Does field of view matter? Assessing its impact on Plus disease diagnosis in retinopathy of prematurity
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Le résumé fourni par la source
PURPOSE: This study investigates the impact of field of view (FOV) on the diagnosis of Plus disease in retinopathy of prematurity (ROP), focusing on how different FOVs influence expert assessments. METHODS: Fundus images from 91 ROP infants were captured using a RetCam, each including the optic disk (OD) and a ridge/demarcation line. Cropped versions with a radius of three disc diameters (3DD) centered on the OD were automatically extracted using a computer-based algorithm. Images were categorized into five (normal, pre-Plus, Plus1, Plus2, Plus3), three (non-Plus, pre-Plus, Plus), or two groups (non-Plus, Plus). Five experts graded both entire-view and 3DD images. Inter-expert reliability was assessed using Cronbach’s alpha. RESULTS: Seventy-four 3DD and 77 entire-view images were graded. Cronbach’s alpha values were 0.933 (entire-view) and 0.942 (3DD) in the 5-level grading system, indicating slightly higher consistency among experts for 3DD images. Notable diagnostic shifts were observed when comparing entire-view and 3DD images, with 25.0% of Plus1 diagnoses shifting to pre-Plus and 16.9% of pre-Plus diagnoses shifting to normal in the 5-level grading system. Two experts showed substantial changes in their grades, with one expert upscaling 33.7% and downscaling 16.9% of diagnoses, and the other upscaling 21.7% and downscaling 15.7% when assessing entire-view compared to 3DD images. CONCLUSIONS: FOV significantly affects the diagnosis of Plus disease, with peripheral retinal features influencing expert judgments. Restricting the FOV to a 3DD area improved inter-expert reliability but led to notable diagnostic shifts. These findings highlight the need for standardized imaging protocols and the potential role of AI in reducing diagnostic variability in ROP.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Does field of view matter? Assessing its impact on Plus disease diagnosis in retinopathy of prematurity
- Date Crossref
- 21/11/2025
- Éditeur
- Springer Science and Business Media LLC
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Farabi Hospital pays non établi dans la noticeÉtablissement de santé
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Tehran University of Medical Sciences Translational Ophthalmology Research Center pays non établi dans la noticeUniversité ou école supérieure
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University of Florida pays non établi dans la noticeUniversité ou école supérieure
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Shiraz University of Medical Sciences pays non établi dans la noticeUniversité ou école supérieure
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Children's Hospital of Pittsburgh pays non établi dans la noticeÉtablissement de santé
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Qazvin University of Medical Sciences pays non établi dans la noticeUniversité ou école supérieure
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College of Medicine Ophthalmology Department pays non établi dans la noticeUniversité ou école supérieure
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School of Medicine Poostchi Ophthalmology Research Center pays non établi dans la noticeUniversité ou école supérieure
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Clinical Pediatric Ophthalmology Department pays non établi dans la noticeÉtablissement de santé
Farabi Hospital, Translational Ophthalmology Research Center — Tehran University of Medical Sciences et University of Florida, avec 6 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.