The role of Artificial Intelligence in the automated screening of diabetic retinopathy

Authors

  • Gabriel Bertonsin Silva Brito Bertonsin Silva Brito Pesquisador vinculado ao Programa de Iniciação Científica e Tecnológica pela Universidade Evangélica de Goiás (UniEVANGÉLICA). Anápolis/GO, Goiás, Brasil.
  • Luíza Ferreira Ventura Ferreira Ventura Pesquisadora vinculada ao Programa de Iniciação Científica e Tecnológica pela Universidade Evangélica de Goiás (UniEVANGÉLICA). Anápolis/GO, Goiás, Brasil.
  • Izabella do Vale Burjack Vale Burjack Pesquisadora vinculada ao Programa de Iniciação Científica e Tecnológica pela Universidade Evangélica de Goiás (UniEVANGÉLICA). Anápolis/GO, Goiás, Brasil.
  • Cláudia Santos de Oliveira Santos de Oliveira Professora e vice-coordenadora do Programa de Doutorado e Mestrado em Movimento Humano e Reabilitação da UniEVANGÉLICA. Anápolis/GO, Goiás, Brasil.
  • Salomão Antonio Oliveira Oliveira Professor e Preceptor no curso de Medicina da Universidade Evangélica de Goiás (UniEVANGÉLICA). Anápolis/GO, Goiás, Brasil.
  • Eumar Evangelista de Menezes Júnior Eumar Júnior Universidade Evangélica de Goiás (UniEVANGÉLICA)
  • Sandro Dutra e Silva Dutra e Silva Professor Permanente do Programa de Doutorado e Mestrado em Sociedade, Tecnologia e Meio Ambiente da Universidade Evangélica de Goiás (UniEVANGÉLICA). Anápolis/GO, Goiás, Brasil.

DOI:

https://doi.org/10.25758/set.916

Keywords:

Artificial Intelligence, Diabetic retinopathy, Automated screening

Abstract

Diabetic retinopathy (DR) is a serious microvascular complication of diabetes mellitus and a leading cause of preventable blindness in adults. This study analyzes the impact of Artificial Intelligence (AI) on automated DR screening, highlighting its ability to improve the accuracy and efficiency of screenings. AI enables early detection of the disease, reducing reliance on specialists and increasing access to care in resource-limited regions. The technologies discussed include advanced deep learning algorithms and explainability techniques, which help interpret clinical results. Despite advances, barriers such as a lack of data standardization, ethical issues, and limitations in generalizing AI frameworks need to be overcome. The study concludes that AI represents a promising tool in the management of DR, with the potential to transform disease identification and prevent serious visual complications in different socioeconomic contexts.

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References

Bortoli JQ, Silber PC, Picetti E, Silva CF, Pakter HM. Retinografia como forma de rastreio de retinopatia diabética em hospital terciário do Sistema Único de Saúde [Color retinography as a means of screening for diabetic retinopathy in the tertiary hospital of Unified Health System]. Rev Bras Oftalmol. 2022;81:e0057. Portuguese

Sheng B, Chen X, Li T, Ma T, Yang Y, Bi L, et al. An overview of artificial intelligence in diabetic retinopathy and other ocular diseases. Front Public Health. 2022;10:971943.

Galvão FM, Silva YP, Resende MI, Barbosa FR, Martins TA, Carneiro LB. Prevalência e fatores de risco para retinopatia diabética em pacientes diabéticos atendidos por demanda espontânea: um estudo transversal [Prevalence and risk factors of diabetic retinopathy in patients with diabetes seen by unscheduled demand: a cross-sectional study]. Rev Bras Oftalmol. 2021;80(3):e0006. Portuguese

Jabbar MK, Yan J, Xu H, Ur Rehman Z, Jabbar A. Transfer learning-based model for diabetic retinopathy diagnosis using retinal images. Brain Sci. 2022;12(5):535. Erratum in: Brain Sci. 2024;14(8):777.

