Evidence map›Paper›PMID 31097778›Full record

ArticleScientific reports2019

Spatially-resolved Brillouin spectroscopy reveals biomechanical abnormalities in mild to advanced keratoconus in vivo.

Peng Shao, Amira M Eltony, Theo G Seiler, Behrouz Tavakol, Roberto Pineda, Tobias Koller, Theo Seiler, Seok-Hyun Yun

Open access · goldAbstract readEvaluation Study
In one paragraph

Article in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 1 pooled it
9.4field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

58 citing papers in PubMed, 1 synthesis or guideline pooled it, 107 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Brillouin microscopy in cancer research: a review.Journal of biomedical optics · 2025
    Review
  6. Article
  7. Article
  8. Article
  9. From Biophysics to Biomedical Physics.ACS bio & med chem Au · 2025
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Keratoconus.Nature reviews. Disease primers · 2024
    Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 2 countries.

Peng ShaoHarvard Medical School and Wellman Center for Photomedicine, Massachusetts General Hospital, Boston, MA, 02114, USA.
Amira M EltonyHarvard Medical School and Wellman Center for Photomedicine, Massachusetts General Hospital, Boston, MA, 02114, USA.ORCID http://orcid.org/0000-0002-4136-1393
Theo G SeilerHarvard Medical School and Wellman Center for Photomedicine, Massachusetts General Hospital, Boston, MA, 02114, USA.
Behrouz TavakolHarvard Medical School and Wellman Center for Photomedicine, Massachusetts General Hospital, Boston, MA, 02114, USA.
Roberto PinedaMassachusetts Eye and Ear Infirmary, Boston, MA, 02114, USA.
Tobias KollerInstitute for Refractive and Ophthalmic Surgery (IROC), Zürich, 8002, Switzerland.
Theo SeilerInstitute for Refractive and Ophthalmic Surgery (IROC), Zürich, 8002, Switzerland. theo@seiler.tv.
Seok-Hyun YunHarvard Medical School and Wellman Center for Photomedicine, Massachusetts General Hospital, Boston, MA, 02114, USA. syun@hms.harvard.edu.
Harvard University · USInstitut de Recherche en Opthalmologie · CHMassachusetts Eye and Ear Infirmary · USMassachusetts General Hospital · US

Funding

HARVARD CLINICAL AND TRANSLATIONAL SCIENCE CENTER (UL1)UL1RR025758 · NCRR · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2008 to 2011
$91.4M
TRD3: Percutaneous and Interstitial ImagingP41EB015903 · NIBIB · MASSACHUSETTS GENERAL HOSPITAL · PI Brett E Bouma · 2012 to 2026
$22.4M
Biomechanical analysis of the cornea and keratoconusR01EY025454 · NEI · MASSACHUSETTS GENERAL HOSPITAL · PI YUN, SEOK-HYUN ANDY · 2015 to 2018
$1.6M
NCRR NIH HHS UL1 RR025758NEI NIH HHS R01 EY025454NIBIB NIH HHS P41 EB015903
6 · The paper itself

Abstract

Mounting evidence connects the biomechanical properties of tissues to the development of eye diseases such as keratoconus, a disease in which the cornea thins and bulges into a conical shape. However, measuring biomechanical changes in vivo with sufficient sensitivity for disease detection has proven challenging. Here, we demonstrate the diagnostic potential of Brillouin light-scattering microscopy, a modality that measures longitudinal mechanical modulus in tissues with high measurement sensitivity and spatial resolution. We have performed a study of 85 human subjects (93 eyes), consisting of 47 healthy volunteers and 38 keratoconus patients at differing stages of disease, ranging from stage I to stage IV. The Brillouin data in vivo reveal increasing biomechanical inhomogeneity in the cornea with keratoconus progression and biomechanical asymmetry between the left and right eyes at the onset of keratoconus. The receiver operating characteristic analysis of the stage-I patient data indicates that mean Brillouin shift of the cone performs better than corneal thickness and maximum curvature respectively. In conjunction with morphological patterns, Brillouin microscopy may add value for diagnosis of keratoconus and potentially for screening subjects at risk of complications prior to laser eye surgeries.

Indexed as

Diagnostic Techniques, OphthalmologicalElastic ModulusAdultFemaleHumansKeratoconusMaleMiddle AgedSpectrum Analysis

Identifiers

PMID31097778
PMCPMC6522517
OpenAlexW2944865407

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.