Multimodal imaging interpreted by graders to detect re-activation of diabetic eye disease in previously treated patients: the EMERALD diagnostic accuracy study

Lois, Noemi; Cook, Jonathan; Wang, Ariel; Aldington, Stephen; Mistry, Hema; Maredza, Mandy; McAuley, Danny; Aslam, Tariq; Bailey, Clare; Chong, Victor; Ghanchi, Faruque; Scanlon, Peter; Sivaprasad, Sobha; Steel, David; Styles, Caroline; Azuara-Blanco, Augusto; Prior, Lindsay; Waugh, Norman

doi:10.3310/hta25320

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This study suggested that the ophthalmic grader pathway is safe and saved resources in the surveillance of people with previously treated and stable diabetic macular oedema and proliferative diabetic retinopathy.

Noemi Lois , Jonathan Cook , Ariel Wang , Stephen Aldington , Hema Mistry , Mandy Maredza , Danny McAuley , Tariq Aslam , Clare Bailey , Victor Chong , Faruque Ghanchi , Peter Scanlon , Sobha Sivaprasad , David Steel , Caroline Styles , Augusto Azuara-Blanco , Lindsay Prior & Norman Waugh .

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Noemi Lois ^1,^*, Jonathan Cook ², Ariel Wang ², Stephen Aldington ³, Hema Mistry ⁴, Mandy Maredza ⁴, Danny McAuley ^1,⁵, Tariq Aslam ⁶, Clare Bailey ⁷, Victor Chong ⁸, Faruque Ghanchi ⁹, Peter Scanlon ³, Sobha Sivaprasad ¹⁰, David Steel ^11,¹², Caroline Styles ¹³, Augusto Azuara-Blanco ¹⁴, Lindsay Prior ¹⁴, Norman Waugh ⁴

¹ The Wellcome-Wolfson Institute for Experimental Medicine, Queen’s University Belfast, Belfast, UK
² Centre for Statistics in Medicine, University of Oxford, Oxford, UK
³ Gloucestershire Hospitals NHS Foundation Trust, Gloucester, UK
⁴ Warwick Medical School, University of Warwick, Coventry, UK
⁵ The Regional Intensive Care Unit, Royal Victoria Hospital, Belfast, UK
⁶ The Manchester Academic Health Science Centre, Manchester Royal Eye Hospital and Division of Pharmacy and Optometry, School of Health Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UK
⁷ Bristol Eye Hospital, Bristol, UK
⁸ Royal Free Hospital NHS Foundation Trust, London, UK
⁹ Bradford Teaching Hospitals NHS Foundation Trust, Bradford Royal Infirmary, Bradford, UK
¹⁰ National Institute for Health Research Moorfields Biomedical Research Centre, London, UK
¹¹ Sunderland Eye Infirmary, Sunderland, UK
¹² Institute of Genetic Medicine, Newcastle University, Newcastle upon Tyne, UK
¹³ Queen Margaret Hospital, Dunfermline, UK
¹⁴ Centre for Public Health, Queen’s University Belfast, Belfast, UK
^* Corresponding author Email: n.lois@qub.ac.uk

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