{"id":"AIBD-1124","title":"Region Skåne's priority council backs AI grading of eye photos in diabetes screening, expecting about 1,400 staff hours a year to be freed","summary":"Region Skåne's council backed AI grading of eye photos for people with diabetes and no known retinopathy. It judged the AI as precise as manual review and able to free about 1,400 hours a year.","date_observed":"2026-04-22","date_basis":"source publication","date_precision":"day","benefit_status":"mixed","source_collection":null,"source_entry":null,"account":"Region Skåne's Method and Priority Council asked whether the region should use AI to grade fundus photos of people with diabetes and no known retinopathy. It drew on a December 2025 review by HTA South, the assessment center for southern Sweden's health care region. On 22 April 2026, the council recommended that the region may use the software to pick out people who can keep their ordinary screening interval. It judged that the software can replace manual review with at least equal precision. That finding rests on four studies, which HTA South rated as low in certainty. Two used DAIRET by Retmarker, one used Aireen and one used an in-house model. The council expected about 1,400 hours a year to be freed for other eye care across four regions. It expected little or no change for the people screened. It could draw no conclusions on vision loss, blindness, recalls or cost-effectiveness. The council rated the evidence as low to moderate in quality and asked for structured follow-up of any adoption.","category":"aggregate result","unexpected":false,"purpose":"Retmarker, Aireen and other makers built AI software to grade fundus photographs for diabetic retinopathy and to sort out who needs referral.","system":"AI-developed automated image analysis of fundus photographs, including DAIRET (Retmarker) and Aireen in the studies behind the main finding","model_version":null,"developer":"Retmarker (DAIRET), Aireen and other makers, with an in-house model in one study","deployer":"Screening services in the studies that HTA South reviewed, with prospective use at Region Skåne's eye clinics","location":"Multiple countries (studies), with a recommendation for Skåne, Sweden","domain":"Healthcare","segment":null,"benefit_type":"Repetitive Task Automation","work_activities":["4.A.1.b.1"],"taxonomy_note":null,"registry_ids":{},"ratings":[{"group":"organizational","depth":null,"reason":"The 1,400 hours a year are a projection for the region, which had not adopted the software when the council decided."}],"ai_role":{"status":"assessed","statement":"The studies compared the software's grading with grading of the same photos by human specialists, which isolates the software's accuracy. HTA South describes the programs as developed with AI on large sets of images graded by specialists. The freed hours are a projection, and no study measured vision loss, blindness, recalls or treatment."},"evidence":[{"kind":"assessment report","citation":"Region Skåne, Metod- och prioriteringsrådet. Yttrande: AI-utvecklad automatiserad bildanalys av ögonbottenfotografier vid screening för diabetesretinopati. Dnr 2026-O000003, 22 April 2026. Metod- och prioriteringsrådets ställningstagande.","title":"AI-utvecklad automatiserad bildanalys av ögonbottenfotografier vid screening för diabetesretinopati","url":"https://vardgivare.skane.se/siteassets/3.-kompetens-och-utveckling/sakkunniggrupper/metod-och-prioriteringsradet/yttranden/yttrande-ai-bildanalys-retinopati-2026-04-22_jp.pdf","date":"2026-04-22","written_by":"independent","quote":"Region Skånes Metod- och prioriteringsråd rekommenderar att AI-utvecklad automatiserad bildanalys av ögonbottenfotografier kan användas vid screening av personer med diabetes utan tidigare känd diabetesretinopati för att identifiera personer som skall fortsätta kontroller med ordinarie screeningintervall."},{"kind":"assessment report","citation":"HTA syd (HTA South), Region Skåne. AI-baserad bildanalys vid screening för diabetesretinopati: en systematisk översikt och utvärdering av medicinska, hälsoekonomiska, etiska och organisatoriska aspekter. Rapport 2025:4, Lund, 17 December 2025. English abstract, Key Message.","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":"The health economic analysis assessed a scenario where replacing manual grading with AI could save 1,400 staff hours annually in the Southern Healthcare Region."