Evidence map›Paper›PMID 34679631›Full record

ArticleDiagnostics (Basel, Switzerland)2021

Keratoconus Diagnostic and Treatment Algorithms Based on Machine-Learning Methods.

Boris Malyugin, Sergej Sakhnov, Svetlana Izmailova, Ernest Boiko, Nadezhda Pozdeyeva, Lyubov Axenova, Kirill Axenov, Aleksej Titov, Anna Terentyeva, Tamriko Zakaraiia and 1 more

Abstract read
In one paragraph

Article in Diagnostics (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Artificial intelligence for detecting keratoconus.The Cochrane database of systematic reviews · 2023
    Pooled it
  3. Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. Keratoconus.Nature reviews. Disease primers · 2024
    Article
  10. Article
  11. Keratoconus: imaging modalities and management.Medical hypothesis, discovery & innovation ophthalmology journal · 2024
    Review
  12. Review
  13. Artificial intelligence-assisted diagnosis of ocular surface diseases.Frontiers in cell and developmental biology · 2023
    Review
  14. Article
  15. Artificial intelligence and corneal diseases.Current opinion in ophthalmology · 2022
    Review
  16. 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

11 authors.

Boris MalyuginS.N. Fyodorov Eye Microsurgery Complex Federal State Institution, 127-486 Moscow, Russia.ORCID 0000-0001-5666-3493
Sergej SakhnovS.N. Fyodorov Eye Microsurgery Complex Federal State Institution, 350-012 Krasnodar, Russia.ORCID 0000-0003-2100-2972
Svetlana IzmailovaS.N. Fyodorov Eye Microsurgery Complex Federal State Institution, 127-486 Moscow, Russia.ORCID 0000-0002-3516-1774
Ernest BoikoS.N. Fyodorov Eye Microsurgery Complex Federal State Institution, 192-283 Saint-Petersburg, Russia.ORCID 0000-0002-7413-7478
Nadezhda PozdeyevaS.N. Fyodorov Eye Microsurgery Complex Federal State Institution, 428-027 Cheboksary, Russia.ORCID 0000-0003-3637-3645
Lyubov AxenovaS.N. Fyodorov Eye Microsurgery Complex Federal State Institution, 350-012 Krasnodar, Russia.ORCID 0000-0003-0885-1355
Kirill AxenovFast Lane, 197136 Saint-Petersburg, Russia.ORCID 0000-0001-5391-5229
Aleksej TitovS.N. Fyodorov Eye Microsurgery Complex Federal State Institution, 192-283 Saint-Petersburg, Russia.ORCID 0000-0001-6847-4737
Anna TerentyevaS.N. Fyodorov Eye Microsurgery Complex Federal State Institution, 428-027 Cheboksary, Russia.ORCID 0000-0002-7719-8778
Tamriko ZakaraiiaS.N. Fyodorov Eye Microsurgery Complex Federal State Institution, 350-012 Krasnodar, Russia.ORCID 0000-0002-3503-6009
Viktoriya MyasnikovaS.N. Fyodorov Eye Microsurgery Complex Federal State Institution, 350-012 Krasnodar, Russia.ORCID 0000-0003-1748-7962

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The accurate diagnosis of keratoconus, especially in its early stages of development, allows one to utilise timely and proper treatment strategies for slowing the progression of the disease and provide visual rehabilitation. Various keratometry indices and classifications for quantifying the severity of keratoconus have been developed. Today, many of them involve the use of the latest methods of computer processing and data analysis. The main purpose of this work was to develop a machine-learning-based algorithm to precisely determine the stage of keratoconus, allowing optimal management of patients with this disease. A multicentre retrospective study was carried out to obtain a database of patients with keratoconus and to use machine-learning techniques such as principal component analysis and clustering. The created program allows for us to distinguish between a normal state; preclinical keratoconus; and stages 1, 2, 3 and 4 of the disease, with an accuracy in terms of the AUC of 0.95 to 1.00 based on keratotopographer readings, relative to the adapted Amsler-Krumeich algorithm. The predicted stage and additional diagnostic criteria were then used to create a standardised keratoconus management algorithm. We also developed a web-based interface for the algorithm, providing us the opportunity to use the software in a clinical environment.

Indexed as

classificationdata visualisationdiagnosticskeratoconuskeratotomographykeratotopographymachine learningtreatment

Identifiers

PMID34679631
PMCPMC8535111

What OpenQuestion holds

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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.