Analysis of Retinal Image Data to Support Glaucoma Diagnosis

Fundus kamera je široce dostupné zobrazovací zařízení, které umožňuje relativně rychlé a nenákladné vyšetření zadního segmentu oka – sítnice. Z těchto důvodů se mnoho výzkumných pracovišť zaměřuje právě na vývoj automatických metod diagnostiky nemocí sítnice s využitím fundus fotografií. Tato dizertační práce analyzuje současný stav vědeckého poznání v oblasti diagnostiky glaukomu s využitím fundus kamery a navrhuje novou metodiku hodnocení vrstvy nervových vláken (VNV) na sítnici pomocí texturní analýzy. Spolu s touto metodikou je navržena metoda segmentace cévního řečiště sítnice, jakožto další hodnotný příspěvek k současnému stavu řešené problematiky. Segmentace cévního řečiště rovněž slouží jako nezbytný krok předcházející analýzu VNV. Vedle toho práce publikuje novou volně dostupnou databázi snímků sítnice se zlatými standardy pro účely hodnocení automatických metod segmentace cévního řečiště.Fundus camera is widely available imaging device enabling fast and cheap examination of the human retina. Hence, many researchers focus on development of automatic methods towards assessment of various retinal diseases via fundus images. This dissertation summarizes recent state-of-the-art in the field of glaucoma diagnosis using fundus camera and proposes a novel methodology for assessment of the retinal nerve fiber layer (RNFL) via texture analysis. Along with it, a method for the retinal blood vessel segmentation is introduced as an additional valuable contribution to the recent state-of-the-art in the field of retinal image processing. Segmentation of the blood vessels also serves as a necessary step preceding evaluation of the RNFL via the proposed methodology. In addition, a new publicly available high-resolution retinal image database with gold standard data is introduced as a novel opportunity for other researches to evaluate their segmentation algorithms.

Medinoid : computer-aided diagnosis and localization of glaucoma using deep learning

Glaucoma is a leading eye disease, causing vision loss by gradually affecting peripheral vision if left untreated. Current diagnosis of glaucoma is performed by ophthalmologists, human experts who typically need to analyze different types of medical images generated by different types of medical equipment: fundus, Retinal Nerve Fiber Layer (RNFL), Optical Coherence Tomography (OCT) disc, OCT macula, perimetry, and/or perimetry deviation. Capturing and analyzing these medical images is labor intensive and time consuming. In this paper, we present a novel approach for glaucoma diagnosis and localization, only relying on fundus images that are analyzed by making use of state-of-the-art deep learning techniques. Specifically, our approach towards glaucoma diagnosis and localization leverages Convolutional Neural Networks (CNNs) and Gradient-weighted Class Activation Mapping (Grad-CAM), respectively. We built and evaluated different predictive models using a large set of fundus images, collected and labeled by ophthalmologists at Samsung Medical Center (SMC). Our experimental results demonstrate that our most effective predictive model is able to achieve a high diagnosis accuracy of 96%, as well as a high sensitivity of 96% and a high specificity of 100% for Dataset-Optic Disc (OD), a set of center-cropped fundus images highlighting the optic disc. Furthermore, we present Medinoid, a publicly-available prototype web application for computer-aided diagnosis and localization of glaucoma, integrating our most effective predictive model in its back-end

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

Computer Vision Based Early Intraocular Pressure Assessment From Frontal Eye Images

Intraocular Pressure (IOP) in general, refers to the pressure in the eyes. Gradual increase of IOP and high IOP are conditions or symptoms that may lead to certain diseases such as glaucoma, and therefore, must be closely monitored. While the pressure in the eye increases, different parts of the eye may become affected until the eye parts are damaged. An effective way to prevent rise in eye pressure is by early detection. Exiting IOP monitoring tools include eye tests at clinical facilities and computer-aided techniques from fundus and optic nerves images. In this work, a new computer vision-based smart healthcare framework is presented to evaluate the intraocular pressure risk from frontal eye images early-on. The framework determines the status of IOP by analyzing frontal eye images using image processing and machine learning techniques. A database of images from the Princess Basma Hospital was used in this work. The database contains 400 eye images; 200 images with normal IOP and 200 high eye pressure case images. This study proposes novel features for IOP determination from two experiments. The first experiment extracts the sclera using circular hough transform, after which four features are extracted from the whole sclera. These features are mean redness level, red area percentage, contour area and contour height. The pupil/iris diameter ratio feature is also extracted from the frontal eye image after a series of pre-processing techniques. The second experiment extracts the sclera and iris segment using a fully conventional neural network technique, after which six features are extracted from only part of the segmented sclera and iris. The features include mean redness level, red area percentage, contour area, contour distance and contour angle along with the pupil/iris diameter ratio. Once the features are extracted, classification techniques are applied in order to train and test the images and features to obtain the status of the patients in terms of eye pressure. For the first experiment, neural network and support vector machine algorithms were adopted in order to detect the status of intraocular pressure. The second experiment adopted support vector machine and decision tree algorithms to detect the status of intraocular pressure. For both experiments, the framework detects the status of IOP (normal or high IOP) with high accuracies. This computer vison-based approach produces evidence of the relationship between the extracted frontal eye image features and IOP, which has not been previously investigated through automated image processing and machine learning techniques from frontal eye images

