arXiv:2505.08616eess.IVcs.CV2025-05被引 4

用手机拍角膜反光,96.94%准确识别圆锥角膜

A portable diagnosis model for Keratoconus using a smartphone

  • 手机闪光+Placido盘生成角膜图像,分两阶段诊断
  • 通过距离矩阵与逻辑回归模型实现96.94%分类准确率
  • 便携低成本,适合基层筛查和早期发现

圆锥角膜(KC)是一种导致视物模糊和扭曲的角膜疾病。传统诊断工具虽有效,但体积大、成本高且需专业操作。本文提出一种基于智能手机的便携式诊断方法:首先利用手机屏幕投射Placido盘光,捕捉角膜反射图像;再通过两阶段分析识别是否患有圆锥角膜并精确定位病变位置。第一阶段提取图像中Placido盘的高度与宽度,采用k-means聚类区分健康组与患者组的统计特征;第二阶段构建距离矩阵,结合逻辑回归模型与稳健统计分析,实现对角膜上小区域的分类判断。该模型在区分对照组与圆锥角膜组时达到96.94%的分类准确率,可有效定位由圆锥角膜引起的角膜突起。整个流程基于手机完成,有望实现便捷、及时的早期筛查与治疗。

原文摘要 · Abstract (English)

Keratoconus (KC) is a corneal disorder that results in blurry and distorted vision. Traditional diagnostic tools, while effective, are often bulky, costly, and require professional operation. In this paper, we present a portable and innovative methodology for diagnosing. Our proposed approach first captures the image reflected on the eye's cornea when a smartphone screen-generated Placido disc sheds its light on an eye, then utilizes a two-stage diagnosis for identifying the KC cornea and pinpointing the location of the KC on the cornea. The first stage estimates the height and width of the Placido disc extracted from the captured image to identify whether it has KC. In this KC identification, k-means clustering is implemented to discern statistical characteristics, such as height and width values of extracted Placido discs, from non-KC (control) and KC-affected groups. The second stage involves the creation of a distance matrix, providing a precise localization of KC on the cornea, which is critical for efficient treatment planning. The analysis of these distance matrices, paired with a logistic regression model and robust statistical analysis, reveals a clear distinction between control and KC groups. The logistic regression model, which classifies small areas on the cornea as either control or KC-affected based on the corresponding inter-disc distances in the distance matrix, reported a classification accuracy of 96.94%, which indicates that we can effectively pinpoint the protrusion caused by KC. This comprehensive, smartphone-based method is expected to detect KC and streamline timely treatment.

角膜病手机医疗智能诊断

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