Superpixel-Based Optic Nerve Head Segmentation Method of Fundus Images for Glaucoma Assessment

Glaucoma disease is the second leading cause of blindness in the world. This progressive ocular neuropathy is mainly caused by uncontrolled high intraocular pressure. Although there is still no cure, early detection and appropriate treatment can stop the disease progression to low vision and blindness. In the clinical practice, the gold standard used by ophthalmologists for glaucoma diagnosis is fundus retinal imaging, in particular optic nerve head (ONH) subjective/manual examination. In this work, we propose an unsupervised superpixel-based method for the optic nerve head (ONH) segmentation. An automatic algorithm based on linear iterative clustering is used to compute an ellipse fitting for the automatic detection of the ONH contour. The tool has been tested using a public retinal fundus images dataset with medical expert ground truths of the ONH contour and validated with a classified (control vs. glaucoma eyes) database. Results showed that the automatic segmentation method provides similar results in ellipse fitting of the ONH that those obtained from the ground truth experts within the statistical range of inter-observation variability. Our method is a user-friendly available program that provides fast and reliable results for clinicians working on glaucoma screening using retinal fundus images

Segmentation of Optic Disc in Fundus Images using Convolutional Neural Networks for Detection of Glaucoma

The condition of the vascular network of human eye is an important diagnostic factor in ophthalmology. Its segmentation in fundus imaging is a difficult task due to various anatomical structures like blood vessel, optic cup, optic disc, macula and fovea. Blood vessel segmentation can assist in the detection of pathological changes which are possible indicators for arteriosclerosis, retinopathy, microaneurysms and macular degeneration. The segmentation of optic disc and optic cup from retinal images is used to calculate an important indicator, cup-to disc ratio( CDR) accurately to help the professionals in the detection of Glaucoma in fundus images.In this proposed work, an automated segmentation of anatomical structures in fundus images such as blood vessel and optic disc is done using Convolutional Neural Networks (CNN) . A Convolutional Neural Network is a composite of multiple elementary processing units, each featuring several weighted inputs and one output, performing convolution of input signals with weights and transforming the outcome with some form of nonlinearity. The units are arranged in rectangular layers (grids), and their locations in a layer correspond to pixels in an input image. The spatial arrangement of units is the primary characteristics that makes CNNs suitable for processing visual information; the other features are local connectivity, parameter sharing and pooling of hidden units. The advantage of CNN is that it can be trained repeatedly so more features can be found. An average accuracy of 95.64% is determined in the classification of blood vessel or not. Optic cup is also segmented from the optic disc by Fuzzy C Means Clustering (FCM). This proposed algorithm is tested on a sample of hospital images and CDR value is determined. The obtained values of CDR is compared with the given values of the sample images and hence the performance of proposed system in which Convolutional Neural Networks for segmentation is employed, is excellent in automated detection of healthy and Glaucoma images

A GPU-based Evolution Strategy for Optic Disk Detection in Retinal Images

La ejecución paralela de aplicaciones usando unidades de procesamiento gráfico (gpu) ha ganado gran interés en la comunidad académica en los años recientes. La computación paralela puede ser aplicada a las estrategias evolutivas para procesar individuos dentro de una población, sin embargo, las estrategias evolutivas se caracterizan por un significativo consumo de recursos computacionales al resolver problemas de gran tamaño o aquellos que se modelan mediante funciones de aptitud complejas. Este artículo describe la implementación de una estrategia evolutiva para la detección del disco óptico en imágenes de retina usando Compute Unified Device Architecture (cuda). Los resultados experimentales muestran que el tiempo de ejecución para la detección del disco óptico logra una aceleración de 5 a 7 veces, comparado con la ejecución secuencial en una cpu convencional.Parallel processing using graphic processing units (GPUs) has attracted much research interest in recent years. Parallel computation can be applied to evolution strategy (ES) for processing individuals in a population, but evolutionary strategies are time consuming to solve large computational problems or complex fitness functions. In this paper we describe the implementation of an improved ES for optic disk detection in retinal images using the Compute Unified Device Architecture (CUDA) environment. In the experimental results we show that the computational time for optic disk detection task has a speedup factor of 5x and 7x compared to an implementation on a mainstream CPU

Optic Disk Segmentation Using Histogram Analysis

In the field of disease diagnosis with ophthalmic aids, automatic segmentation of the retinal optic disc is required. The main challenge in OD segmentation is to determine the exact location of the OD and remove noise in the retinal image. This paper proposes a method for automatic optical disc segmentation on color retinal fundus images using histogram analysis. Based on the properties of the optical disk, where the optical disk tends to occupy a high intensity. This method has been applied to the Digital Retinal Database for Vessel Extraction (DRIVE)and MESSIDOR database. The experimental results show that the proposed automatic optical segmentation method has an accuracy of 55% for DRIVE dataset and 89% for MESSIDOR databas

Retinal Fundus Image Analysis for Diagnosis of Glaucoma: A Comprehensive Survey

© 2016 IEEE. The rapid development of digital imaging and computer vision has increased the potential of using the image processing technologies in ophthalmology. Image processing systems are used in standard clinical practices with the development of medical diagnostic systems. The retinal images provide vital information about the health of the sensory part of the visual system. Retinal diseases, such as glaucoma, diabetic retinopathy, age-related macular degeneration, Stargardt's disease, and retinopathy of prematurity, can lead to blindness manifest as artifacts in the retinal image. An automated system can be used for offering standardized large-scale screening at a lower cost, which may reduce human errors, provide services to remote areas, as well as free from observer bias and fatigue. Treatment for retinal diseases is available; the challenge lies in finding a cost-effective approach with high sensitivity and specificity that can be applied to large populations in a timely manner to identify those who are at risk at the early stages of the disease. The progress of the glaucoma disease is very often quiet in the early stages. The number of people affected has been increasing and patients are seldom aware of the disease, which can cause delay in the treatment. A review of how computer-aided approaches may be applied in the diagnosis and staging of glaucoma is discussed here. The current status of the computer technology is reviewed, covering localization and segmentation of the optic nerve head, pixel level glaucomatic changes, diagonosis using 3-D data sets, and artificial neural networks for detecting the progression of the glaucoma disease

