利用神经网络分析诊断干眼症的可能性

E. Taskina, A. A. Solovyova, V. A. Mudrov, S. V. Kharintseva
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摘要

干眼症的发病率从 6.5% 到 95% 不等。诊断标准基于不同的方法和/或其组合,具有异质性。确定干眼症发病的危险因素,以便在没有同时出现眼部和全身病变的年轻人中建立一种早期诊断干眼症程度的技术。我们对 50 名 24 [22; 27] 岁的患者进行了检查。我们进行了眼科检查,包括自动折射仪、视力测定仪、生物显微镜、诺恩试验,使用作者的问卷进行了调查,并使用眼表疾病指数(OSDI)评估了干眼症的程度。研究共分为三组:对照组(OSDI=0-13分);第一组--OSDI=14-22分的患者;第二组--OSDI大于22分的患者。在研究自变量时,屏幕时间的标准化重要性最高(100%),其次是泪膜破裂时间(58.4%)、吸烟(24.3%)、夜班(22.5%)和使用软性隐形眼镜(11.1%)。早期诊断干眼症程度的技术是在多层感知器的基础上实现的,其训练过程中预测错误的比例为 8.0%。训练好的神经网络结构包括 8 个输入神经元(屏幕时间和泪膜破裂时间值、是否吸烟、夜班和/或使用软性隐形眼镜)、两个分别包含 3 个和 2 个单元的隐藏层以及 3 个输出神经元。拟议的神经网络在评估干眼症严重程度的早期诊断方面没有困难,可用于临床实践。
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Possibilities of using neural network analysis in the diagnosis of dry eye syndrome
The prevalence rate of dry eye syndrome varies from 6.5 to 95 %. Diagnostic criteria are based on different methods and/or their combinations and are characterized by heterogeneity.The aim of the study. To identify the risk factors for the development of dry eye syndrome in order to create a technology for early diagnosis of the degree of the disease in young people without concomitant ocular and general somatic pathology.Materials and methods. Fifty patients aged 24 [22; 27] years were examined. We carried out an ophthalmological examination, including autorefractometry, visometry, biomicroscopy, the Norn test, a survey using the author’s questionnaire, and an assessment of the degree of dry eye syndrome using the Ocular Surface Disease Index (OSDI). Three study groups were formed: control group (OSDI = 0–13 points); group 1 – patients with OSDI = 14–22 points; group 2 – patients with OSDI > 22 points.Results. When examining presented independent variables, screen time had the highest normalized importance (100 %), followed by tear film breakup time (58.4 %), smoking (24.3 %), night shifts (22.5 %) and using soft contact lenses (11.1 %). The technology for early diagnosis of the degree of dry eye syndrome is implemented on the basis of a multilayer perceptron, the percentage of incorrect predictions during its training process was 8.0 %. The structure of the trained neural network included 8 input neurons (the value of screen time and tear film breakup time, the presence or absence of smoking, night shifts and/or the use of soft contact lenses), two hidden layers containing 3 and 2 units, respectively, and 3 output neurons.Conclusion. The proposed neural network has no difficulties in assessing the early diagnosis of the severity of dry eye syndrome and can be used in clinical practice.
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