Simultaneous modelling and clustering of visual field data

Abstract

In the health-informatics and bio-medical domains, clinicians produce an enormous amount of data which can be complex and high in dimensionality. This scenario includes visual field data, which are used for managing the second leading cause of blindness in the world: glaucoma. Visual field data are the most common type of data collected to diagnose glaucoma in patients, and usually the data consist of 54 or 76 variables (which are referred to as visual field locations). Due to the large number of variables, the six nerve fiber bundles (6NFB), which is a collection of visual field locations in groups, are the standard clusters used in visual field data to represent the physiological traits of the retina. However, with regard to classification accuracy of the data, this research proposes a technique to find other significant spatial clusters of visual field with higher classification accuracy than the 6NFB. This thesis presents a novel clustering technique, namely, Simultaneous Modelling and Clustering (SMC). SMC performs clustering on data based on classification accuracy using heuristic search techniques. The method searches a collection of significant clusters of visual field locations that indicate visual field loss progression. The aim of this research is two-fold. Firstly, SMC algorithms are developed and tested on data to investigate the effectiveness and efficiency of the method using optimisation and classification methods. Secondly, a significant clustering arrangement of visual field, which highly interrelated visual field locations to represent progression of visual field loss with high classification accuracy, is searched to complement the 6NFB in diagnosis of glaucoma. A new clustering arrangement of visual field locations can be used by medical practitioners together with the 6NFB to complement each other in diagnosis of glaucoma in patients. This research conducts extensive experiment work on both visual field and simulated data to evaluate the proposed method. The results obtained suggest the proposed method appears to be an effective and efficient method in clustering visual field data and 3 improving classification accuracy. The key contributions of this work are the novel model-based clustering of visual field data, effective and efficient algorithms for SMC, practical knowledge of visual field data in the diagnosis of glaucoma and the presentation a generic framework for modelling and clustering which is highly applicable to many other dataset/model combinations.