoyuan 333, TaiwanDepartment of Ophthalmology, Chang Gung Memorial Hospital, Linkou Medical Center, Taoyuan 333, TaiwanCenter for Big Data Analytics and Statistics, Chang Gung Memorial Hospital, Taoyuan 333, TaiwanDepartment of Ophthalmology, Chang Gung Memorial Hospital, Linkou Medical Center, Taoyuan 333, TaiwanThis study aimed to compare the clinical performance between a smartphone-based fundus photography device and a contact imaging device for retinopathy of prematurity (ROP) screening. All patients were first examined with binocular indirect ophthalmoscopy (BIO), which served as the reference standard. The patients were then assessed by two devices. Imaging quality, ability to judge the zone and stage of ROP, agreement with the BIO results, vital signs, and pain scores were compared between these two devices. In total, 142 eyes of 71 infants were included. For the smartphone-based fundus photography, image quality was graded excellent or acceptable in 91.4% of examinations, although it was still significantly inferior to that of the contact imaging device (<i>p</i> < 0.001). The smartphone-based fundus photography images had moderate agreement with the BIO results regarding the presence or absence of plus disease (Cohen’s κ = 0.619), but evaluating the zone (<i>p</i> < 0.001) and stage (<i>p</i> < 0.001) of ROP was difficult. Systemic parameters, except for heart rate, were similar between the two imaging devices (all <i>p</i> > 0.05). In conclusion, although the smartphone-based fundus photography showed moderate agreement for determining the presence or absence of plus disease, it failed to identify the zone and stage of ROP.https://www.mdpi.com/2075-4418/12/4/945imaging systemssmartphone-based screentelescreeningretinopathy of prematurity
spellingShingle Jui-Yen Lin
Eugene Yu-Chuan Kang
Alay S. Banker
Kuan-Jen Chen
Yih-Shiou Hwang
Chi-Chun Lai
Jhen-Ling Huang
Wei-Chi Wu
Comparison of RetCam and Smartphone-Based Photography for Retinopathy of Prematurity Screening
Diagnostics
imaging systems
smartphone-based screen
telescreening
retinopathy of prematurity
title Comparison of RetCam and Smartphone-Based Photography for Retinopathy of Prematurity Screening
title_full Comparison of RetCam and Smartphone-Based Photography for Retinopathy of Prematurity Screening
title_fullStr Comparison of RetCam and Smartphone-Based Photography for Retinopathy of Prematurity Screening
title_full_unstemmed Comparison of RetCam and Smartphone-Based Photography for Retinopathy of Prematurity Screening
title_short Comparison of RetCam and Smartphone-Based Photography for Retinopathy of Prematurity Screening
title_sort comparison of retcam and smartphone based photography for retinopathy of prematurity screening
topic imaging systems
smartphone-based screen
telescreening
retinopathy of prematurity
url https://www.mdpi.com/2075-4418/12/4/945
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