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2. Eye Care in Federally Qualified Health Centers

Author

Chan, R.V. Paul, Chen, Aiyin, Henderer, Jeffery, Modjtahedi, Bobeck, Muir, Kelly, Newman-Casey, Paula Anne, Russo, Diane, Scanzera, Angelica C., Rhodes, Lindsay, Woodward, Maria A., Hicks, Patrice M., Harris-Nwanyanwu, Kristen, Vogt, Emily L., and Lu, Ming-Chen

Published
2024
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4. Operationalization of Retinopathy of Prematurity Screening by the Application of the Essential Public Health Services Framework

Author

Sobhy, Myrna, Cole, Emily, Jabbehdari, Sayena, Valikodath, Nita G., Al-Khaled, Tala, Kalinoski, Lauren, Chervinko, Margaret, Cherwek, David Hunter, Chuluunkhuu, Chimgee, Shah, Parag K., K.C., Sagun, Jonas, Karyn E., Scanzera, Angel, Yap, Vivien L., Yeh, Steven, Kalpathy-Cramer, Jayashree, Chiang, Michael F., Campbell, John Peter, and Chan, R.V. Paul

Published
2023
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5. Global Ophthalmology Fellowships: Then and Now

Author

Sharfi, Duaa, Finklea, Brenton, Ehrlich, Joshua R., Chaya, Craig J., Farris, Bradley K., Macintosh, Peter, Alter, Daniel C., Gilbert, Suzanne S., Reiter, Sam, Oliva, Matthew S., Pettey, Jeff, Tabin, Geoff, Chan, R.V. Paul, and O’Banion, Jacquelyn A.

Published
2023
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9. Contributors

Author

Abbott, Akshar, primary, Chan, R.V. Paul, additional, Diaz, Alejandra Torres, additional, Downie, Elaine, additional, Giangiacomo, Annette L., additional, Gurnani, Bharat, additional, Harris, Thao M., additional, Hunt, Matthew S., additional, Ihrig, Carolyn, additional, Jianjun, Li, additional, Joseph, Anney, additional, Ko, Melissa W., additional, Lai, Kevin E., additional, Lee, Aaron Y., additional, Lee, Daniel, additional, Liu, Yao, additional, Lock, Loren J., additional, Lu, Xiaoqin Alexa, additional, Maa, April, additional, Morris, Robert, additional, Palmer, Charles F., additional, Selvin, Gerald, additional, Shah, Ankoor, additional, Thulasiraj, Ravilla D., additional, van Landingham, Suzanne, additional, Venkatesh, Rengaraj, additional, and Weiss, Stephanie J., additional

Published
2023
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10. Variability in Plus Disease Diagnosis using Single and Serial Images

Author

Chiang, Michael F., Ostmo, Susan, Kim, Sang Jin, Sonmez, Kemal, Campbell, J. Peter, Chan, RV Paul, Jonas, Karyn, Horowitz, Jason, Coki, Osode, Eccles, Cheryl-Ann, Sarna, Leora, Orlin, Anton, Berrocal, Audina, Negron, Catherin, Denser, Kimberly, Cumming, Kristi, Osentoski, Tammy, Check, Tammy, Zajechowski, Mary, Lee, Thomas, Kruger, Evan, McGovern, Kathryn, Simmons, Charles, Murthy, Raghu, Galvis, Sharon, Rotter, Jerome, Chen, Ida, Li, Xiaohui, Taylor, Kent, Roll, Kaye, Kalpathy-Cramer, Jayashree, Erdogmus, Deniz, Ioannidis, Stratis, Martinez-Castellanos, Maria Ana, Salinas-Longoria, Samantha, Romero, Rafael, Arriola, Andrea, Olguin-Manriquez, Francisco, Meraz-Gutierrez, Miroslava, Dulanto-Reinoso, Carlos M., Montero-Mendoza, Cristina, Cole, Emily D., Park, Shin Hae, Kang, Kai B., Valikodath, Nita G., Al-Khaled, Tala, Patel, Samir N., Jonas, Karyn E., Coyner, Aaron, Drenser, Kimberly A., Nagiel, Aaron, Horowitz, Jason D., Lee, Thomas C., and Chan, R.V. Paul

