自动化斜视评估:一个批判性审查和元分析
Emma M Hartness1, Fangfang Jiang2, Gideon K D Zamba1,2,3
1Carver College of Medicine, University of Iowa, Iowa City, IA, United States.
Frontiers in neurology
|September 26, 2025
概括
与临床检查相比,自动眼睛追踪设备在评估成年人斜视时显示出高准确度 (0.87相关性). 这些技术有望改善对眼科护理的准入,特别是在服务不足的地区.
科学领域:
- 眼科医生 眼科 眼科
- 生物医学工程 生物医学工程
- 医疗器械 医疗器械
背景情况:
- 成人斜视有不同的病因,需要临床评估.
- 自动眼睛追踪技术为客观的视评估提供了潜力.
- 障碍阻碍了自动诊断设备的临床整合.
研究的目的:
- 为了进行定量元分析和定性评估自动化偏评估设备.
- 评估现有的自动化偏评估技术的准确性和临床适用性.
主要方法:
- 系统的文献搜索自动化视评估研究 (1949-2025年).
- 17项研究的定量元分析,将自动化设备与黄金标准临床评估进行比较.
- 对影响临床采用因素 (可移植性,成本,患者变异) 的定性分析.
主要成果:
- 在自动化设备和临床评估之间发现了0.87 (95% CI:0.81-0.91) 的聚合相关性.
- 鉴定了当前自动化偏评估模型的优点和局限性.
- 为设备进步和临床实施提出的指导方针.
结论:
- 自动化视评估技术表现出高准确度和精度.
- 在偏远或资源较少的环境中,有可能扩大对眼科护理的准入.
- 克服实施障碍对于广泛的临床采用至关重要.
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