Page 176 - Computational Retinal Image Analysis
P. 176

CHAPTER


                  Statistical analysis and

                  design in ophthalmology:                          10

                  Toward optimizing

                  your data





                                                     Gabriela Czanner a,b,c , Catey Bunce d,e,f,g
                  a
                   Department of Applied Mathematics, Liverpool John Moores University, Liverpool, United Kingdom
                   b
                    Clinical Eye Research Centre, Royal Liverpool University Hospital, Liverpool, United Kingdom
                      c
                       Department of Eye and Vision Science, University of Liverpool, Liverpool, United Kingdom
                        d
                        Faculty of Life Sciences and Medicine, King’s College London, London, United Kingdom
                                  e
                                  Moorfields Eye Hospital NHS Foundation Trust, London, United Kingdom
                                             f
                                             UCL Institute of Ophthalmology, London, United Kingdom
                                g
                                 London School of Hygiene and Tropical Medicine, London, United Kingdom
                  1  Introduction
                  1.1  Data analysis in ophthalmic and vision research

                     Statistics is the science of learning from data, and of measuring, controlling and
                     communicating uncertainty.
                                                      (Marie Davidian and Thomas A. Louis)
                     Research in ophthalmology and vision seeks to discover the mechanism by
                  which pathology manifests, to find ways for efficient diagnosis and monitoring
                  of diseases, to compare treatments for pathology and make recommendations on
                  preventative measures. Typical questions might be: What pathological lesions in
                  the retina are predictive of losing sight in 2 years from now? Why do some eyes
                  respond well to a therapy and others not? Can we use the functional properties of
                  the eye such as electroretinography to diagnose stages of diabetic retinopathy?
                  Answering such questions is the grand ambition of this broad enterprise. While
                  much is already known forming the basis for our current knowledge, the meth-
                  ods that produce this knowledge, the scientific method, involves both observa-
                  tions and running clinical studies producing the data, are evolving, offering real
                  potential to extend our knowledge. We rely upon data to answer questions but as
                  new  techniques  are  discovered  these  data  are  becoming  increasingly  complex—
                  while previous research was conducting using perhaps simple measurements such



                  Computational Retinal Image Analysis. https://doi.org/10.1016/B978-0-08-102816-2.00010-1  171
                  © 2019 Elsevier Ltd. All rights reserved.
   171   172   173   174   175   176   177   178   179   180   181