Published
2022
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16. Discrepancies in Diagnosis of Treatment-Requiring Retinopathy of Prematurity

Author

Nguyen, Thanh-Tin P., primary, Young, Benjamin K., additional, Coyner, Aaron, additional, Ostmo, Susan, additional, Chan, R.V. Paul, additional, Kalpathy-Cramer, Jayashree, additional, Chiang, Michael F., additional, Campbell, J. Peter, additional, Kim, Sang Jin, additional, Sonmez, Kemal, additional, Schelonka, Robert, additional, Jonas, Karyn, additional, Kolli, Bhavana, additional, Horowitz, Jason, additional, Coki, Osode, additional, Eccles, Cheryl-Ann, additional, Sarna, Leora, additional, Orlin, Anton, additional, Berrocal, Audina, additional, Negron, Catherin, additional, Denser, Kimberly, additional, Cumming, Kristi, additional, Osentoski, Tammy, additional, Check, Tammy, additional, Zajechowski, Mary, additional, Lee, Thomas, additional, Nagiel, Aaron, additional, Kruger, Evan, additional, McGovern, Kathryn, additional, Contractor, Dilshad, additional, Havunjian, Margaret, additional, Simmons, Charles, additional, Murthy, Raghu, additional, Galvis, Sharon, additional, Rotter, Jerome, additional, Chen, Ida, additional, Li, Xiaohui, additional, Taylor, Kent, additional, Roll, Kaye, additional, Owen, Leah, additional, Lucci, Lucia, additional, Hartnett, Mary Elizabeth, additional, Moshfeghi, Darius, additional, Nunez, Mariana, additional, Wennberg-Smith, Zac, additional, Erdogmus, Deniz, additional, Ioannidis, Stratis, additional, Martinez-Castellanos, Maria Ana, additional, Salinas-Longoria, Samantha, additional, Romero, Rafael, additional, Arriola, Andrea, additional, Olguin-Manriquez, Francisco, additional, Meraz-Gutierrez, Miroslava, additional, Dulanto-Reinoso, Carlos M., additional, and Montero-Mendoza, Cristina, additional

Published
2024
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17. Automated Fundus Image Quality Assessment in Retinopathy of Prematurity Using Deep Convolutional Neural Networks

Author

Chiang, Michael F., Ostmo, Susan, Kim, Sang Jin, Sonmez, Kemal, Campbell, J. Peter, Chan, R. V. Paul, Jonas, Karyn, Horowitz, Jason, Coki, Osode, Eccles, Cheryl-Ann, Sarna, Leora, Orlin, Anton, Berrocal, Audina, Negron, Catherin, Denser, Kimberly, Cumming, Kristi, Osentoski, Tammy, Check, Tammy, Zajechowski, Mary, Lee, Thomas, Kruger, Evan, McGovern, Kathryn, Simmons, Charles, Murthy, Raghu, Galvis, Sharon, Rotter, Jerome, Chen, Ida, Li, Xiaohui, Taylor, Kent, Roll, Kaye, Kalpathy-Cramer, Jayashree, Chang, Ken, Beers, Andrew, Erdogmus, Deniz, Ioannidis, Stratis, Martinez-Castellanos, Maria Ana, Salinas-Longoria, Samantha, Romero, Rafael, Arriola, Andrea, Olguin-Manriquez, Francisco, Meraz-Gutierrez, Miroslava, Dulanto-Reinoso, Carlos M., Montero-Mendoza, Cristina, Coyner, Aaron S., Swan, Ryan, Brown, James M., Jonas, Karyn E., and Chan, R.V. Paul

