Study and characterization of morphogeometric parameters to assist diagnosis of keratoconus

Background: In case of signifcant imperfections on the cornea, data acquisition is difcult and a signifcant level of missing data could require the interpolation of important areas of the cornea, resulting in a very ambiguous model. The development of methods to defne in vivo customised geometric pr...

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Autores: Cavas Martínez, Francisco, García Fernández Pacheco, Daniel, Parras Burgos, Dolores, Fernández Cañavate, Francisco José, Bataille, Laurent Guy Françoise, Alió Sanz, Jorge Luciano
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2018
País:España
Institución:Universidad Politécnica de Cartagena(UPCT)
Repositorio:Repositorio Digital UPCT
OAI Identifier:oai:repositorio.upct.es:10317/7761
Acceso en línea:http://hdl.handle.net/10317/7761
Access Level:acceso abierto
Palabra clave:Keratoconus
Scheimpflug
CAD
Surface reconstruction
Virtual model
Expresión Gráfica en Ingeniería
6203.04 Dibujo, Grabado
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spelling Study and characterization of morphogeometric parameters to assist diagnosis of keratoconusCavas Martínez, FranciscoGarcía Fernández Pacheco, DanielParras Burgos, DoloresFernández Cañavate, Francisco JoséBataille, Laurent Guy FrançoiseAlió Sanz, Jorge LucianoKeratoconusScheimpflugCADSurface reconstructionVirtual modelExpresión Gráfica en Ingeniería6203.04 Dibujo, GrabadoBackground: In case of signifcant imperfections on the cornea, data acquisition is difcult and a signifcant level of missing data could require the interpolation of important areas of the cornea, resulting in a very ambiguous model. The development of methods to defne in vivo customised geometric properties of the cornea based only on real raw data is extremely useful to diagnose and assess the progression of diseases directly related to the corneal architecture. The present work tries to improve the prognostic of corneal ectasia creating a 3D customised model of the cornea and analysing diferent geometric variables from this model to determine which variables or combination of them could be defned as an indicator of susceptibility to develop keratoconus. Methods: A corneal geometric reconstruction was performed using zonal functions and retrospective Scheimpfug tomography data from 187 eyes of 187 patients. Mor‑ phology of healthy and keratoconic corneas was characterized by means of geometric variables. The performance of these variables as predictors of a new geometric marker was assessed and their correlations were analysed. Results: The more representative variable to classify the corneal anomalies related to keratoconus was posterior apex deviation (area under receiver operating characteris‑ tic curve>0.899; p<0.0001). However, the strongest correlations in both healthy and pathological corneas were provided by the metrics directly related to the thickness, as deviations of the anterior/posterior minimum thickness points. Conclusions: The presented morphogeometric approach based on the analysis and custom geometric modelling of the cornea demonstrates to be useful for the charac‑ terization and diagnosis of keratoconus disease, stating that geometrical deformation is an efective marker of the ectatic disease’s progression.This publication has been carried out in the framework of the Thematic Network for Co-Operative Research in Health (RETICS) reference number RD16/0008/0012, financed by the Carlos III Health Institute—General Subdirection of Networks and Cooperative Investigation Centers (R&D&I National Plan 2008-2011) and the European Regional Development Fund (FEDER).BMC Part of Springer NatureInstituto de Salud Carlos IIIFondo Europeo de Desarrollo Regional‏201920192018info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttp://hdl.handle.net/10317/7761reponame:Repositorio Digital UPCTinstname:Universidad Politécnica de Cartagena(UPCT)Españolhttps://biomedical-engineering-online.biomedcentral.com/articles/10.1186/s12938-018-0564-7Atribución-NoComercial-SinDerivadas 3.0 Españahttp://creativecommons.org/licenses/by-nc-nd/3.0/es/info:eu-repo/semantics/openAccessoai:repositorio.upct.es:10317/77612026-05-15T06:39:02Z
dc.title.none.fl_str_mv Study and characterization of morphogeometric parameters to assist diagnosis of keratoconus
title Study and characterization of morphogeometric parameters to assist diagnosis of keratoconus
spellingShingle Study and characterization of morphogeometric parameters to assist diagnosis of keratoconus
Cavas Martínez, Francisco
Keratoconus