}],"replication":{"produced_by":["The software graded fundus photographs that a nurse or ophthalmologist would otherwise review.","The studies compared the software's grading with grading by at least one person with relevant specialist competence."],"must_hold":["Each clinic integrates the software with its cameras and its medical records system.","The region follows up any adoption to track recalls, treatment and vision loss over time."],"echoes":[]},"paired_incident":null,"headline":"Skåne backs *AI fundus grading* to free hours in diabetic eye screening","metric":"about 1,400 hours a year","comparator":{"against":"Grading of the same photos by human graders, used as the reference standard","before":null,"after":"Sensitivity around 89% and specificity 84% for any retinopathy","basis":"measured","quote":"For any retinopathy, sensitivity was around 89% and specificity 84% (low certainty).","url":"https://vardgivare.skane.se/siteassets/3.-kompetens-och-utveckling/sakkunniggrupper/hta/rapporter/2025/ai-baserad-bildanalys-vid-screening-for-diabetesretinopati.pdf"},"later":null,"value":null,"developer_country":"Multiple: Portugal, Czech Republic, Pakistan","deployer_country":"Multiple","unrated_because":"The freed hours are a projection for clinics that had not yet used the software, and the council could draw no conclusions on patient outcomes.","brief_notes":null,"brief":null,"revisions":[{"date":"2026-11-01","change":"Added the record from the finding of Region Skåne's Method and Priority Council.","source":"https://vardgivare.skane.se/siteassets/3.-kompetens-och-utveckling/sakkunniggrupper/metod-och-prioriteringsradet/yttranden/yttrande-ai-bildanalys-retinopati-2026-04-22_jp.pdf","editor":"AIBD"}],"confidence":"found","shade":"high","claim_status":"Found by an assessment body","claim_basis":"Sources: two independent assessment reports. The cited evidence includes no independent study or report.","case_jurisdictions":["Sweden"],"profile":{"case_id":"AIBD-1124","catalog_version":"1.0.0","source_fingerprint":"2d81aebb2798de75c77c42903f06e433f02988c4b980e6bebd0a6d0f5398e350","collection_refs":[{"collection_id":"aibd","version":"2026-10-31"},{"collection_id":"querist","version":"2026-10-25"}],"source_ids":["AIBD-1124-source-0001","AIBD-1124-source-0002"],"families":{"strategic assessments":{"state":"unresolved","provenance":{"kind":"curatorial","basis":"Editorial assignment.","record_fields":[],"source_refs":[]},"reason":"Editorial assignment.","review_state":"not_assessed","coverage":"partial","record_ids":[]},"evaluations":{"state":"unresolved","provenance":{"kind":"curatorial","basis":"Editorial assignment.","record_fields":[],"source_refs":[]},"reason":"Editorial assignment.","review_state":"not_assessed","coverage":"partial","record_ids":[]},"monetary observations":{"state":"unresolved","provenance":{"kind":"curatorial","basis":"Editorial assignment.","record_fields":[],"source_refs":[]},"reason":"Editorial assignment.","review_state":"not_assessed","coverage":"partial","record_ids":[]},"institutional decisions":{"state":"unresolved","provenance":{"kind":"curatorial","basis":"Editorial assignment.","record_fields":[],"source_refs":[]},"reason":"Editorial assignment.","review_state":"not_assessed","coverage":"partial","record_ids":[]}},"fields":{"actors[]":{"state":"value_present","value":{"kind":"record_fields","fields":{"developer":"Retmarker (DAIRET), Aireen and other makers, with an in-house model in one study","deployer":"Screening services in the studies that HTA South reviewed, with prospective use at Region Skåne's eye clinics"}},"provenance":{"kind":"legacy_record","basis":"Editorial assignment.","record_fields":["developer","deployer"],"source_refs":[]},"review_state":"record_mapped","coverage":"partial"},"actors[].ownership_control":{"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"},"ai_contribution":{"state":"value_present","value":{"kind":"record_fields","fields":{"ai_role":{"status":"assessed","statement":"The studies compared the software's grading with grading of the same photos by human specialists, which isolates the software's accuracy. HTA South describes the programs as developed with AI on large sets of images graded by specialists. The freed hours are a projection, and no study measured vision loss, blindness, recalls or treatment."}}},"provenance":{"kind":"legacy_record","basis":"Editorial assignment.","record_fields":["ai_role"],"source_refs":[]},"review_state":"record_mapped","coverage":"partial"},"ai_relationship":{"state":"value_present","value":{"kind":"record_fields","fields":{"category":"aggregate result","ai_role":{"status":"assessed","statement":"The studies compared the software's grading with grading of the same photos by human specialists, which isolates the software's accuracy. HTA South describes the programs as developed with AI on large sets of images graded by specialists. The freed hours are a projection, and no study measured vision loss, blindness, recalls or treatment."