A Hybrid Transformers-based Convolutional Neural Network Model for Keratoconus Detection in Scheimpflug-based Dynamic Corneal Deformation Videos

Purpose: To assess the performance of a hybrid Transformer-based convolutional neural network (CNN) model for automated detection of keratoconus in stand-alone Scheimpflug-based dynamic corneal deformation videos (DCDVs). Methods: We used transfer learning for feature extraction from DCDVs. These...

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Main Authors: Hazem Abdelmotaal, Rossen Mihaylov Hazarbasanov, Ramin Salouti, M. Hossein Nowroozzadeh, Suphi Taneri, Ali H. Al-Timemy, Alexandru Lavric, Hidenori Takahashi, Siamak Yousefi
Format: Article
Language:English
Published: Knowledge E 2025-06-01
Series:Journal of Ophthalmic & Vision Research
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Online Access:https://knepublishing.com/index.php/JOVR/article/view/17716
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Summary:Purpose: To assess the performance of a hybrid Transformer-based convolutional neural network (CNN) model for automated detection of keratoconus in stand-alone Scheimpflug-based dynamic corneal deformation videos (DCDVs). Methods: We used transfer learning for feature extraction from DCDVs. These feature maps were augmented by self-attention to model long-range dependencies before classification to identify keratoconus directly. Model performance was evaluated by objective accuracy metrics based on DCDVs from two independent cohorts with 275 and 546 subjects. Results: The model’s sensitivity and specificity in detecting keratoconus were 93% and 84%, respectively. The AUC of the keratoconus probability score based on the external validation database was 0.97. Conclusion: The hybrid Transformer-based model was highly sensitive and specific in discriminating normal from keratoconic eyes using DCDV(s) at levels that may prove useful in clinical practice.
ISSN:2008-2010
2008-322X