Title
Complementary Keratoconus Indices Based on Topographical Interpretation of Biomechanical Waveform Parameters: A Supplement to Established Keratoconus Indices.
Abstract
Purpose. To build new models with the Ocular Response Analyzer (ORA) waveform parameters to create new indices analogous to established topographic keratoconus indices. Method. Biomechanical, tomographic, and topographic measurements of 505 eyes from the Homburger Keratoconus Centre were included. Thirty-seven waveform parameters (WF) were derived from the biomechanical measurement with the ORA. Area under curve (ROC, receiver operating characteristic) was used to quantify the screening performance. A logistic regression analysis was used to create two new keratoconus prediction models based on these waveform parameters to resample the clinically established keratoconus indices from Pentacam and TMS-5. Results. ROC curves show the best results for the waveform parameters p1area, p2area, h 1, h 2, dive1, mslew1, aspect1, aplhf, and dslope1. The new keratoconus prediction model to resample the Pentacam topographic keratoconus index (TKC) was WFTKC = -4.068 + 0.002 x p2area -0.005 x dive1 -0.01 x h1 -2.501 x aplhf, which achieves a sensitivity of 90.3% and specificity of 89.4%; to resample the TMS-5 keratoconus classification index (KCI) it was WFKCI = -3.606 + 0.002 x p2area, which achieves a sensitivity of 75.4% and a specificity of 81.8%. Conclusion. In addition to the biomechanically provided Keratoconus Index two new indices which were based on the topographic gold standards (either Pentacam or TMS-5) were created. Of course, these do not replace the original topographic measurement.
Year
DOI
Venue
2017
10.1155/2017/5293573
COMPUTATIONAL AND MATHEMATICAL METHODS IN MEDICINE
Field
DocType
Volume
Keratoconus,Computer vision,Reference values,Receiver operating characteristic,Pattern recognition,Regression analysis,Computer science,Waveform,Artificial intelligence,Optometry
Journal
2017
ISSN
Citations 
PageRank 
1748-670X
1
0.45
References 
Authors
0
6
Name
Order
Citations
PageRank
Susanne Göbel110.45
Timo Eppig210.45
Stefan Wagenpfeil352.73
Alan Cayless410.45
Seitz, B.510.79
Achim Langenbucher610.45