}}},"provenance":{"kind":"legacy_record","basis":"Editorial assignment.","record_fields":["ai_role","category"],"source_refs":[]},"review_state":"record_mapped","coverage":"partial"},"assessments[].alternatives":{"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"},"assessments[].assessor_date":{"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"},"assessments[].depth":{"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"},"assessments[].display_confidence":{"state":"value_present","value":{"kind":"structured","data":{"confidence":"high","evidence_word":"found","claim_status":"Found by an assessment body","basis":"Sources: two independent assessment reports. The cited evidence includes no independent study or report.","interpretation":"Existing display rule preserved; the richer outcome-specific confidence question still needs review."}},"provenance":{"kind":"curatorial","basis":"Editorial assignment.","record_fields":[],"source_refs":[]},"review_state":"record_mapped","coverage":"partial"},"assessments[].rationale":{"state":"value_present","value":{"kind":"record_fields","fields":{"ratings":[{"group":"organizational","reason":"The 1,400 hours a year are a projection for the region, which had not adopted the software when the council decided."}]}},"provenance":{"kind":"legacy_record","basis":"Editorial assignment.","record_fields":["ratings"],"source_refs":[]},"review_state":"record_mapped","coverage":"partial"},"assessments[].rubric_version":{"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"},"assessments[].status_basis":{"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"},"assessments[].target":{"state":"value_present","value":{"kind":"record_fields","fields":{"ratings":[{"group":"organizational","reason":"The 1,400 hours a year are a projection for the region, which had not adopted the software when the council decided."}]}},"provenance":{"kind":"legacy_record","basis":"Editorial assignment.","record_fields":["ratings"],"source_refs":[]},"review_state":"record_mapped","coverage":"partial"},"availability":{"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"},"brief":{"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"},"case_kind":{"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"},"case_links[]":{"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"},"claims[].evidence_links":{"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"},"claims[].evidence_strength":{"state":"value_present","value":{"kind":"structured","data":{"answer":"Found by an assessment body. Sources: two independent assessment reports. The cited evidence includes no independent study or report.","evidence_word":"found","claim_status":"Found by an assessment body"}},"provenance":{"kind":"source_review","basis":"Editorial assignment.","record_fields":["evidence"],"source_refs":["AIBD-1124-source-0001","AIBD-1124-source-0002"],"reviewed_on":"2026-10-29"},"review_state":"reviewed","coverage":"complete","display":{"answer":"Found by an assessment body. Sources: two independent assessment reports. The cited evidence includes no independent study or report.","inferred":false}},"claims[].missingness":{"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"},"claims[].proposition":{"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"},"cross_border_flows[]":{"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"},"decisions[].action_outcome":{"state":"unresolved","review_state":"not_assessed","coverage":"partial","family":"institutional decisions"},"decisions[].grounds":{"state":"unresolved","review_state":"not_assessed","coverage":"partial","family":"institutional decisions"},"decisions[].institution_task":{"state":"unresolved","review_state":"not_assessed","coverage":"partial","family":"institutional decisions"},"decisions[].success_criterion":{"state":"unresolved","review_state":"not_assessed","coverage":"partial","family":"institutional decisions"},"deployment_stage":{"state":"value_present","value":{"kind":"structured","data":{"classification":"proposed","answer":"The use was proposed. The council recommended the software for Region Skåne's screening, and the region had not yet adopted it.","scope":"The period and activity described in the case."