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Design of a Tele-Ophthalmology System for Comprehensive Eye Examination and DR Screening and Its Preliminary Implementation
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  • 关键词:Tele ; ophthalmology ; Diabetic retinopathy screening ; Telemedicine ; Comprehensive eye examination ; Diabetic retinopathy grading
  • 刊名:Lecture Notes in Computer Science
  • 出版年:2016
  • 出版时间:2016
  • 年:2016
  • 卷:9677
  • 期:1
  • 页码:237-249
  • 全文大小:3,089 KB
  • 参考文献:1.International Diabetes Federation. Diabetes atlas. 7th edn. http://​www.​idf.​org/​diabetesatlas
    2.WHO Media Centre Diabetes. www.​who.​int/​mediacentre/​factsheets/​fs312/​en/​index.​html
    3.Rubino, A., Rousculp, M.D., Davis, K., Wang, J., Girach, A.: Diagnosed diabetic retinopathy in France, Italy, Spain, and the United Kingdom. Prim. Care Diab. 1(2), 75–80 (2007)CrossRef
    4.Kilstad, H.N., Sjølie, A.K., Gøransson, L., Hapnes, R., Henschien, H.J., Alsbirk, K.E., Fossen, K., Bertelsen, G., Holstad, G., Bergrem, H.: Prevalence of diabetic retinopathy in Norway: report from a screening study. Acta Ophthalmol. 90(7), 609–612 (2012)CrossRef
    5.Hansen, A.B., Andersen, M.V.N.: Screening for diabetic retinopathy in Denmark: the current status. Acta Ophthalmol. Scand. 82(6), 673–678 (2004)CrossRef
    6.Massin, P., Chabouis, A., Erginay, A., Viens-Bitker, C., Lecleire-Collet, A., Meas, T., et al.: OPHDIAT: a telemedical network screening system for diabetic retinopathy in the Île-de-France. Diab. Metab. 34(3), 227–234 (2008)CrossRef
    7.Peto, T., Tadros, C.: Screening for diabetic retinopathy and diabetic macular oedema in the United Kingdom. Curr. Diab. Rep. 12(4), 338–345 (2012)CrossRef
    8.Ding, J., Zou, Y., Liu, N., Jiang, L., Ren, X., Jia, W., Snellingen, T., Chongsuvivatwong, V., Liu, X.: Strategies of digital fundus photography for screening diabetic retinopathy in a diabetic population in urban China. Ophthalmic Epidemiol. 19(6), 414419 (2012)CrossRef
    9.Peng, J., Zou, H., Wang, W., Fu, J., Shen, B., Bai, X., Xu, X., Zhang, X.: Implementation and first-year screening results of an ocular telehealth system for diabetic retinopathy in China. BMC Health Serv. Res. 11, 250 (2011)CrossRef
  • 作者单位:Di Xiao (19)
    Janardhan Vignarajan (19)
    Tingting Chen (20)
    Tiantian Ye (20)
    Baixiang Xiao (20)
    Nathan Congdon (20)
    Yogessan Kanagasingam (19)

    19. The Australian e-Health Research Centre, Health and Biosecurity Flagship, CSIRO, 147 Underwood Ave., Floreat, WA, 6014, Australia
    20. Zhongshan Ophthalmic Centre, Sun Yat-sen University, 54 South Xianlie Road, Guangzhou, China
  • 丛书名:Inclusive Smart Cities and Digital Health
  • ISBN:978-3-319-39601-9
  • 刊物类别:Computer Science
  • 刊物主题:Artificial Intelligence and Robotics
    Computer Communication Networks
    Software Engineering
    Data Encryption
    Database Management
    Computation by Abstract Devices
    Algorithm Analysis and Problem Complexity
  • 出版者:Springer Berlin / Heidelberg
  • ISSN:1611-3349
  • 卷排序:9677
文摘
We have developed a prototype version of telemedicine system, which combines web-based application, tablet app and digital retinal imaging, for comprehensive eye examination and diabetic retinopathy screening. Patient treatment and follow-up examination are implemented in the system. In the paper, we introduced the design of system architecture and main workflows and their preliminary implementations. The system provided a new service model through one grading center linking with multiple remote hospitals for eye care in Guangdong province, China. The early stage of the project practice and study also undertook the responsibility of educations for remote-area doctors and image graders for DR diagnosis and image grading. The project has successfully demonstrated the telemedicine system and associated workflows can be used for providing DR screening and eye disease diagnostic services in remote and rural hospitals in China.

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