Guerra DK, Silva WM, Calixto TB, Menezes PH, Silveira NR, Ferreira MA, et al. Estratégias de prevenção para retinopatia diabética em pacientes com diabetes tipo 2 [Prevention strategies for diabetic retinopathy in patients with type 2 diabetes]. Rev Centro Pesq Avançadas Qual Vida. 2024;16(2). Portuguese

Cruvinel ME, Macêdo SE, Carvalho EA, Peres JC, Rodrigues IS, Ferreira JP, et al. Exames disponíveis para o diagnóstico da retinopatia diabética: uma revisão [Available tests for diagnosis of diabetic retinopathy: a review]. Braz J Health Rev. 2023;6(3):9346-53. Portuguese

Wu JH, Liu TY, Hsu WT, Ho JH, Lee CC. Performance and limitation of machine learning algorithms for diabetic retinopathy screening: meta-analysis. J Med Internet Res. 2021;23(7):e23863.

Carvalho BF, Carvalho LF, Takahashi IM, Libânio PG, Vieira GG, Carvalho RN. O uso da inteligência artificial para diagnóstico da retinopatia diabética: uma revisão narrativa [The use of artificial intelligence for diagnosis of diabetic retinopathy: a narrative review]. Rev Med Minas Gerais. 2022;32 Suppl 01:S42-5. Portuguese

Luo X, Wang W, Xu Y, Lai Z, Jin X, Zhang B, et al. A deep convolutional neural network for diabetic retinopathy detection via mining local and long-range dependence. CAAI Trans Intell Technol. 2024;9(1):153-66.

Grauslund J. Diabetic retinopathy screening in the emerging era of artificial intelligence. Diabetologia. 2022;65(9):1415-23.

Li S, Zhao R, Zou H. Artificial intelligence for diabetic retinopathy. Chin Med J (Engl). 2021;135(3):253-60.

Arwany MZ, Sahyoun AH, Yaqub M. Deep learning techniques for diabetic retinopathy classification: a survey. IEEE Access. 2022;10:28642-53.

Fayyaz AM, Sharif MI, Azam S, Karim A, El-Den J. Analysis of diabetic retinopathy (DR) based on the deep learning. Information. 2023;14(1):30.

Quellec G, Al Hajj H, Lamard M, Conze PH, Massin P, Cochener B. ExplAIn: explanatory artificial intelligence for diabetic retinopathy diagnosis. Med Image Anal. 2021;72:102118.

Haq NU, Waheed T, Ishaq K, Hassan MA, Safie N, Elias NF, et al. Computationally efficient deep learning models for diabetic retinopathy detection: a systematic literature review. Artif Intell Rev. 2024;57:309-47.

Lim JI, Regillo CD, Sadda SR, Ipp E, Bhaskaranand M, Ramachandra C, et al. Artificial Intelligence detection of diabetic retinopathy: subgroup comparison of the EyeArt system with ophthalmologists' dilated examinations. Ophthalmol Sci. 2022;3(1):100228.

Senapati A, Tripathy HK, Sharma V, Gandomi AH. Artificial intelligence for diabetic retinopathy detection: a systematic review. Inform Med Unlocked. 2024;45:101445.

Oliveira LE, Silva MC, Santiago RV, Benevides CA, Cunha CC, Matos AG. Diagnóstico da retinopatia diabética por inteligência artificial por meio de smartphone [Diagnosis of diabetic retinopathy by artificial intelligence using smartphone]. Rev Bras Oftalmol. 2024;83:e0006. Portuguese

Lin CL, Wu KC. Development of revised ResNet-50 for diabetic retinopathy detection. BMC Bioinformatics. 2023;24(1):157.

Alyoubi WL, Abulkhair MF, Shalash WM. Diabetic retinopathy fundus image classification and lesions localization system using deep learning. Sensors (Basel). 2021;21(11):3704.

Alqaralleh BA, Aldhaban F, Abukaraki A, AlQaralleh EA. Evolutionary intelligence and deep learning enabled diabetic retinopathy classification model. Comp Mater Contin. 2022;73(1):87-101.

Bilal A, Zhu L, Deng A, Lu H, Wu N. AI-based automatic detection and classification of diabetic retinopathy using U-Net and deep learning. Symmetry. 2022;14(7):1427.

Thanekachalam V, Kavitha MG, Sivamurugan V. Diabetic retinopathy diagnosis using interval neutrosophic segmentation with deep learning model. Comp Syst Sci Eng. 2023;44(3):2129-45.

Published

2025-12-30

Issue

Section

Artigos

How to Cite

The role of Artificial Intelligence in the automated screening of diabetic retinopathy. (2025). Saúde & Tecnologia, e916. https://doi.org/10.25758/set.916