}},"provenance":{"kind":"source_review","basis":"Editorial assignment.","record_fields":["account","evidence"],"source_refs":["AIBD-1124-source-0001"],"reviewed_on":"2026-10-29"},"review_state":"reviewed","coverage":"complete","display":{"answer":"The use was proposed. The council recommended the software for Region Skåne's screening, and the region had not yet adopted it.","inferred":false}},"economics[].amount":{"state":"unresolved","review_state":"not_assessed","coverage":"partial","family":"monetary observations"},"economics[].costs[]":{"state":"unresolved","review_state":"not_assessed","coverage":"partial","family":"monetary observations"},"economics[].counterfactual":{"state":"unresolved","review_state":"not_assessed","coverage":"partial","family":"monetary observations"},"economics[].currency_price_basis":{"state":"unresolved","review_state":"not_assessed","coverage":"partial","family":"monetary observations"},"economics[].gross_net":{"state":"unresolved","review_state":"not_assessed","coverage":"partial","family":"monetary observations"},"economics[].measure_type":{"state":"unresolved","review_state":"not_assessed","coverage":"partial","family":"monetary observations"},"economics[].period_unit":{"state":"unresolved","review_state":"not_assessed","coverage":"partial","family":"monetary observations"},"economics[].realization":{"state":"unresolved","review_state":"not_assessed","coverage":"partial","family":"monetary observations"},"economics[].recipient_payer":{"state":"unresolved","review_state":"not_assessed","coverage":"partial","family":"monetary observations"},"economics[].return_payback":{"state":"unresolved","review_state":"not_assessed","coverage":"partial","family":"monetary observations"},"economics[].valuation_method":{"state":"unresolved","review_state":"not_assessed","coverage":"partial","family":"monetary observations"},"evaluations[].ai_uplift":{"state":"unresolved","review_state":"not_assessed","coverage":"partial","family":"evaluations"},"evaluations[].comparator":{"state":"unresolved","review_state":"not_assessed","coverage":"partial","family":"evaluations"},"evaluations[].design":{"state":"unresolved","review_state":"not_assessed","coverage":"partial","family":"evaluations"},"evaluations[].effect":{"state":"unresolved","review_state":"not_assessed","coverage":"partial","family":"evaluations"},"evaluations[].exposure":{"state":"unresolved","review_state":"not_assessed","coverage":"partial","family":"evaluations"},"evaluations[].id":{"state":"unresolved","review_state":"not_assessed","coverage":"partial","family":"evaluations"},"evaluations[].measurement_method":{"state":"unresolved","review_state":"not_assessed","coverage":"partial","family":"evaluations"},"evaluations[].metric":{"state":"unresolved","review_state":"not_assessed","coverage":"partial","family":"evaluations"},"evaluations[].reproduction_materials":{"state":"unresolved","review_state":"not_assessed","coverage":"partial","family":"evaluations"},"evaluations[].setting_sample":{"state":"unresolved","review_state":"not_assessed","coverage":"partial","family":"evaluations"},"evaluations[].uncertainty_limitations":{"state":"unresolved","review_state":"not_assessed","coverage":"partial","family":"evaluations"},"external_references[]":{"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"},"follow_up[]":{"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"},"human_oversight":{"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"},"id":{"state":"value_present","value":{"kind":"record_fields","fields":{"id":"AIBD-1124"}},"provenance":{"kind":"legacy_record","basis":"Editorial assignment.","record_fields":["id"],"source_refs":[]},"review_state":"record_mapped","coverage":"partial"},"infrastructure_dependencies[]":{"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"},"outcomes[].beneficiaries":{"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"},"outcomes[].beneficiary_count":{"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"},"outcomes[].benefit_type":{"state":"value_present","value":{"kind":"record_fields","fields":{"benefit_type":"Repetitive Task Automation"}},"provenance":{"kind":"legacy_record","basis":"Editorial assignment.","record_fields":["benefit_type"],"source_refs":[]},"review_state":"record_mapped","coverage":"partial"},"outcomes[].claim":{"state":"value_present","value":{"kind":"record_fields","fields":{"account":"Region Skåne's Method and Priority Council asked whether the region should use AI to grade fundus photos of people with diabetes and no known retinopathy. It drew on a December 2025 review by HTA South, the assessment center for southern Sweden's health care region. On 22 April 2026, the council recommended that the region may use the software to pick out people who can keep their ordinary screening interval. It judged that the software can replace manual review with at least equal precision. That finding rests on four studies, which HTA South rated as low in certainty. Two used DAIRET by Retmarker, one used Aireen and one used an in-house model. The council expected about 1,400 hours a year to be freed for other eye care across four regions. It expected little or no change for the people screened. It could draw no conclusions on vision loss, blindness, recalls or cost-effectiveness. The council rated the evidence as low to moderate in quality and asked for structured follow-up of any adoption.","benefit_type":"Repetitive Task Automation"}},"provenance":{"kind":"legacy_record","basis":"Editorial assignment.","record_fields":["account","benefit_type"],"source_refs":[]},"review_state":"record_mapped","coverage":"partial"},"outcomes[].distribution":{"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"},"outcomes[].duration":{"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"},"outcomes[].id":{"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"},"outcomes[].stakeholder_group":{"state":"value_present","value":{"kind":"record_fields","fields":{"ratings":[{"group":"organizational","reason":"The 1,400 hours a year are a projection for the region, which had not adopted the software when the council decided."