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Systematic Review Protocol for The Future of Diabetic Retinopathy Screening: AI and OCTA Techniques Lead the Way""
- Mohammad Soleimani
- Alireza Hayati
- Mohammad Reza Abdol Homayuni
- Reza Sadeghi
- Hassan Asadigandomani
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Description: Diabetic retinopathy (DR) remains a leading cause of preventable blindness, with its global prevalence projected to rise sharply as diabetes incidence increases. Early detection and timely management are critical to reducing DR-related vision loss. Optical Coherence Tomography Angiography (OCTA) now enables non-invasive, layer-specific visualization of the retinal vasculature, facilitating more precise identification of early microvascular changes. Concurrently, advancements in artificial intelligence (AI), particularly deep learning (DL) architectures such as convolutional neural networks (CNNs), attention-based models, and Vision Transformers, have revolutionized image analysis. These AI-driven tools substantially enhance the sensitivity, specificity, and interpretability of DR screening. A systematic review of PubMed, Scopus, WOS, and Embase databases, including quality assessment of published studies, investigating the result of different AI algorithms with OCTA parameters in DR patients will be conducted. The variables of interest will comprise training databases, type of image, imaging modality, number of images, outcomes, algorithm/model used, and performance metrics.
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