ClinicalTrials.gg
CompletedNCT07318428Updated Jun 23, 2026

AI-Assisted Detection of Posterior Segment Diseases: DR, AMD, RVO, and Glaucoma

An interventional study of VUNO Med-Fundus AI in Diabetic Retinopathy, Age Related Macular Degeneration and Retinal Vein Occlusion, sponsored by Inje University. Completed at 5 sites in South Korea. Per ClinicalTrials.gov, last updated 2026-06-23.

Sponsored by Inje University · Not applicable, Interventional, and Diagnostic

Phase
Not applicable
Study type
Interventional
Enrollment
10
Allocation
Non-randomized
Sex
All
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Study summary

The purpose of this multi-center study is to evaluate the extent to which AI-assisted fundus image interpretation improves the diagnostic performance of ophthalmologists. Rather than assessing the standalone algorithm performance, this study aims to determine the clinical value of using AI as a decision-support tool within actual clinical workflows.

At each participating institution, five ophthalmologists within three years of board certification and five ophthalmology residents will participate as readers. All readers will interpret fundus images both with and without the AI-based assistance software. The study will quantitatively compare diagnostic accuracy and reading time across the two conditions for four posterior segment diseases: diabetic retinopathy, age-related macular degeneration, retinal vein occlusion, and glaucoma.

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Conditions studied

  • Diabetic Retinopathy
  • Age Related Macular Degeneration
  • Retinal Vein Occlusion
  • Glaucoma
  • Glaucoma Suspect
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In context

Diabetic Retinopathy

778 studies on the registry are indexed under Diabetic Retinopathy; 142 are open to participants now.

This study's enrollment of 10 is below the median of 80 across 481 interventional studies indexed under Diabetic Retinopathy.

Browse Diabetic Retinopathy studies →

Lead sponsor

Inje University is the lead sponsor of 93 studies on the registry; 1 is open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Ten readers will be recruited from five participating hospital sites, consisting of:

  • Five ophthalmologists within three years of board certification
  • Five ophthalmology residents

Ophthalmologists and residents of any age, sex, race, or ethnicity may participate as study readers. All readers must meet the following inclusion criteria:

  • Licensed physicians qualified to interpret fundus images.
  • Ophthalmologists within three years of board certification, or ophthalmology residents with no restriction on clinical experience.
  • Able and willing to complete both the unassisted and AI-assisted reading sessions.
  • Able to provide for participation in the reader study.
  • Affiliated with one of the participating clinical sites.
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Not applicable
Primary purpose
Diagnostic
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
10 participants (actual)

Study arms

  • Experimental
    AI-Assisted Reading

    Readers interpret the fundus images with AI-generated outputs available.

    Device: VUNO Med-Fundus AI

  • No intervention
    Unassisted Reading

    Readers interpret fundus images without access to the AI system.

Interventions

  • DeviceVUNO Med-Fundus AI

    The intervention consists of an AI-based fundus image interpretation software that provides automated outputs for 12 retinal and optic nerve findings (e.g., hemorrhage, exudates, drusen, optic disc change). The system does not generate a direct disease diagnosis. Instead, the AI displays the presence or absence of 12 predefined findings along with their lesion locations. Readers may use this finding-level information as decision-support when determining the presence of the four target diseases (diabetic retinopathy, age-related macular degeneration, retinal vein occlusion, and glaucoma).

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What researchers measure

Primary outcomes

  1. Performance of readers with and without AI assistance: Sensitivity

    Sensitivity of reader diagnoses for each of the four target diseases (DR, AMD, RVO, glaucoma) and for any fundus abnormality will be assessed with and without AI assistance, using the image-level reference standard as the comparator, through two reading sessions in which all 10 readers review all cases-randomised for each reader-with a washout period implemented to mitigate recall bias.

    Time frame: Through study completion, approximately 2 months

  2. Performance of readers with and without AI assistance: Specificity

    Specificity of reader diagnoses for each of the four target diseases (DR, AMD, RVO, glaucoma) and for any fundus abnormality will be assessed with and without AI assistance, using the image-level reference standard as the comparator, through two reading sessions in which all 10 readers review all cases-randomised for each reader-with a washout period implemented to mitigate recall bias.

    Time frame: Through study completion, approximately 2 months

  3. Reading time per image

    Reading time per image will be measured during both unassisted and AI-assisted interpretation sessions. For each case, the total time from the moment the image is displayed to the moment the reader submits the final disease classification will be recorded automatically by the reading platform. Mean reading time per image will be calculated for each reader and compared between the two conditions to evaluate whether AI assistance reduces interpretation time.

    Time frame: Through study completion, approximately 2 months

07

Study locations

5 sites
  • Inje University Busan Paik Hospital
    Busan, 47392, South Korea
  • Dong-A University Hospital
    Busan, 49201, South Korea
  • Pusan National University Hospital
    Busan, 49241, South Korea
  • Kosin University Gospel Hospital
    Busan, 49267, South Korea
  • Pusan National University Yangsan Hospital
    Yangsan, 50612, South Korea
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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 23, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT07318428
Lead sponsor
Inje University
Collaborators
Dong-A University Hospital, Kosin University Gospel Hospital, Pusan National University Hospital, Pusan National University Yangsan Hospital
Responsible party
Dong Geun Kim (Assistant Professor of Ophthalmology, Inje University) — Principal investigator
First posted
Jan 6, 2026
Start date
Feb 20, 2026
Primary completion
Apr 3, 2026
Completion
May 22, 2026
Last update
Jun 23, 2026

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jan 2026. You cannot join it, but the record below documents what was studied.

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