}]}},"provenance":{"kind":"legacy_record","basis":"Editorial assignment.","record_fields":["ratings"],"source_refs":[]},"review_state":"record_mapped","coverage":"partial"},"outcomes[].status":{"state":"value_present","value":{"kind":"record_fields","fields":{"benefit_status":"mixed"}},"provenance":{"kind":"legacy_record","basis":"Editorial assignment.","record_fields":["benefit_status"],"source_refs":[]},"review_state":"record_mapped","coverage":"partial"},"outcomes[].tradeoffs":{"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"},"outcomes[].unexpected":{"state":"value_present","value":{"kind":"record_fields","fields":{"unexpected":false,"purpose":"Retmarker, Aireen and other makers built AI software to grade fundus photographs for diabetic retinopathy and to sort out who needs referral."}},"provenance":{"kind":"legacy_record","basis":"Editorial assignment.","record_fields":["unexpected","purpose"],"source_refs":[]},"review_state":"record_mapped","coverage":"partial"},"places[]":{"state":"value_present","value":{"kind":"record_fields","fields":{"location":"Multiple countries (studies), with a recommendation for Skåne, Sweden","developer_country":"Multiple: Portugal, Czech Republic, Pakistan","deployer_country":"Multiple"}},"provenance":{"kind":"legacy_record","basis":"Editorial assignment.","record_fields":["location","developer_country","deployer_country"],"source_refs":[]},"review_state":"record_mapped","coverage":"partial"},"purpose":{"state":"value_present","value":{"kind":"record_fields","fields":{"purpose":"Retmarker, Aireen and other makers built AI software to grade fundus photographs for diabetic retinopathy and to sort out who needs referral."}},"provenance":{"kind":"legacy_record","basis":"Editorial assignment.","record_fields":["purpose"],"source_refs":[]},"review_state":"record_mapped","coverage":"partial"},"record_dates":{"state":"value_present","value":{"kind":"record_fields","fields":{"date_observed":"2026-04-22","date_basis":"source publication","date_precision":"day","revisions":[{"date":"2026-11-01","change":"Added the record from the finding of Region Skåne's Method and Priority Council.","source":"https://vardgivare.skane.se/siteassets/3.-kompetens-och-utveckling/sakkunniggrupper/metod-och-prioriteringsradet/yttranden/yttrande-ai-bildanalys-retinopati-2026-04-22_jp.pdf","editor":"AIBD"}]}},"provenance":{"kind":"legacy_record","basis":"Editorial assignment.","record_fields":["date_observed","date_basis","date_precision","revisions"],"source_refs":[]},"review_state":"record_mapped","coverage":"partial"},"replication.attempts[]":{"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"},"replication.conditions":{"state":"value_present","value":{"kind":"record_fields","fields":{"replication":{"produced_by":["The software graded fundus photographs that a nurse or ophthalmologist would otherwise review.","The studies compared the software's grading with grading by at least one person with relevant specialist competence."],"must_hold":["Each clinic integrates the software with its cameras and its medical records system.","The region follows up any adoption to track recalls, treatment and vision loss over time."],"echoes":[]}}},"provenance":{"kind":"legacy_record","basis":"Editorial assignment.","record_fields":["replication"],"source_refs":[]},"review_state":"record_mapped","coverage":"partial"},"revision_history[]":{"state":"value_present","value":{"kind":"record_fields","fields":{"revisions":[{"date":"2026-11-01","change":"Added the record from the finding of Region Skåne's Method and Priority Council.","source":"https://vardgivare.skane.se/siteassets/3.