Interocular Symmetry Analysis of Corneal Elevation Using the Fellow Eye as the Reference Surface and Machine Learning

Unilateral corneal indices and topography maps are routinely used in practice, however, although there is consensus that fellow-eye asymmetry can be clinically significant, symmetry studies are limited to local curvature and single-point thickness or elevation measures. To improve our current practi...

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Main Authors: Shiva Mehravaran, Iman Dehzangi, Md Mahmudur Rahman
Format: Article
Language:English
Published: MDPI AG 2021-12-01
Series:Healthcare
Subjects:
Online Access:https://www.mdpi.com/2227-9032/9/12/1738
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author Shiva Mehravaran
Iman Dehzangi
Md Mahmudur Rahman
author_facet Shiva Mehravaran
Iman Dehzangi
Md Mahmudur Rahman
author_sort Shiva Mehravaran
collection DOAJ
description Unilateral corneal indices and topography maps are routinely used in practice, however, although there is consensus that fellow-eye asymmetry can be clinically significant, symmetry studies are limited to local curvature and single-point thickness or elevation measures. To improve our current practices, there is a need to devise algorithms for generating symmetry colormaps, study and categorize their patterns, and develop reference ranges for new global discriminative indices for identifying abnormal corneas. In this work, we test the feasibility of using the fellow eye as the reference surface for studying elevation symmetry throughout the entire corneal surface using 9230 raw Pentacam files from a population-based cohort of 4613 middle-aged adults. The 140 × 140 matrix of anterior elevation data in these files were handled with Python to subtract matrices, create color-coded maps, and engineer features for machine learning. The most common pattern was a monochrome circle (“flat”) denoting excellent mirror symmetry. Other discernible patterns were named “tilt”, “cone”, and “four-leaf”. Clustering was done with different combinations of features and various algorithms using Waikato Environment for Knowledge Analysis (WEKA). Our proposed approach can identify cases that may appear normal in each eye individually but need further testing. This work will be enhanced by including data of posterior elevation, thickness, and common diagnostic indices.
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spelling doaj.art-de9270b120424096a103bf703c99464f2023-11-23T08:34:54ZengMDPI AGHealthcare2227-90322021-12-01912173810.3390/healthcare9121738Interocular Symmetry Analysis of Corneal Elevation Using the Fellow Eye as the Reference Surface and Machine LearningShiva Mehravaran0Iman Dehzangi1Md Mahmudur Rahman2Department of Biology, School of Computer, Mathematical and Natural Sciences, Morgan State University, Baltimore, MD 21251, USACenter for Computational and Integrative Biology, Department of Computer Science, Rutgers University, Camden, NJ 08102, USADepartment of Computer Science, School of Computer, Mathematical and Natural Sciences, Morgan State University, Baltimore, MD 21251, USAUnilateral corneal indices and topography maps are routinely used in practice, however, although there is consensus that fellow-eye asymmetry can be clinically significant, symmetry studies are limited to local curvature and single-point thickness or elevation measures. To improve our current practices, there is a need to devise algorithms for generating symmetry colormaps, study and categorize their patterns, and develop reference ranges for new global discriminative indices for identifying abnormal corneas. In this work, we test the feasibility of using the fellow eye as the reference surface for studying elevation symmetry throughout the entire corneal surface using 9230 raw Pentacam files from a population-based cohort of 4613 middle-aged adults. The 140 × 140 matrix of anterior elevation data in these files were handled with Python to subtract matrices, create color-coded maps, and engineer features for machine learning. The most common pattern was a monochrome circle (“flat”) denoting excellent mirror symmetry. Other discernible patterns were named “tilt”, “cone”, and “four-leaf”. Clustering was done with different combinations of features and various algorithms using Waikato Environment for Knowledge Analysis (WEKA). Our proposed approach can identify cases that may appear normal in each eye individually but need further testing. This work will be enhanced by including data of posterior elevation, thickness, and common diagnostic indices.https://www.mdpi.com/2227-9032/9/12/1738unsupervised machine learningclusteringcorneacorneal topographyinterocular symmetrycorneal elevation
spellingShingle Shiva Mehravaran
Iman Dehzangi
Md Mahmudur Rahman
Interocular Symmetry Analysis of Corneal Elevation Using the Fellow Eye as the Reference Surface and Machine Learning
Healthcare
unsupervised machine learning
clustering
cornea
corneal topography
interocular symmetry
corneal elevation
title Interocular Symmetry Analysis of Corneal Elevation Using the Fellow Eye as the Reference Surface and Machine Learning
title_full Interocular Symmetry Analysis of Corneal Elevation Using the Fellow Eye as the Reference Surface and Machine Learning
title_fullStr Interocular Symmetry Analysis of Corneal Elevation Using the Fellow Eye as the Reference Surface and Machine Learning
title_full_unstemmed Interocular Symmetry Analysis of Corneal Elevation Using the Fellow Eye as the Reference Surface and Machine Learning
title_short Interocular Symmetry Analysis of Corneal Elevation Using the Fellow Eye as the Reference Surface and Machine Learning
title_sort interocular symmetry analysis of corneal elevation using the fellow eye as the reference surface and machine learning
topic unsupervised machine learning
clustering
cornea
corneal topography
interocular symmetry
corneal elevation
url https://www.mdpi.com/2227-9032/9/12/1738
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AT mdmahmudurrahman interocularsymmetryanalysisofcornealelevationusingthefelloweyeasthereferencesurfaceandmachinelearning