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Worklist Leeds DESP · 12 Octsynthetic
Mine 18Flagged 6Done 41
MD
Margaret Doyle999 000 0512 · DESP routine · 09:00
AI R2 M1
LR
Lorraine Rowntree999 000 0519 · DESP routine · 09:13
AI R1
SF
Shona Fitzpatrick999 000 0526 · DESP routine · 09:26
AI R0
MR
Malcolm Rennie999 000 0533 · DESP routine · 09:39
AI R0
HO
Harriet Okafor999 000 0540 · DESP routine · 10:52
AI R3a
MH
Morag Hargreaves999 000 0547 · DESP routine · 10:05
AI R1 M1
ZB
Zainab Banerjee999 000 0554 · DESP routine · 10:18
Ungradable
HH
Hussein Holloway999 000 0561 · DESP routine · 10:31
AI R0
GP
Gareth Pryce999 000 0568 · DESP routine · 11:44
AI R1
SD
Siobhan Drummond999 000 0575 · DESP routine · 11:57
AI R0
NN
Nkechi Nwosu999 000 0582 · DESP routine · 11:10
AI R2
PB
Priya Brennan999 000 0589 · DESP routine · 11:23
AI R0
YS
Yusuf Siddiqui999 000 0596 · DESP routine · 12:36
AI R1
FZ
Fiona Zielinska999 000 0603 · DESP routine · 12:49
AI R0
KM
Kieran MacKinnon999 000 0610 · DESP routine · 12:02
AI R0
GM
Graham McLeod999 000 0617 · DESP routine · 12:15
AI R1
TS
Trevor Sharma999 000 0624 · DESP routine · 13:28
AI R0
DB
Dennis Bevan999 000 0631 · DESP routine · 13:41
AI R0
Margaret Doyle · fundus pair NHS DESP annual screen · both eyes gradablesynthetic Decision support · clinician decides
Blot haem 0.94Blot haem 0.910.880.86Exudates 0.89CWS 0.71Haem 0.77MA ×4 0.841 DD of foveaR · OD · macula-centred 45°AI: R2 M1 · DESP grader v3.0.1L · OS · macula-centred 45°AI: R1 M0Topcon Maestro2 · 12 Oct 09:12 · 4,032 × 3,024 · zoom 34%Overlay 8 boxes · threshold 0.60
Findings 7 AI findings · 5 agreed by grader 1Model DESP-grader 3.0.1 · UKCA class IIa
#EyeFindingLocationCountAI confidenceGradeGrader 1
1RBlot haemorrhages4 quadrants, mid-periphery6
94%
R2Agree
2RHard exudateswithin 1 DD of fovea0.6 DD cluster
89%
M1Agree
3RMicroaneurysmsposterior pole11
81%
R1Agree
4RCotton wool spotsuperotemporal1
71%
R1Pending
5RVenous beadingsuperotemporal arcade1 segment
58%
R2Below threshold
6LMicroaneurysmstemporal macula4
84%
R1Agree
7LBlot haemorrhageinferonasal1
77%
R1Pending
Clinician sign-offAwaiting grade 2
EpisodeDESP-2026-441872PatientMargaret DoyleNHS number999 000 0512Born14 Mar 1961 · 65 yDiabetesType 2 · 19 years · HbA1c 71Last screenOct 2025 · R1 M0 both eyesCapturedLeeds St James's · 09:12Visual acuityR 6/9 · L 6/6
Right eye gradeAI and grader 1 agree
R0 R1 R2 R3a R3s
M0 M1 P0 P1 U
Left eye gradeAI and grader 1 agree
R0 R1 R2 R3a R3s
M0 M1 P0 P1 U
Timeline12 Oct
09:12  Images captured, quality 0.98
09:13  AI grade R2 M1 / R1 M0
10:40  Grader 1 Dr N. Osei agrees
11:31  Sent for grade 2 sign-off
Next decision
OutcomeRefer to HES ophthalmologyReasonR2 and M1, right eyeTargetseen within 13 weeksLettersGP and patient, drafted
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