The Use Of Fundus Photography In The Emergency Room-A Review.

IF 4.8 2区医学 Q1 CLINICAL NEUROLOGY

Current Neurology and Neuroscience Reports Pub Date : 2025-04-11 DOI:10.1007/s11910-025-01417-7

Samuel D Browning, Julia M Costello, Hamish P Dunn, Clare L Fraser

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引用次数: 0

Abstract

Purpose of review: The ocular fundus reveals a wealth of pathophysiological findings which should change patient management in the emergency room (ER). Traditional fundoscopy has been technically challenging and diagnostically inaccurate, but technological advances in non-mydriatic fundus photography (NMFP) have facilitated clinically meaningful fundoscopy. This review presents an update on the literature regarding NMFP and its application to the ER, illustrating pivotal publications and recent advances within this field.

Recent findings: NMFP's application in the ER is demonstrably feasible and seamlessly integrates into emergency physicians' (EP) diagnostic workflows in a clinically meaningful and time efficient manner. The images of the ocular fundus (OF) generated by NMFP are consistently high quality, allowing a greater diagnostic accuracy to EP and ophthalmology interpreters alike. Digital NMFP images facilitate effective ophthalmology input via telemedicine to review the images in the ER. NMFP has been shown to change management decisions in the ER, improving patient and departmental outcomes. Interpretation of fundus images remains a medical education challenge, and early research highlights the potential for artificial intelligence (AI) image systems of NMFP to augment image interpretation in the ER. NMFP can change the ER approach to OF assessment, however the factors limiting its routine implementation need further consideration. There is potential for AI to contribute to NMFP image screening systems to augment EPs diagnostic accuracy.

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眼底摄影在急诊室中的应用综述

回顾的目的：眼底揭示了丰富的病理生理发现，应该改变病人的管理在急诊室（ER）。传统的眼底镜检查在技术上具有挑战性且诊断不准确，但非散束眼底摄影（NMFP）的技术进步促进了临床上有意义的眼底镜检查。这篇综述介绍了关于NMFP及其在急诊中的应用的最新文献，说明了该领域的关键出版物和最新进展。最新发现：NMFP在急诊室的应用是明显可行的，并以临床意义和时间效率的方式无缝集成到急诊医生（EP）的诊断工作流程中。NMFP生成的眼底（of）图像始终保持高质量，使EP和眼科口译员的诊断准确性更高。数字NMFP图像促进通过远程医疗有效的眼科输入，以审查急诊室的图像。NMFP已被证明改变了急诊室的管理决策，改善了患者和部门的结果。眼底图像的解释仍然是医学教育的一个挑战，早期的研究强调了NMFP的人工智能（AI）图像系统在急诊室增强图像解释的潜力。NMFP可以改变ER方法来评估OF，但是限制其常规实施的因素需要进一步考虑。人工智能有潜力为NMFP图像筛选系统做出贡献，以提高EPs的诊断准确性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Neurology and Neuroscience Reports 医学-临床神经学

CiteScore

9.20

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Current Neurology and Neuroscience Reports provides in-depth review articles contributed by international experts on the most significant developments in the field. By presenting clear, insightful, balanced reviews that emphasize recently published papers of major importance, the journal elucidates current and emerging approaches to the diagnosis, treatment, management, and prevention of neurological disease and disorders. Presents the views of experts on current advances in neurology and neuroscience Gathers and synthesizes important recent papers on the topic Includes reviews of recently published clinical trials, valuable web sites, and commentaries from well-known figures in the field.