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- W4385655444 abstract "Abstract Purpose To determine whether AI significantly affects the performance of diabetic retinopathy (DR) grading by ophthalmology residents. Secondary objectives included evaluation of AI’s effects on intergrader variability, self-reported confidence, and decision making. Methods Four ophthalmology residents at a single academic medical center across all years of training (PGY-2 to PGY-4) analyzed 265 retinal fundus photographs for diabetic retinopathy from a publicly available dataset without and with the assistance of an AI algorithm, separated by a 3-week washout period Results Overall, there was no significant difference without versus with AI in five-class grading, as measured by QWK, with differences ranging from +0.010-0.017, p=0.09-0.32. No significant difference without and with AI was observed for binary classification of referable DR, except for the specificity of the PGY-3 resident (71.8% to 80%, p=0.019). Intergrader agreement among residents significantly increased with AI (FK +0.072, p=0.0003). Self-reported confidence also significantly increased for 3 out of 4 residents. Conclusion The use of an AI algorithm did not significantly affect the DR grading performance of ophthalmology residents but did increase intergrader agreement and self-reported confidence. Introducing AI into the ophthalmology residency curriculum may be beneficial as the technology becomes more prevalent. Summary Statement A cross-sectional study that evaluated the performance of ophthalmology residents grading diabetic retinopathy fundus photographs with and without the assistance of an artificial intelligence algorithm." @default.
- W4385655444 created "2023-08-09" @default.
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- W4385655444 date "2023-08-08" @default.
- W4385655444 modified "2023-09-25" @default.
- W4385655444 title "Impact of an Artificial Intelligence Algorithm on Diabetic Retinopathy Grading by Ophthalmology Residents" @default.
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- W4385655444 doi "https://doi.org/10.1101/2023.08.05.23293692" @default.
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