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Table 5 Advantages and disadvantages of different imaging methods for screening and assessment of DR severity

From: Comparison of montage with conventional stereoscopic seven-field photographs for assessment of ETDRS diabetic retinopathy severity

Imaging methods

Advantages

Disadvantages

Stereoscopic 7-field

Stereopsis for detecting DME, NVE, NVD, pre-retinal hemorrhages, and vitreous hemorrhages

Time-consuming process and requires highly training photographers for capturing images [15, 16]

Requires stereo viewer while grading images in order to appreciate stereo effect

14 images are captured

Montage

Viewing 7F area in a single shot while maintaining original monoscopic images

Less photographs are taken (7 total)

Time-consuming in constructing montage and requires highly training technician

Lack of stereopsis

Monoscopic 7-field

Less photographs are taken (7 total)

Lack of stereopsis

Mosaic

Less photographs are taken (9 total)

Lack of stereopsis

Uneven transition between adjacent fields [22]

Does not entirely cover 7F area although covers larger retinal area [22]

Ultra-widefield

Only one photograph is taken

Covers much larger retinal area

Viewing retinal area in a single shot

Great screening tool for the presence of DR [15, 26]

Lack of stereopsis

Lower sensitivity in detecting certain retinopathy lesions [26, 27]

Semirealistic fundus images [15]