Published
2019
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19. Characterization of Errors in Retinopathy of Prematurity Diagnosis by Ophthalmologists-in-Training in Middle-Income Countries

Author

Patel, Samir N., primary, Al-Khaled, Tala, additional, Kang, Kai B., additional, Jonas, Karyn E., additional, Ostmo, Susan, additional, Ventura, Camila V., additional, Martinez-Castellanos, Maria A., additional, Anzures, Rachelle Go Ang Sam, additional, Campbell, J. Peter, additional, Chiang, Michael F., additional, and Chan, R.V. Paul, additional

Published
2023
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22. Telemedical Diagnosis of Stage 4 and Stage 5 Retinopathy of Prematurity

Author

Chiang, Michael F., Ostmo, Susan, Sonmez, Kemal, Campbell, J. Peter, Chan, R.V. Paul, Jonas, Karyn, Horowitz, Jason, Coki, Osode, Eccles, Cheryl-Ann, Sarna, Leora, Orlin, Anton, Berrocal, Audina, Negron, Catherin, Drenser, Kimberly, Cumming, Kristi, Osentoski, Tammy, Check, Tammy, Zajechowski, Mary, Lee, Thomas, Kruger, Evan, McGovern, Kathryn, Simmons, Charles, Murthy, Raghu, Galvis, Sharon, Rotter, Jerome, Chen, Ida, Li, Xiaohui, Taylor, Kent, Roll, Kaye, Kalpathy-Cramer, Jayashree, Erdogmus, Deniz, Ioannidis, Stratis, Martinez-Castellanos, Maria Ana, Salinas-Longoria, Samantha, Romero, Rafael, Arriola, Andrea, Olguin-Manriquez, Francisco, Meraz-Gutierrez, Miroslava, Dulanto-Reinoso, Carlos M., Montero-Mendoza, Cristina, Patel, Samir N., Singh, Ranjodh, Jonas, Karyn E., and Gupta, Mrinali P.

Published
2018
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24. Evaluating the Relationship between Neighborhood-Level Social Vulnerability and Patient Adherence to Ophthalmology Appointments.

Author

Scanzera, Angelica C., Kravets, Sasha, Hallak, Joelle A., Musick, Hugh, Krishnan, Jerry A., Chan, R.V. Paul, and Kim, Sage J.

Subjects
PATIENT compliance, HOMESITES, OPHTHALMOLOGY, RACE, ODDS ratio, CHILD patients, NEIGHBORHOODS
Abstract

To examine the association between neighborhood-level social vulnerability and adherence to scheduled ophthalmology appointments. In this retrospective cohort study, records of all patients ≥18 years scheduled for an ophthalmology appointment between September 12, 2020, and February 8, 2021, were reviewed. Primary exposure is neighborhood-level Social Vulnerability Index (SVI) based on the patient's residential location. SVI is a rank score of 15 social factors into four themes (socioeconomic status, household composition/disability, minority status/language, and housing type/transportation), ranging from 0 to 1.0, with higher ranks indicating greater social vulnerability. The overall SVI score and each theme were analyzed separately as the primary exposure of interest in multivariable logistic regression models that controlled for age, sex, appointment status (new or established), race, and distance from clinic. The primary outcome, non-adherence, was defined as missing more than 25% of scheduled appointments. Of 8,322 patients (41% non-Hispanic Black, 24% Hispanic, 22% non-Hispanic White) with scheduled appointments, 28% were non-adherent. Non-adherence was associated with greater social vulnerability (adjusted odds ratio [aOR] per 0.01 increase in overall SVI = 2.46 [95% confidence interval, 1.99, 3.06]) and each SVI theme (socioeconomic status: aOR = 2.38 [1.94, 2.91]; household composition/disability: aOR = = 1.51 [1.26, 1.81]; minority status/language: aOR = 2.03 [1.55, 2.68]; housing type/transportation: aOR = 1.41 [1.16, 1.73]). Neighborhood-level social vulnerability is associated with greater risk of non-adherence to scheduled ophthalmology appointments, controlling for individual characteristics. Multi-level intervention strategies that incorporate neighborhood-level vulnerabilities are needed to reduce disparities in access to ophthalmology care. [ABSTRACT FROM AUTHOR]

