June 15, 2026 · JAMA · DOI: 10.1001/jama.2026.7025

An AI-Based OCT System to Detect Diabetic Macular Edema: A Prospective Validation and Noninferiority Randomized Clinical Trial

Listen to this summary

The authors aimed to evaluate the diagnostic and referral performance of an AI-based optical coherence tomography (AI-OCT) system for detecting diabetic macular edema (DME) within a diabetic retinopathy screening pathway. Their findings demonstrated that the AI-OCT system significantly reduced false-positive referral rates compared to standard fundus photograph-based screening, while maintaining high sensitivity for DME detection, thus suggesting its potential to alleviate the burden on specialist eye clinics.

Shuyi Zhang, Anran Ran, Jiaying Zhou, Anni Ling, Kaiser Sham, Yu Zhang, Ziqi Tang, Truong X Nguyen, Dawei Yang, Naiman Lam, Hunter K L Yuen, Victor T T Chan, Mary Ho, Julia Y Y Chan, Thomas C H Lam, Charlene C L Yim, Claire W Y Chow, Stephanie S L Cheung, Matthew C W Lam, Anthony C H Lai, Cherie Y K Wong, Amy H Y Yu, Vivian W K Hui, Andrew C Y Mak, Sophia Ling Li, Noel C Y Chan, Wilson W K Yip, Alvin L Young, Risa Ozaki, Kit-Man Loo, Andrea O Y Luk, Juliana C N Chan, Pangfai Chan, Matthew M H Luk, Loretta K P Lai, Daniel H T Wong, Jasmine Shiu, Xi Wang, Pheng-Ann Heng, Haotian Lin, Sobha Sivaprasad, Tien Yin Wong, Kenneth K W Li, Carmen K M Chan, Chi Pui Pang, Clement C Tham, Timothy Y Y Lai, Simon K H Szeto, Carol Y Cheung

This is one of 33,000+ journals available on OSLR. Try it free for 14 days.

Free 14-day trial. 33,000+ journals. Cancel anytime.

14-day free trial. No commitment.

"Oslr has become part of my weekly routine on my day off. The clinical relevance of the summaries is outstanding — I'd rate it 9/10. Being able to consume research hands-free is a huge advantage for busy physicians."

Dr. Jennifer Thompson

Dr. Jennifer Thompson

Portland, OR

Stay current without falling behind

33,000+ journals. 3-minute audio summaries. Free for 14 days.

Download on the App StoreGet it on Google Play