Machine Learning Techniques, Detection and Prediction of Glaucoma– A Systematic Review

Globally, glaucoma is the most common factor in both permanent blindness and impairment. However, the majority of patients are unaware they have the condition, and clinical practise continues to face difficulties in detecting glaucoma progression using current technology. An expert ophthalmologist examines the retinal portion of the eye to see how the glaucoma is progressing. This method is quite time-consuming, and doing it manually takes more time. Therefore, using deep learning and machine learning techniques, this problem can be resolved by automatically diagnosing glaucoma. This systematic review involved a comprehensive analysis of various automated glaucoma prediction and detection techniques. More than 100 articles on Machine learning (ML) techniques with understandable graph and tabular column are reviewed considering summery, method, objective, performance, advantages and disadvantages. In the ML techniques such as support vector machine (SVM), and K-means. Fuzzy c-means clustering algorithm are widely used in glaucoma detection and prediction. Through the systematic review, the most accurate technique to detect and predict glaucoma can be determined which can be utilized for future betterment

Color Feature Segmentation Image for Identification of Cotton Wool Spots on Diabetic Retinopathy Fundus

Fundus is an image of the inner eye surface in the form of a colored image. This image has a lot of pixel values because it consists of three basic color components. The three colors are red, green, and blue, so they need a good technique in analyzing this image. This image can be used to diagnose diabetic retinal disease caused by diabetes mellitus. This disease can interfere with human vision because objects that cover the retina of the eye is called Cotton Wool Spot (CWS). The severity of this disease can be observed from the large area of the CWS covering the retina. This study aims to calculate the exact area ratio of CWS with the retina area. The method used in this research is Image Color Feature Segmentation (ICFS). This method has four stages, namely preprocessing, segmentation, feature extraction, and feature areas. The dataset processed in this study was sourced from the Radiology Department, General Hospital of M. Djamil Padang. The dataset consists of 16 fundus images of patients who were treated at the hospital. The results of this study can identify and calculate the percentage of retinal damage is very well. Therefore, this study can be a reference in measuring the severity of diabetic retinopathy for prevention and subsequent treatment for patients and doctors

Detecting abnormality in optic nerve head images using a feature extraction analysis

Imaging and evaluation of the optic nerve head (ONH) plays an essential part in the detection and clinical management of glaucoma. The morphological characteristics of ONHs vary greatly from person to person and this variability means it is difficult to quantify them in a standardized way. We developed and evaluated a feature extraction approach using shiftinvariant wavelet packet and kernel principal component analysis to quantify the shape features in ONH images acquired by scanning laser ophthalmoscopy (Heidelberg Retina Tomograph [HRT]). The methods were developed and tested on 1996 eyes from three different clinical centers. A shape abnormality score (SAS) was developed from extracted features using a Gaussian process to identify glaucomatous abnormality. SAS can be used as a diagnostic index to quantify the overall likelihood of ONH abnormality. Maps showing areas of likely abnormality within the ONH were also derived. Diagnostic performance of the technique, as estimated by ROC analysis, was significantly better than the classification tools currently used in the HRT software – the technique offers the additional advantage of working with all images and is fully automated

FloatingCanvas: quantification of 3D retinal structures from spectral-domain optical coherence tomography

Spectral-domain optical coherence tomography (SD-OCT) provides volumetric images of retinal structures with unprecedented detail. Accurate segmentation algorithms and feature quantification in these images, however, are needed to realize the full potential of SD-OCT. The fully automated segmentation algorithm, FloatingCanvas, serves this purpose and performs a volumetric segmentation of retinal tissue layers in three-dimensional image volume acquired around the optic nerve head without requiring any pre-processing. The reconstructed layers are analysed to extract features such as blood vessels and retinal nerve fibre layer thickness. Findings from images obtained with the RTVue-100 SD-OCT (Optovue, Fremont, CA, USA) indicate that FloatingCanvas is computationally efficient and is robust to the noise and low contrast in the images. The FloatingCanvas segmentation demonstrated good agreement with the human manual grading. The retinal nerve fibre layer thickness maps obtained with this method are clinically realistic and highly reproducible compared with time-domain StratusOCT™