Published
2024
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25. Discrepancies in Diagnosis of Treatment-Requiring Retinopathy of Prematurity

Author

Campbell, J. Peter, Ostmo, Susan, Coyner, Aaron, Young, Benjamin K., Kim, Sang Jin, Sonmez, Kemal, Schelonka, Robert, Chiang, Michael F., Chan, R.V. Paul, Jonas, Karyn, Kolli, Bhavana, Horowitz, Jason, Coki, Osode, Eccles, Cheryl-Ann, Sarna, Leora, Orlin, Anton, Berrocal, Audina, Negron, Catherin, Denser, Kimberly, Cumming, Kristi, Osentoski, Tammy, Check, Tammy, Zajechowski, Mary, Lee, Thomas, Nagiel, Aaron, Kruger, Evan, McGovern, Kathryn, Contractor, Dilshad, Havunjian, Margaret, Simmons, Charles, Murthy, Raghu, Galvis, Sharon, Rotter, Jerome, Chen, Ida, Li, Xiaohui, Taylor, Kent, Roll, Kaye, Owen, Leah, Lucci, Lucia, Hartnett, Mary Elizabeth, Moshfeghi, Darius, Nunez, Mariana, Wennberg-Smith, Zac, Kalpathy-Cramer, Jayashree, Erdogmus, Deniz, Ioannidis, Stratis, Martinez-Castellanos, Maria Ana, Salinas-Longoria, Samantha, Romero, Rafael, Arriola, Andrea, Olguin-Manriquez, Francisco, Meraz-Gutierrez, Miroslava, Dulanto-Reinoso, Carlos M., Montero-Mendoza, Cristina, and Nguyen, Thanh-Tin P.

Published
2024
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28. Retinal Telemedicine

Author

Chee, Ru-ik, Darwish, Dana, Fernández-Vega, Álvaro, Patel, Samir N., Jonas, Karyn, Ostmo, Susan, Campbell, J. Peter, Chiang, Michael F., and Chan, R.V. Paul

Published
2018
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29. Genome-wide association identifies novel ROP risk loci in a multi-ethnic cohort

Author

Rotter, Jerome, primary, Li, Xiaohui, additional, Owen, Leah A., additional, Taylor, Kent, additional, Ostmo, Susan, additional, Chen, Yii-Der Ida, additional, Coyner, Aaron, additional, Sonmez, Kemal, additional, hartnett, M.Elizabeth, additional, Guo, Xiuqing, additional, Ipp, Eli, additional, Roll, Kathryn, additional, Genter, Pauline, additional, Chan, R.V. Paul, additional, DeAngelis, Margaret, additional, Chiang, Michael, additional, and Campbell, J Peter, additional

Published
2023
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30. Characterization of Errors in Retinopathy of Prematurity Diagnosis by Ophthalmologists-in-Training in the United States and Canada

Author

Al-Khaled, Tala, Patel, Samir N., Valikodath, Nita G., Jonas, Karyn E., Ostmo, Susan, Allozi, Rawan, Hallak, Joelle, Campbell, J. Peter, Chiang, Michael F., Chan, R.V. Paul, Al-Khaled, Tala, Patel, Samir N., Valikodath, Nita G., Jonas, Karyn E., Ostmo, Susan, Allozi, Rawan, Hallak, Joelle, Campbell, J. Peter, Chiang, Michael F., and Chan, R.V. Paul