Patents in the computer-aided diagnosis industry

Computer aided diagnosis is a relatively new field, through the use of new techniques algorithms and technologies, it can help technicians perform a better and faster analysis, reduce or even substitute part of their workload. Patents are windows into a company's technological assets, as well as into the state of a certain technology field. In this thesis we analyzed patents that are mainly related to the automated analysis of human retinopathies. Using patent search engines we explored the various patent databases, using keywords related to the area and the international patent classification to refine the search and eliminate unrelated results, proceeding then to a thorough analysis of the dataset. By analyzing the structured and unstructured text, contained in the obtained patents, different observations where made: major players in the field,patent timelines, main technologies involved and the direction of the technology evolution

A new technique for cataract eye disease diagnosis in deep learning

Automated diagnosis of eye diseases using fundus images is challenging because manual analysis is time-consuming, prone to errors, and complicated. Thus, computer-aided tools for automatically detecting various ocular disorders from fundus images are needed. Deep learning algorithms enable improved image classification, making automated targeted ocular disease detection feasible. This study employed state-of-the-art deep learning image classifiers, such as VGG-19, to categorize the highly imbalanced ODIR-5K (Ocular Disease Intelligent Recognition) dataset of 5000 fundus images across eight disease classes, including cataract, glaucoma, diabetic retinopathy, and age-related macular degeneration. To address this imbalance, the multiclass problem is converted into binary classification tasks with equal samples in each category. The dataset was preprocessed and augmented to generate balanced datasets. The binary classifiers were trained on flat data using the VGG-19 (Visual Geometry Group) model. This approach achieved an accuracy of 95% for distinguishing normal versus cataract cases in only 15 epochs, outperforming the previous methods. Precision and recall were high for both classes – Normal and Cataract, with F1 scores of 0.95-0.96. Balancing the dataset and using deep VGG-19 classifiers significantly improved automated eye disease diagnosis accuracy from fundus images. With further research, this approach could lead to deploying AI (Artificial intelligence)-assisted tools for ophthalmologists to screen patients and support clinical decision-making

An active contour approach for segmentation of intra-retinal layers in optical coherence tomography images

Optical Coherence Tomography (OCT) is a non-invasive, depth-resolved imaging modality that has become a prominent ophthalmic diagnostic technique. We present a novel segmentation algorithm based on Chan-Vese\u27s energy-minimizing active contours to detect intra-retinal layers in OCT images. A multi-phase framework with a circular shape prior is adopted to model the boundaries of retinal layers and estimate shape parameters using least squares. We use a contextual scheme to balance the weight of different terms in the energy functional. The results from various synthetic experiments and segmentation results on rat OCT images are presented, demonstrating the strength of our method to detect the desired layers with sufficient accuracy even in the presence of intensity inhomogeneity. Our algorithm achieved an average Dice similarity coefficient of 0.84 over all segmented layers, and of 0.94 for the combined nerve fiber layer, ganglion cell layer, and inner plexiform layer, which are critical layers for glaucomatous degeneration

Advanced image processing techniques for detection and quantification of drusen

Dissertation presented to obtain the degree of Doctor of Philosophy in Electrical Engineering, speciality on Perceptional Systems, by the Universidade Nova de Lisboa, Faculty of Sciences and TechnologyDrusen are common features in the ageing macula, caused by accumulation of extracellular materials beneath the retinal surface, visible in retinal fundus images as yellow spots. In the ophthalmologists’ opinion, the evaluation of the total drusen area, in a sequence of images taken during a treatment, will help to understand the disease progression and effectiveness. However, this evaluation is fastidious and difficult to reproduce when performed manually. A literature review on automated drusen detection showed that the works already published were limited to techniques of either adaptive or global thresholds which showed a tendency to produce a significant number of false positives. The purpose for this work was to propose an alternative method to automatically quantify drusen using advanced digital image processing techniques. This methodology is based on a detection and modelling algorithm to automatically quantify drusen. It includes an image pre-processing step to correct the uneven illumination by using smoothing splines fitting and to normalize the contrast. To quantify drusen a detection and modelling algorithm is adopted. The detection uses a new gradient based segmentation algorithm that isolates drusen and provides basic drusen characterization to the modelling stage. These are then fitted by Gaussian functions, to produce a model of the image, which is used to compute the affected areas. To validate the methodology, two software applications, one for semi-automated (MD3RI) and other for automated detection of drusen (AD3RI), were implemented. The first was developed for Ophthalmologists to manually analyse and mark drusen deposits, while the other implemented algorithms for automatic drusen quantification.Four studies to assess the methodology accuracy involving twelve specialists have taken place. These compared the automated method to the specialists and evaluated its repeatability. The studies were analysed regarding several indicators, which were based on the total affected area and on a pixel-to-pixel analysis. Due to the high variability among the graders involved in the first study, a new evaluation method, the Weighed Matching Analysis, was developed to improve the pixel-to-pixel analysis by using the statistical significance of the observations to differentiate positive and negative pixels. From the results of these studies it was concluded that the methodology proposed is capable to automatically measure drusen in an accurate and reproducible process. Also, the thesis proposes new image processing algorithms, for image pre-processing, image segmentation,image modelling and images comparison, which are also applicable to other image processing fields