机构:[1]Clinical College of Ophthalmology, Tianjin Medical University, Tianjin, China[2]School of Statistics and Data Science, Nankai University, Tianjin, China[3]Tianjin Eye Hospital, Tianjin Eye Institute, Tianjin Key Laboratory of Ophthalmology and Visual Science, Nankai University Affiliated Eye Hospital, Tianjin, China[4]Department of Statistics, University of Georgia, Athens, GA, USA[5]Department of Ophthalmology, Jinan Mingshui Eye Hospital, Jinan, Shandong, China[6]Xi’an No.4 Hospital, Xi an, Shanxi, China[7]The 4th People’s Hospital of Shenyang, Shenyang, Liaoning, China[8]Yan’an Hospital of Kunming City, Kunming, Yunnan, China[9]First Affiliated Hospital of Xinjiang Medical University, Urumchi, Xinjiang, China[10]Hong Kong Laser Eye Center, Hong Kong[11]Daping Hospital, Chongqing, China[12]Hainan Eye Hospital, Zhongshan Ophthalmic Center, Sun Yat-Sen University, Haikou, Guangdong, China[13]Key Laboratory for Medical Data Analysis and Statistical Research of Tianjin, Tianjin, China
Aging is a major risk factor for various eye diseases, such as cataract, glaucoma, and age-related macular degeneration. Age-related changes are observed in almost all structures of the human eye. Considerable individual variations exist within a group of similarly aged individuals, indicating the need for more informative biomarkers for assessing the aging of the eyes. The morphology of the ocular anterior segment has been reported to vary across age groups, focusing on only a few corneal parameters, such as keratometry and thickness of the cornea, which could not provide accurate estimation of age. Thus, the association between eye aging and the morphology of the anterior segment remains elusive. In this study, we aimed to develop a predictive model of age based on a large number of anterior segment morphology-related features, measured via the high-resolution ocular anterior segment analysis system (Pentacam). This approach allows for an integrated assessment of age-related changes in corneal morphology, and the identification of important morphological features associated with different eye aging patterns. Three machine learning methods (neural networks, Lasso regression and extreme gradient boosting) were employed to build predictive models using 276 anterior segment features of 63,753 participants from 10 ophthalmic centers in 10 different cities of China. The best performing age prediction model achieved a median absolute error of 2.80 years and a mean absolute error of 3.89 years in the validation set. An external cohort of 100 volunteers was used to test the performance of the prediction model. The developed neural network model achieved a median absolute error of 3.03 years and a mean absolute error of 3.40 years in the external cohort. In summary, our study revealed that the anterior segment morphology of the human eye may be an informative and non-invasive indicator of eye aging. This could prompt doctors to focus on age-related medical interventions on ocular health.
基金:
National Natural Science Foundation of China (NSFC) [81873684, 11701294]
第一作者机构:[1]Clinical College of Ophthalmology, Tianjin Medical University, Tianjin, China
共同第一作者:
通讯作者:
通讯机构:[1]Clinical College of Ophthalmology, Tianjin Medical University, Tianjin, China[2]School of Statistics and Data Science, Nankai University, Tianjin, China[3]Tianjin Eye Hospital, Tianjin Eye Institute, Tianjin Key Laboratory of Ophthalmology and Visual Science, Nankai University Affiliated Eye Hospital, Tianjin, China[13]Key Laboratory for Medical Data Analysis and Statistical Research of Tianjin, Tianjin, China[*1]School of Statistics and Data Science, Nankai University, Key Laboratory for Medical Data Analysis and Statistical Research of Tianjin, No. 94 Weijin Road, Nankai District, Tianjin 300071, China[*2]Clinical College of Ophthalmology, Tianjin Medical University Tianjin Eye Hospital, Tianjin Eye Institute, Tianjin Key Laboratory of Ophthalmology and Visual Science, Nankai University Affiliated Eye Hospital, No 4. Gansu Road, He-ping District, Tianjin 300020, China
推荐引用方式(GB/T 7714):
Ma Jiaonan,Xu Xueli,Li Mengdi,et al.Predictive models of aging of the human eye based on ocular anterior segment morphology[J].JOURNAL OF BIOMEDICAL INFORMATICS.2021,120:doi:10.1016/j.jbi.2021.103855.
APA:
Ma, Jiaonan,Xu, Xueli,Li, Mengdi,Zhang, Yan,Zhang, Lin...&Wang, Yan.(2021).Predictive models of aging of the human eye based on ocular anterior segment morphology.JOURNAL OF BIOMEDICAL INFORMATICS,120,
MLA:
Ma, Jiaonan,et al."Predictive models of aging of the human eye based on ocular anterior segment morphology".JOURNAL OF BIOMEDICAL INFORMATICS 120.(2021)