Abstract

PURPOSE: To identify the prominent factors that lead to misdiagnosis of retinopathy of prematurity (ROP) by ophthalmologists-in-training in the United States and Canada. METHODS: This prospective cohort study included 32 ophthalmologists-in-training at six ophthalmology training programs in the United States and Canada. Twenty web-based cases of ROP using wide-field retinal images were presented, and ophthalmologists-in-training were asked to diagnose plus disease, zone, stage, and category for each eye. Responses were compared to a consensus reference standard diagnosis for accuracy, which was established by combining the clinical diagnosis and the image-based diagnosis by multiple experts. The types of diagnostic errors that occurred were analyzed with descriptive and chi-squared analysis. Main outcome measures were frequency of types (category, zone, stage, plus disease) of diagnostic errors; association of errors in zone, stage, and plus disease diagnosis with incorrectly identified category; and performance of ophthalmologists-in-training across postgraduate years. RESULTS: Category of ROP was misdiagnosed at a rate of 48%. Errors in classification of plus disease were most commonly associated with misdiagnosis of treatment-requiring (plus error rate = 16% when treatment-requiring was correctly diagnosed vs 81% when underdiagnosed as type 2 or pre-plus; mean difference: 64.3; 95% CI: 51.9 to 76.7; CONCLUSIONS: Ophthalmologists-in-training in the United States and Canada misdiagnosed ROP nearly half of the time, with incorrect identification of plus disease as a leading cause. Integration of structured learning for ROP in residency education may improve diagnostic competency.

Published
2023

33. Operationalization of Retinopathy of Prematurity Screening by the Application of the Essential Public Health Services Framework

Author

Sobhy, Myrna, primary, Cole, Emily, additional, Jabbehdari, Sayena, additional, Valikodath, Nita G., additional, Al-Khaled, Tala, additional, Kalinoski, Lauren, additional, Chervinko, Margaret, additional, Cherwek, David Hunter, additional, Chuluunkhuu, Chimgee, additional, Shah, Parag K., additional, K.C., Sagun, additional, Jonas, Karyn E., additional, Scanzera, Angel, additional, Yap, Vivien L., additional, Yeh, Steven, additional, Kalpathy-Cramer, Jayashree, additional, Chiang, Michael F., additional, Campbell, John Peter, additional, and Chan, R.V. Paul, additional

Published
2022
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35. Variability in Plus Disease Diagnosis using Single and Serial Images

Author

Cole, Emily D., primary, Park, Shin Hae, additional, Kim, Sang Jin, additional, Kang, Kai B., additional, Valikodath, Nita G., additional, Al-Khaled, Tala, additional, Patel, Samir N., additional, Jonas, Karyn E., additional, Ostmo, Susan, additional, Coyner, Aaron, additional, Berrocal, Audina, additional, Drenser, Kimberly A., additional, Nagiel, Aaron, additional, Horowitz, Jason D., additional, Lee, Thomas C., additional, Kalpathy-Cramer, Jayashree, additional, Chiang, Michael F., additional, Campbell, J. Peter, additional, Chan, R.V. Paul, additional, Sonmez, Kemal, additional, Chan, RV Paul, additional, Jonas, Karyn, additional, Horowitz, Jason, additional, Coki, Osode, additional, Eccles, Cheryl-Ann, additional, Sarna, Leora, additional, Orlin, Anton, additional, Negron, Catherin, additional, Denser, Kimberly, additional, Cumming, Kristi, additional, Osentoski, Tammy, additional, Check, Tammy, additional, Zajechowski, Mary, additional, Lee, Thomas, additional, Kruger, Evan, additional, McGovern, Kathryn, additional, Simmons, Charles, additional, Murthy, Raghu, additional, Galvis, Sharon, additional, Rotter, Jerome, additional, Chen, Ida, additional, Li, Xiaohui, additional, Taylor, Kent, additional, Roll, Kaye, additional, Erdogmus, Deniz, additional, Ioannidis, Stratis, additional, Martinez-Castellanos, Maria Ana, additional, Salinas-Longoria, Samantha, additional, Romero, Rafael, additional, Arriola, Andrea, additional, Olguin-Manriquez, Francisco, additional, Meraz-Gutierrez, Miroslava, additional, Dulanto-Reinoso, Carlos M., additional, and Montero-Mendoza, Cristina, additional

