角膜和外部疾病的远程医疗:对成像设备的全面审查
Binh Cao1, Chi H V Vu2, Jeremy D Keenan3,4
1Francis I. Proctor Foundation, University of California, 490 Illinois St, San Francisco, CA, 94158, USA.
Ophthalmology and therapy
|July 17, 2023
概括
远程医疗成像设备显示出远程诊断角膜和外部疾病的前景. 然而,需要更多的研究来确认它们的诊断准确性和临床使用的可靠性.
科学领域:
- 眼科医生 眼科 眼科
- 医疗成像医学成像
- 数字健康数字健康
背景情况:
- 随着COVID-19的流行,远程医疗在治疗眼睛疾病方面的价值得到了强调.
- 裂纹灯生物显微镜和智能手机成像技术的进步刺激了眼睛表面疾病远程医疗的研究.
研究的目的:
- 审查有关角膜和外部段状况的远程医疗成像设备的现有证据.
- 了解这个快速发展的领域的研究范围和性质.
主要方法:
- 根据既定的协议,进行了范围审查.
- 在PubMed和Embase中搜索英语文档进行了搜索.
- 前段成像设备根据它们在远程医疗中的应用被分类.
主要成果:
- 审查确定了51个前段成像设备,包括基于裂纹灯,基于智能手机和其他方式.
- 这些设备可以检测到各种角膜和外部疾病,但诊断性能被评估为不到一半.
- 诊断准确性和评价者之间的可靠性差异很大,在许多研究中都未得到充分研究.
结论:
- 远程医疗成像设备为远程诊断和前段疾病的管理提供了潜力.
- 在验证这些设备的诊断准确性和评级者之间的可靠性方面存在重大差距.
- 进一步严格的研究是必要的,以确定这些技术的临床实用性.
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