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. 2022 Mar 17;140(4):383–391. doi: 10.1001/jamaophthalmol.2022.0244

Table 3. Diagnostic Accuracy of the Model Developed Using the Ocular Hypertension Treatment Study Endpoint Committee Determination of End Points Based on Optic Disc Changes in Independent Test Setsa.

Source Country Ground truth determination Test set size (images), No. AUROC (95% CI) Sensitivity
Healthy Glaucoma All eyes Mild glaucoma (VF MD ≥−6 dB) 80% Specificity 85% Specificity 90% Specificity 95% Specificity
DIGS18 US Agreement by 2 expert graders from the University of California, San Diego, reviewing photographs only 5184 4289 0.74 (0.69-0.79) 0.71 (0.65-0.76) 0.59 0.52 0.43 0.30
ACRIMA16 Spain 1 Expert grader reviewing photographs only 309 396 0.74 (0.70-0.77) Not available 0.55 0.46 0.38 0.29
LAG17 China Glaucoma specialists from Beijing Tongren Hospital reviewing photographs, IOP, and VF 3143 1711 0.79 (0.78-0.81) Not available 0.66 0.59 0.53 0.42

Abbreviations: ADAGES, African Descent and Glaucoma Evaluation Study; AUROC, area under the receiver operating characteristic curve; DIGS, Diagnostic Innovations in Glaucoma Study; IOP, intraocular pressure; LAG, Large-scale Attention-Based Glaucoma; MD, mean deviation; VF, visual field.

a

The DIGS/ADAGES data set consisted of photographs of 227 women and 151 men with a mean age of 64.0 years (95% CI, 63.5-64.6). Demographic characteristics of the LAG and ACRIMA study population are not readily available.