Published
2022
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37. Evaluation of computer-based retinopathy of prematurity (ROP) education for ophthalmology residents: a randomized, controlled, multicenter study

Author

Roohipoor, Ramak, Alvarez, Rodrigo, Brodowska, Katarzyna, Yaseri, Mehdi, Kloek, Carolyn, Riazi, Mohamad, Nourinia, Ramin, Nikkhah, Homayoun, Prajna, N. Venkatesh, Krishnan, Chandrasekharan, Tuli, Sonal, Green, Laura, Srikumaran, Divya, Shah, Ankoor S., Mantagos, Iason S., Chiang, Michael, Chan, R.V. Paul, and Loewenstein, John

Published
2019
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38. Contributors

Author

Abdelhakim, Aliaa, Abraham, Néda, Acaba-Berrocal, Luis, Agarwal, Anita, Andreoli, Michael T., Becker, Karl N., Becker, Norbert M., Bhandari, Sanjeeb, Bharadwaj, Arthi D., Bhat, Pooja, Broadhead, Geoffrey K., Bui, Kelly, Chan, R.V. Paul, Chau, Felix, Chen, Connie J., Chen, Katherine G., Chew, Emily Y., Cole, Emily, Cui, Ricky Z., Daily, Mark J., de Carlo Forest, Talisa E., Mora, Livia Della, Nicola, Maura Di, Do, Diana V., Donley, Shannon A., Fawzi, Amani A., Fishman, Gerald A., Fogel-Levin, Meira, Francis, Andrew W., Freund, K. Bailey, Fukuyama, Hisashi, Ghoraba, Hashem, Gill, Manjot K., Goldberg, Morton F., Goldstein, Debra A., Gregori, Ninel Z., Grover, Sandeep, Heiferman, Michael J., Holekamp, Nancy M., Hyde, Robert A., Iannaccone, Alessandro, Jabbehdari, Sayena, Jayasundera, Kanishka, Johnson, Mark W., Joltikov, Katherine A., Karaca, Irmak, Keenan, Tiarnán D.L., Kiernan, Daniel F., Konstantinou, Eleni K., Lam, Byron L., Ledesma-Gil, Gerardo, Li, Angela S., Li, Ashley, Li, Yanliang, Lim, Jennifer I., Liu, Helen, Lobo, Ann-Marie, Martins, Thayze, Massengill, Michael T., Mieler, William F., Mirza, Rukhsana G., Modi, Yasha, Moore, Rose A., Munro, Monique, Naguib, Mina M., Nguyen, Quan Dong, Olsen, Timothy W., Or, Chris, Parker, Paul R., Pulido, Jose(ph) Serafin, Ramakrishnan, Meera S., Randerson, Edward L., Sabbagh, Mohammad Amr, Sadda, SriniVas, Santina, Ahmad, Sarraf, David, Schlegel, Dana, Shields, Carol, Sklar, Nathan C., Skopis, George, Small, Kent W., Smith, Stephen J., Smith, Wendy M., Sobrin, Lucia, Song, Jihun, Srivatsan, Sudarshan, Staropoli, Patrick C., Tausif, Hassan N., Thakar, Sudip D., Thomas, Catherine J., Valikodath, Nita, Ventura, Camila V., Wagley, Sushant, Wang, Daniel W., Warren, Alexis, Weng, Christina Y., Wiley, Henry E., Wilgucki, J.D., Williams, Basil K., Jr., Yannuzzi, Lawrence A., Yao, Melissa, Yehia, Madeleine Y., Young, Benjamin, and Zhu, Ivy

Published
2025
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41. External Validation of a Retinopathy of Prematurity Screening Model Using Artificial Intelligence in 3 Low- and Middle-Income Populations

