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AI-baserad bildanalys vid screening för diabetesretinopati: en systematisk översikt och utvärdering av medicinska, hälsoekonomiska, etiska och organisatoriska aspekter. HTA syd Rapport 2025:4, published 17 December 2025. Abstract (Results), p. 2.","title":"AI-baserad bildanalys vid screening för diabetesretinopati","url":"https://vardgivare.skane.se/siteassets/3.-kompetens-och-utveckling/sakkunniggrupper/hta/rapporter/2025/ai-baserad-bildanalys-vid-screening-for-diabetesretinopati.pdf","date":"2025-12-17","written_by":"independent","quote":"AI-based image analysis of fundus photographs demonstrated high diagnostic accuracy for detecting referable diabetic retinopathy, with pooled sensitivity of approximately 92% and specificity of 91% (moderate certainty)."}]}},"provenance":{"kind":"legacy_record","basis":"Editorial assignment.","record_fields":["evidence"],"source_refs":[]},"review_state":"record_mapped","coverage":"partial"},"sources[].upstream_sources":{"state":"unresolved","provenance":{"kind":"curatorial","basis":"Editorial assignment.","record_fields":[],"source_refs":[]},"reason":"This is an explicit unresolved assignment: the sources on record do not settle this question.","review_state":"not_assessed","coverage":"partial"},"strategic_assessments[]":{"state":"unresolved","review_state":"not_assessed","coverage":"partial","family":"strategic assessments"},"summary":{"state":"value_present","value":{"kind":"record_fields","fields":{"summary":"HTA syd pooled 13 studies and found, with moderate certainty, that AI grading of retinal photographs detects referable diabetic retinopathy with about 92% sensitivity and 91% specificity.","account":"HTA syd, the assessment unit of Sweden's Southern Healthcare Region, published its report on 17 December 2025. Region Halland had asked whether AI software could replace manual grading of fundus photographs in diabetic retinopathy screening. The unit searched databases in July 2025, reviewed comparative studies and graded the evidence with GRADE. Thirteen studies with 47,114 people compared AI grading with human graders reading the same photographs. For referable retinopathy, the pooled sensitivity was about 92% and the specificity 91%, with moderate certainty. The included studies tested products such as EyeArt, IDx-DR, SELENA, RetCAD and Aireen. HTA syd found no study of vision loss, blindness, treatment or quality of life. In two studies, screening took less time with AI, with low certainty. A scenario in the report puts the staff time released in the region at about 1,400 hours a year. No public eye clinic in Sweden used AI grading. 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