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CTRI Number  CTRI/2025/10/095888 [Registered on: 10/10/2025] Trial Registered Prospectively
Last Modified On: 08/10/2025
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   retrospective 
Study Design  Other 
Public Title of Study   Accuracy of AI versus Opthalmologist in detecting Diabetic Retinopathy from fundus images  
Scientific Title of Study   Comparison of the DRISTi -Artificial Intelligence System with Ophthalmologist grading for Detection of Diabetic Retinopathy from fundus images. 
Trial Acronym  NIL  
Secondary IDs if Any  
Secondary ID  Identifier 
nil  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  jyothsna rajagopal 
Designation  Medical Head 
Affiliation  ARTELUS-Artificial Learning Systems India Private Limited, 
Address  No. 1665/A, II Floor, 14th Main Road, HSR Layout Sector 7, Bengaluru,
No. 1665/A, II Floor, 14th Main Road, HSR Layout Sector 7, Bengaluru, 560102
Bangalore
KARNATAKA
560102
India 
Phone  9980949289  
Fax    
Email  j.rajagopal@artelus.ai  
 
Details of Contact Person
Scientific Query
 
Name  jyothsna rajagopal 
Designation  Medical Head 
Affiliation  ARTELUS-Artificial Learning Systems India Private Limited, 
Address  No. 1665/A, II Floor, 14th Main Road, HSR Layout Sector 7, Bengaluru,
No. 1665/A, II Floor, 14th Main Road, HSR Layout Sector 7, Bengaluru, 560102
Bangalore
KARNATAKA
560102
India 
Phone  9980949289  
Fax    
Email  j.rajagopal@artelus.ai  
 
Details of Contact Person
Public Query
 
Name  jyothsna rajagopal 
Designation  Medical Head 
Affiliation  ARTELUS-Artificial Learning Systems India Private Limited, 
Address  No. 1665/A, II Floor, 14th Main Road, HSR Layout Sector 7, Bengaluru,
No. 1665/A, II Floor, 14th Main Road, HSR Layout Sector 7, Bengaluru, 560102
Bangalore
KARNATAKA
560102
India 
Phone  9980949289  
Fax    
Email  j.rajagopal@artelus.ai  
 
Source of Monetary or Material Support  
ARTELUS-Artificial Learning Systems India Private Limited, No. 1665/A, II Floor, 14th Main Road, HSR Layout Sector 7, Bengaluru, INDIA-560102 
 
Primary Sponsor  
Name  none  
Address  NIl 
Type of Sponsor  Other [med tech company] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
jyothsna rajagopal  ARTELUS-Artificial Learning Systems India Private Limited  No. 1665/A, II Floor, 14th Main Road, HSR Layout Sector 7, Bengaluru, INDIA-560102
Bangalore
KARNATAKA 
09980949289

j.rajagopal@artelus.ai 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
ACE Independent Ethics Committee,  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: H350||Background retinopathy and retinalvascular changes,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  Nil 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  80.00 Year(s)
Gender  Both 
Details  patients presenting for DR screening collected from multiple secondary and tertiary eye care hospitals and community screening site 
 
ExclusionCriteria 
Details  patients attending hospital for reasons other than DR screening  
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
The primary outcome is the sensitivity and specificity of the AI system in detecting eyes with mtmDR or vtDR, compared to the reference standard  NA 
 
Secondary Outcome  
Outcome  TimePoints 
The primary outcome is the sensitivity and specificity of the AI system in detecting eyes with mtmDR or vtDR, compared to the reference standard. The secondary outcomes include the sensitivity and specificity of the AI system in identifying eyes with DME relative to the reference standard.
 
NA 
 
Target Sample Size   Total Sample Size="760"
Sample Size from India="760" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   22/10/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="0"
Days="7" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - YES
  1. What data in particular will be shared?
    Response (Others) -  fundus images

  2. What additional supporting information will be shared?
    Response -  Study Protocol
    Response -  Statistical Analysis Plan

  3. Who will be able to view these files?
    Response - Researchers whose proposed use of the data has been approved by an independent review committee identified for this purpose.

  4. For what types of analyses will this data be available?
    Response - To achieve aims in the approved proposal.

  5. By what mechanism will data be made available?
    Response - Proposals should be directed to [j.rajagopal@artelus.ai].

  6. For how long will this data be available start date provided 02-01-1970 and end date provided 02-01-1970?
    Response - Beginning 3 months and ending 5 years following article publication.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - NIL
Brief Summary  


India currently has 101 million people with diabetes, expected to rise to 134 million by 2045. Diabetic retinopathy affects about 35 percent of people with diabetes for over five years. Due to limited eye care access and few ophthalmologists, only a small percentage of diabetics receive regular screening. AI-based tools like DRISTi can help scale DR detection. This study aims to compare the diagnostic performance of Artificial Intelligence System with that of expert ophthalmologists.

To compare the sensitivity and specificity of DRISTi in detecting mtmDR and vtDR from  fundus images versus ophthalmologist grading.

Retrospective observational study to be done  over Three months for data collection, analysis, and reporting.
800 images in total Single-field images from  different non-mydriatic cameras (Crystal Vue, Zeiss, Canon, Topcon) . 

Data  will be de-identified with secure storage and Ophthalmologist will be  blinded to AI results.
Metrics calculated at the eye level with 95 percent confidence intervals and Subgroup analysis by camera  and for DME .

 
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