-kompetens-och-utveckling/sakkunniggrupper/metod-och-prioriteringsradet/yttranden/yttrande-ai-bildanalys-retinopati-2026-04-22_jp.pdf","editor":"AIBD"}]}},"provenance":{"kind":"legacy_record","basis":"Editorial assignment.","record_fields":["revisions"],"source_refs":[]},"review_state":"record_mapped","coverage":"partial"},"sector":{"state":"value_present","value":{"kind":"record_fields","fields":{"domain":"Healthcare"}},"provenance":{"kind":"legacy_record","basis":"Editorial assignment.","record_fields":["domain"],"source_refs":[]},"review_state":"record_mapped","coverage":"partial"},"sources[].access_version":{"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"},"sources[].citation_locator":{"state":"value_present","value":{"kind":"record_fields","fields":{"evidence":[{"kind":"assessment report","citation":"Region Skåne, Metod- och prioriteringsrådet. Yttrande: AI-utvecklad automatiserad bildanalys av ögonbottenfotografier vid screening för diabetesretinopati. Dnr 2026-O000003, 22 April 2026. Metod- och prioriteringsrådets ställningstagande.","title":"AI-utvecklad automatiserad bildanalys av ögonbottenfotografier vid screening för diabetesretinopati","url":"https://vardgivare.skane.se/siteassets/3.-kompetens-och-utveckling/sakkunniggrupper/metod-och-prioriteringsradet/yttranden/yttrande-ai-bildanalys-retinopati-2026-04-22_jp.pdf","date":"2026-04-22","written_by":"independent","quote":"Region Skånes Metod- och prioriteringsråd rekommenderar att AI-utvecklad automatiserad bildanalys av ögonbottenfotografier kan användas vid screening av personer med diabetes utan tidigare känd diabetesretinopati för att identifiera personer som skall fortsätta kontroller med ordinarie screeningintervall."},{"kind":"assessment report","citation":"HTA syd (HTA South), Region Skåne. AI-baserad bildanalys vid screening för diabetesretinopati: en systematisk översikt och utvärdering av medicinska, hälsoekonomiska, etiska och organisatoriska aspekter. Rapport 2025:4, Lund, 17 December 2025. English abstract, Key Message.","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":"The health economic analysis assessed a scenario where replacing manual grading with AI could save 1,400 staff hours annually in the Southern Healthcare Region."}]}},"provenance":{"kind":"legacy_record","basis":"Editorial assignment.","record_fields":["evidence"],"source_refs":[]},"review_state":"record_mapped","coverage":"partial"},"sources[].id":{"state":"value_present","value":{"kind":"identifiers","identifiers":["AIBD-1124-source-0001","AIBD-1124-source-0002"],"role":"Existing evidence items, in their original order"},"provenance":{"kind":"curatorial","basis":"Editorial assignment.","record_fields":[],"source_refs":[]},"review_state":"record_mapped","coverage":"complete"},"sources[].language":{"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"},"sources[].relationship":{"state":"value_present","value":{"kind":"record_fields","fields":{"evidence":[{"kind":"assessment report","citation":"Region Skåne, Metod- och prioriteringsrådet. Yttrande: AI-utvecklad automatiserad bildanalys av ögonbottenfotografier vid screening för diabetesretinopati. Dnr 2026-O000003, 22 April 2026. Metod- och prioriteringsrådets ställningstagande.","title":"AI-utvecklad automatiserad bildanalys av ögonbottenfotografier vid screening för diabetesretinopati","url":"https://vardgivare.skane.se/siteassets/3.-kompetens-och-utveckling/sakkunniggrupper/metod-och-prioriteringsradet/yttranden/yttrande-ai-bildanalys-retinopati-2026-04-22_jp.pdf","date":"2026-04-22","written_by":"independent","quote":"Region Skånes Metod- och prioriteringsråd rekommenderar att AI-utvecklad automatiserad bildanalys av ögonbottenfotografier kan användas vid screening av personer med diabetes utan tidigare känd diabetesretinopati för att identifiera personer som skall fortsätta kontroller med ordinarie screeningintervall."},{"kind":"assessment report","citation":"HTA syd (HTA South), Region Skåne. AI-baserad bildanalys vid screening för diabetesretinopati: en systematisk översikt och utvärdering av medicinska, hälsoekonomiska, etiska och organisatoriska aspekter. Rapport 2025:4, Lund, 17 December 2025. English abstract, Key Message.","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":"The health economic analysis assessed a scenario where replacing manual grading with AI could save 1,400 staff hours annually in the Southern Healthcare Region."}]}},"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":"Region Skåne's council backed AI grading of eye photos for people with diabetes and no known retinopathy. It judged the AI as precise as manual review and able to free about 1,400 hours a year.","account":"Region Skåne's Method and Priority Council asked whether the region should use AI to grade fundus photos of people with diabetes and no known retinopathy. It drew on a December 2025 review by HTA South, the assessment center for southern Sweden's health care region. On 22 April 2026, the council recommended that the region may use the software to pick out people who can keep their ordinary screening interval. It judged that the software can replace manual review with at least equal precision. That finding rests on four studies, which HTA South rated as low in certainty. Two used DAIRET by Retmarker, one used Aireen and one used an in-house model. The council expected about 1,400 hours a year to be freed for other eye care across four regions. It expected little or no change for the people screened. It could draw no conclusions on vision loss, blindness, recalls or cost-effectiveness. The council rated the evidence as low to moderate in quality and asked for structured follow-up of any adoption."