Scheimpflug
CAD
Surface reconstruction
Virtual model
Expresión Gráfica en Ingeniería
6203.04 Dibujo, Grabado
title_short Study and characterization of morphogeometric parameters to assist diagnosis of keratoconus
title_full Study and characterization of morphogeometric parameters to assist diagnosis of keratoconus
title_fullStr Study and characterization of morphogeometric parameters to assist diagnosis of keratoconus
title_full_unstemmed Study and characterization of morphogeometric parameters to assist diagnosis of keratoconus
title_sort Study and characterization of morphogeometric parameters to assist diagnosis of keratoconus
dc.creator.none.fl_str_mv Cavas Martínez, Francisco
García Fernández Pacheco, Daniel
Parras Burgos, Dolores
Fernández Cañavate, Francisco José
Bataille, Laurent Guy Françoise
Alió Sanz, Jorge Luciano
author Cavas Martínez, Francisco
author_facet Cavas Martínez, Francisco
García Fernández Pacheco, Daniel
Parras Burgos, Dolores
Fernández Cañavate, Francisco José
Bataille, Laurent Guy Françoise
Alió Sanz, Jorge Luciano
author_role author
author2 García Fernández Pacheco, Daniel
Parras Burgos, Dolores
Fernández Cañavate, Francisco José
Bataille, Laurent Guy Françoise
Alió Sanz, Jorge Luciano
author2_role author
author
author
author
author
dc.contributor.none.fl_str_mv Instituto de Salud Carlos III
Fondo Europeo de Desarrollo Regional‏
dc.subject.none.fl_str_mv Keratoconus
Scheimpflug
CAD
Surface reconstruction
Virtual model
Expresión Gráfica en Ingeniería
6203.04 Dibujo, Grabado
topic Keratoconus
Scheimpflug
CAD
Surface reconstruction
Virtual model
Expresión Gráfica en Ingeniería
6203.04 Dibujo, Grabado
description Background: In case of signifcant imperfections on the cornea, data acquisition is difcult and a signifcant level of missing data could require the interpolation of important areas of the cornea, resulting in a very ambiguous model. The development of methods to defne in vivo customised geometric properties of the cornea based only on real raw data is extremely useful to diagnose and assess the progression of diseases directly related to the corneal architecture. The present work tries to improve the prognostic of corneal ectasia creating a 3D customised model of the cornea and analysing diferent geometric variables from this model to determine which variables or combination of them could be defned as an indicator of susceptibility to develop keratoconus. Methods: A corneal geometric reconstruction was performed using zonal functions and retrospective Scheimpfug tomography data from 187 eyes of 187 patients. Mor‑ phology of healthy and keratoconic corneas was characterized by means of geometric variables. The performance of these variables as predictors of a new geometric marker was assessed and their correlations were analysed. Results: The more representative variable to classify the corneal anomalies related to keratoconus was posterior apex deviation (area under receiver operating characteris‑ tic curve>0.899; p<0.0001). However, the strongest correlations in both healthy and pathological corneas were provided by the metrics directly related to the thickness, as deviations of the anterior/posterior minimum thickness points. Conclusions: The presented morphogeometric approach based on the analysis and custom geometric modelling of the cornea demonstrates to be useful for the charac‑ terization and diagnosis of keratoconus disease, stating that geometrical deformation is an efective marker of the ectatic disease’s progression.
publishDate 2018
dc.date.none.fl_str_mv 2018
2019
2019
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/10317/7761
url http://hdl.handle.net/10317/7761
dc.language.none.fl_str_mv Español
language_invalid_str_mv Español
dc.relation.none.fl_str_mv https://biomedical-engineering-online.biomedcentral.com/articles/10.1186/s12938-018-0564-7
dc.rights.none.fl_str_mv Atribución-NoComercial-SinDerivadas 3.0 España
http://creativecommons.org/licenses/by-nc-nd/3.0/es/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Atribución-NoComercial-SinDerivadas 3.0 España
http://creativecommons.org/licenses/by-nc-nd/3.0/es/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv BMC Part of Springer Nature
publisher.none.fl_str_mv BMC Part of Springer Nature
dc.source.none.fl_str_mv reponame:Repositorio Digital UPCT
instname:Universidad Politécnica de Cartagena(UPCT)
instname_str Universidad Politécnica de Cartagena(UPCT)
reponame_str Repositorio Digital UPCT
collection Repositorio Digital UPCT
repository.name.fl_str_mv
repository.mail.fl_str_mv
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