Author

Coyner, Aaron S., primary, Oh, Minn A., additional, Shah, Parag K., additional, Singh, Praveer, additional, Ostmo, Susan, additional, Valikodath, Nita G., additional, Cole, Emily, additional, Al-Khaled, Tala, additional, Bajimaya, Sanyam, additional, K.C., Sagun, additional, Chuluunbat, Tsengelmaa, additional, Munkhuu, Bayalag, additional, Subramanian, Prema, additional, Venkatapathy, Narendran, additional, Jonas, Karyn E., additional, Hallak, Joelle A., additional, Chan, R.V. Paul, additional, Chiang, Michael F., additional, Kalpathy-Cramer, Jayashree, additional, and Campbell, J. Peter, additional

Published
2022
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42. Federated Learning for Multicenter Collaboration in Ophthalmology

Author

Hanif, Adam, primary, Lu, Charles, additional, Chang, Ken, additional, Singh, Praveer, additional, Coyner, Aaron S., additional, Brown, James M., additional, Ostmo, Susan, additional, Chan, Robison V. Paul, additional, Rubin, Daniel, additional, Chiang, Michael F., additional, Kalpathy-Cramer, Jayashree, additional, Campbell, John Peter, additional, Kim, Sang Jin, additional, Sonmez, Kemal, additional, Schelonka, Robert, additional, Coyner, Aaron, additional, Chan, R.V. Paul, additional, Jonas, Karyn, additional, Kolli, Bhavana, additional, Horowitz, Jason, additional, Coki, Osode, additional, Eccles, Cheryl-Ann, additional, Sarna, Leora, additional, Orlin, Anton, additional, Berrocal, Audina, additional, Negron, Catherin, additional, Denser, Kimberly, additional, Cumming, Kristi, additional, Osentoski, Tammy, additional, Check, Tammy, additional, Zajechowski, Mary, additional, Lee, Thomas, additional, Nagiel, Aaron, additional, Kruger, Evan, additional, McGovern, Kathryn, additional, Contractor, Dilshad, additional, Havunjian, Margaret, additional, Simmons, Charles, additional, Murthy, Raghu, additional, Galvis, Sharon, additional, Rotter, Jerome, additional, Chen, Ida, additional, Li, Xiaohui, additional, Taylor, Kent, additional, Roll, Kaye, additional, Hartnett, Mary Elizabeth, additional, Owen, Leah, additional, Moshfeghi, Darius, additional, Nunez, Mariana, additional, Wennber-Smith, Zac, additional, Erdogmus, Deniz, additional, Ioannidis, Stratis, additional, Martinez-Castellanos, Maria Ana, additional, Salinas-Longoria, Samantha, additional, Romero, Rafael, additional, Arriola, Andrea, additional, Olguin-Manriquez, Francisco, additional, Meraz-Gutierrez, Miroslava, additional, Dulanto-Reinoso, Carlos M., additional, and Montero-Mendoza, Cristina, additional

Published
2022
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43. Artificial Intelligence for Retinopathy of Prematurity

Author

Campbell, J. Peter, primary, Chiang, Michael F., additional, Chen, Jimmy S., additional, Moshfeghi, Darius M., additional, Nudleman, Eric, additional, Ruambivoonsuk, Paisan, additional, Cherwek, Hunter, additional, Cheung, Carol Y., additional, Singh, Praveer, additional, Kalpathy-Cramer, Jayashree, additional, Ostmo, Susan, additional, Eydelman, Malvina, additional, Chan, R.V. Paul, additional, Capone, Antonio, additional, Berrocal, Audina, additional, Binenbaum, Gil, additional, Blair, Michael, additional, Campbell, J. Peter, additional, Chen, Yi, additional, Dai, Shuan, additional, Ells, Anna, additional, Fielder, Alistair, additional, Fleck, Brian, additional, Good, William, additional, Hartnett, Mary Elizabeth, additional, Holmstrom, Gerd, additional, Kusaka, Shunji, additional, Kychenthal, Andres, additional, Lepore, Domenico, additional, Lorenz, Birgit, additional, Martinez-Castellanos, Maria Ana, additional, Ozdek, Sengul, additional, Popoola, Dupe, additional, Quinn, Graham, additional, Reynolds, James, additional, Shah, Parag, additional, Shapiro, Michael, additional, Stahl, Andreas, additional, Toth, Cynthia, additional, Vinekar, Anand, additional, Visser, Linda, additional, Wallace, David, additional, Wu, Wei-Chi, additional, Zhao, Peiquan, additional, Zin, Andrea, additional, Abramoff, M.Ichael, additional, Blumenkranz, Mark, additional, Myung, David, additional, Schuman, Joel S., additional, Shields, Carol, additional, Lee, Aaron, additional, Repka, Michael, additional, Ruamviboonsuk, Paisan, additional, and Cherwek, D. Hunter, additional