}},"provenance":{"kind":"legacy_record","basis":"Editorial assignment.","record_fields":["summary","account"],"source_refs":[]},"review_state":"record_mapped","coverage":"partial"},"systems[].autonomy_permissions":{"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"},"systems[].component_role":{"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"},"systems[].deployment_configuration":{"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"},"systems[].inputs_outputs":{"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"},"systems[].model_name":{"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"},"systems[].model_version":{"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"},"systems[].product_name":{"state":"value_present","value":{"kind":"record_fields","fields":{"system":"AI-developed automated image analysis of fundus photographs, including DAIRET (Retmarker) and Aireen in the studies behind the main finding"}},"provenance":{"kind":"legacy_record","basis":"Editorial assignment.","record_fields":["system"],"source_refs":[]},"review_state":"record_mapped","coverage":"partial"},"systems[].provider":{"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"},"taxonomy_crosswalks[]":{"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"},"title":{"state":"value_present","value":{"kind":"record_fields","fields":{"title":"Region Skåne's priority council backs AI grading of eye photos in diabetes screening, expecting about 1,400 staff hours a year to be freed","headline":"Skåne backs *AI fundus grading* to free hours in diabetic eye screening"}},"provenance":{"kind":"legacy_record","basis":"Editorial assignment.","record_fields":["title","headline"],"source_refs":[]},"review_state":"record_mapped","coverage":"partial"},"version":{"state":"value_present","value":{"kind":"identifiers","identifiers":["ff95234d798945037560433f4e9b5b32fe44f7bb5a420f7559d929487c259a23"],"role":"SHA-256 of the complete public record and its assessments"},"provenance":{"kind":"curatorial","basis":"SHA-256 of the public record, its assessments, and its displayed answers and notes, excluding its own identifier and the derived coverage summary.","record_fields":[],"source_refs":[]},"review_state":"record_mapped","coverage":"complete"},"workflow":{"state":"value_present","value":{"kind":"record_fields","fields":{"account":"Region Skåne's Method and Priority Council asked whether the region should use AI to grade fundus photos of people with diabetes and no known retinopathy. It drew on a December 2025 review by HTA South, the assessment center for southern Sweden's health care region. On 22 April 2026, the council recommended that the region may use the software to pick out people who can keep their ordinary screening interval. It judged that the software can replace manual review with at least equal precision. That finding rests on four studies, which HTA South rated as low in certainty. Two used DAIRET by Retmarker, one used Aireen and one used an in-house model. The council expected about 1,400 hours a year to be freed for other eye care across four regions. It expected little or no change for the people screened. It could draw no conclusions on vision loss, blindness, recalls or cost-effectiveness. The council rated the evidence as low to moderate in quality and asked for structured follow-up of any adoption.","replication":{"produced_by":["The software graded fundus photographs that a nurse or ophthalmologist would otherwise review.","The studies compared the software's grading with grading by at least one person with relevant specialist competence."],"must_hold":["Each clinic integrates the software with its cameras and its medical records system.","The region follows up any adoption to track recalls, treatment and vision loss over time."],"echoes":[]}}},"provenance":{"kind":"legacy_record","basis":"Editorial assignment.","record_fields":["account","replication"],"source_refs":[]},"review_state":"record_mapped","coverage":"partial"}},"summary":{"total":91,"addressed":91,"known":28,"reviewed":2,"reviewed_complete":2,"reviewed_partial":0,"record_mapped":26,"review_not_assessed":63,"not_assessed":0,"complete":false,"by_state":{"value_present":28,"not_reported":0,"unresolved":63,"not_assessed":0,"not_applicable":0,"withheld":0,"source_unavailable":0}}},"presentation_version":"f379daaeed0be7012e2199038c81cc5603ffd22e50fbba3e77adc3b10dcdd30f"}