A Rule Based Segmentation Approaches to Extract Retinal Blood Vessels in Fundus Image

The physiological structures of the retinal blood vessel are one of the key features that visible in the retinal images and contain the information associate with the anatomical abnormalities. It is accepted all over the world to judge the cardiovascular and retinal disease. To avoid the risk of visual impairment, appropriate vessel segmentation is mandatory. Here has proposed a segmentation algorithm that efficiently extracts the blood vessels from the retinal fundus image. The proposed segmentation algorithm is performed Lab and Principle Component (PC) based gray level conversion, Contrast Limited Adaptive Histogram Equalization (CLAHE), morphological operations, Local Property-Based Pixel Correction (LPBPC). For appropriate detection proposed vessels correction algorithm LPBPC that check the feature of the vessels and remove the wrong vessel detection. To measure the appropriateness of the proposed algorithm, the experimental results are compared with the corresponding ground truth images. The experimental results have shown that the proposed blood vessel algorithm is more accurate than the existing algorithms

Accelerating precision ophthalmology: recent advances

Introduction: The future of ophthalmology is precision medicine. With a growing incidence of lifestyle-associated ophthalmic disease such as diabetic retinopathy, the use of technology has the potential to overcome the burden on clinical specialists. Advances in precision medicine will help improve diagnosis and better triage those with higher clinical need to the appropriate experts, as well as providing a more tailored approach to treatment that could help transform patient management. Areas covered: A detailed literature review was conducted using OVID Medline and PubMed databases to explore advances in precision medicine within the areas of retinal disease, glaucoma, cornea, cataracts and uveitis. Over the last three years [2019–2022] are explored, particularly discussing technological and genomic advances in screening, diagnosis, and management within these fields. Expert opinion: Artificial intelligence and its subspecialty deep learning provide the most substantial ways in which diagnosis and management of ocular diseases can be further developed within the advancing field of precision medicine. Future challenges include optimal training sets for algorithms and further developing pharmacogenetics in more specialized areas

A Foundation LAnguage-Image model of the Retina (FLAIR): Encoding expert knowledge in text supervision

Foundation vision-language models are currently transforming computer vision, and are on the rise in medical imaging fueled by their very promising generalization capabilities. However, the initial attempts to transfer this new paradigm to medical imaging have shown less impressive performances than those observed in other domains, due to the significant domain shift and the complex, expert domain knowledge inherent to medical-imaging tasks. Motivated by the need for domain-expert foundation models, we present FLAIR, a pre-trained vision-language model for universal retinal fundus image understanding. To this end, we compiled 37 open-access, mostly categorical fundus imaging datasets from various sources, with up to 97 different target conditions and 284,660 images. We integrate the expert's domain knowledge in the form of descriptive textual prompts, during both pre-training and zero-shot inference, enhancing the less-informative categorical supervision of the data. Such a textual expert's knowledge, which we compiled from the relevant clinical literature and community standards, describes the fine-grained features of the pathologies as well as the hierarchies and dependencies between them. We report comprehensive evaluations, which illustrate the benefit of integrating expert knowledge and the strong generalization capabilities of FLAIR under difficult scenarios with domain shifts or unseen categories. When adapted with a lightweight linear probe, FLAIR outperforms fully-trained, dataset-focused models, more so in the few-shot regimes. Interestingly, FLAIR outperforms by a large margin more generalist, larger-scale image-language models, which emphasizes the potential of embedding experts' domain knowledge and the limitations of generalist models in medical imaging.Comment: The pre-trained model is available at: https://github.com/jusiro/FLAI

A Comparison of Deep Learning Techniques for Glaucoma Diagnosis on Retinal Fundus Images

Glaucoma is one of the serious disorders which cause permanent vision loss if it left undetected. The primary cause of the disease is elevated intraocular pressure, impacting the optic nerve head (ONH) that originates from the optic disc. The variation in optic disc to optic cup ratio helps in early detection of the disease. Manual calculation of Cup to Disc Ratio (CDR) consumes more time and the prediction is also not accurate. Utilizing deep learning for the automatic detection of glaucoma facilitates precise and early identification, significantly enhancing the accuracy of glaucoma detection. The deep learning technique initiates the process by initially pre-processing the image to achieve data augmentation, followed by the segmentation of the optic disc and optic cup from the retinal fundus image. From the segmented Optic Disc (OD)and Optic Cup (OC) feature are selected and CDR calculated. Based on the CDR value the Glaucoma classification is performed. Various deep learning techniques like CNN, transfer learning, algorithm was proposed in early detection of glaucoma. From the comparative analysis glaucoma diagnosis, the proposed deep learning artifact Convolutional Neural Network outperform in early diagnosis of glaucoma providing accuracy of 99.3 8%

An In-Depth Statistical Review of Retinal Image Processing Models from a Clinical Perspective

The burgeoning field of retinal image processing is critical in facilitating early diagnosis and treatment of retinal diseases, which are amongst the leading causes of vision impairment globally. Despite rapid advancements, existing machine learning models for retinal image processing are characterized by significant limitations, including disparities in pre-processing, segmentation, and classification methodologies, as well as inconsistencies in post-processing operations. These limitations hinder the realization of accurate, reliable, and clinically relevant outcomes. This paper provides an in-depth statistical review of extant machine learning models used in retinal image processing, meticulously comparing them based on their internal operating characteristics and performance levels. By adopting a robust analytical approach, our review delineates the strengths and weaknesses of current models, offering comprehensive insights that are instrumental in guiding future research and development in this domain. Furthermore, this review underscores the potential clinical impacts of these models, highlighting their pivotal role in enhancing diagnostic accuracy, prognostic assessments, and therapeutic interventions for retinal disorders. In conclusion, our work not only bridges the existing knowledge gap in the literature but also paves the way for the evolution of more sophisticated and clinically-aligned retinal image processing models, ultimately contributing to improved patient outcomes and advancements in ophthalmic care

Pixel-level semantic understanding of ophthalmic images and beyond

Computer-assisted semantic image understanding constitutes the substrate of applications that range from biomarker detection to intraoperative guidance or street scene understanding for self-driving systems. This PhD thesis is on the development of deep learning-based, pixel-level, semantic segmentation methods for medical and natural images. For vessel segmentation in OCT-A, a method comprising iterative refinement of the extracted vessel maps and an auxiliary loss function that penalizes structural inaccuracies, is proposed and tested on data captured from real clinical conditions comprising various pathological cases. Ultimately, the presented method enables the extraction of a detailed vessel map of the retina with potential applications to diagnostics or intraoperative localization. Furthermore, for scene segmentation in cataract surgery, the major challenge of class imbalance is identified among several factors. Subsequently, a method addressing it is proposed, achieving state-of-the-art performance on a challenging public dataset. Accurate semantic segmentation in this domain can be used to monitor interactions between tools and anatomical parts for intraoperative guidance and safety. Finally, this thesis proposes a novel contrastive learning framework for supervised semantic segmentation, that aims to improve the discriminative power of features in deep neural networks. The proposed approach leverages contrastive loss function applied both at multiple model layers and across them. Importantly, the proposed framework is easy to combine with various model architectures and is experimentally shown to significantly improve performance on both natural and medical domain