Published
2022
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47. Reply

Author

Chiang, Michael F., primary, Quinn, Graham E., additional, Fielder, Alastair R., additional, Chan, R.V. Paul, additional, and Fleck, Brian, additional

Published
2022
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48. Reply

Author

Quinn, Graham E., primary, Fielder, Alastair R., additional, Chan, R.V. Paul, additional, and Chiang, Michael F., additional

Published
2022
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49. Artificial Intelligence for Retinopathy of Prematurity: Validation of a Vascular Severity Scale against International Expert Diagnosis

Author

Campbell, J. Peter, Chiang, Michael F., Chen, Jimmy S., Moshfeghi, Darius M., Nudleman, Eric, Ruambivoonsuk, Paisan, Cherwek, Hunter, Cheung, Carol Y., Singh, Praveer, Kalpathy-Cramer, Jayashree, Ostmo, Susan, Eydelman, Malvina, Chan, R.V. Paul, and Capone, Antonio

Subjects
Diagnostic Imaging, Ophthalmoscopy, Artificial Intelligence, Infant, Newborn, Humans, Reproducibility of Results, Gestational Age, Retinopathy of Prematurity, Article
Abstract

OBJECTIVE: To validate a vascular severity score as an appropriate output for artificial intelligence (AI) Software as a Medical Device (SaMD) for retinopathy of prematurity (ROP) through comparison with ordinal disease severity labels for stage and plus disease assigned by the International Classification of ROP, 3rd edition (ICROP3) committee. DESIGN: Validation study of an AI-based ROP vascular severity score SUBJECTS, PARTICIPANTS, AND/OR CONTROLS: 34 ROP experts from the ICROP3 committee. METHODS: Two separate datasets of 30 fundus photographs each for stage (0–5) and plus disease (plus, pre-plus, neither) were labeled by members of the ICROP3 committee using an open-source platform. Averaging these results produced a continuous label for plus (1–9) and stage (1–3) for each image. Experts were also asked to compare each image to each other in terms of relative severity for plus disease. Each image was also labelled with a vascular severity score from the Imaging and Informatics in ROP deep learning (i-ROP DL) system, which was compared with each grader’s diagnostic labels for correlation, as well as the ophthalmoscopic diagnosis of stage. MAIN OUTCOME MEASURES: Weighted kappa and Pearson correlation coefficients (CC) were calculated between each pair of grader classification labels for stage and plus disease. The Elo algorithm was also used to convert pairwise comparisons for each expert into an ordered set of images from least to most severe. RESULTS: The mean weighted kappa and CC for all inter-observer pairs for plus disease image comparison was 0.67 and 0.88 respectively. The vascular severity score was found to be highly correlated with both the average plus disease classification (CC = 0.90, p < 0.001) and the ophthalmoscopic diagnosis of stage (p < 0.001 by ANOVA) among all experts. CONCLUSIONS: The ROP vascular severity score correlates well with the ICROP committee member’s labels for plus disease and stage, which had significant inter-grader variability. Generation of a consensus for a validated scoring system for ROP SaMD can facilitate global innovation and regulatory authorization of these technologies.

Published
2022

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