Level set segmentation of optic discs from retinal images

Analysis of retinal images can provide important information for detecting and tracing retinal and vascular diseases. The purpose of this work is to design a method that can automatically segment the optic disc in the digital fundus images. The template matching method is used to approximately locate the optic disc centre, and the blood vessel is extracted to reset the centre. This is followed by applying the Level Set Method, which incorporates edge term, distance-regularization term and shape-prior term, to segment the shape of the optic disc. Seven measures are used to evaluate the performance of the methods. The effectiveness of the proposed method is evaluated against alternative methods on three public data sets DRIVE, DIARETDB1 and DIARETDB0. The results show that our method outperforms the state-of-the-art methods on these datasets

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

A Novel Adaptive Deformable Model for Automated Optic Disc and Cup Segmentation to Aid Glaucoma Diagnosis

This paper proposes a novel Adaptive Region based Edge Smoothing Model (ARESM) for automatic boundary detection of optic disc and cup to aid automatic glaucoma diagnosis. The novelty of our approach consists of two aspects: 1) automatic detection of initial optimum object boundary based on a Region Classifi- cation Model (RCM) in a pixel-level multidimensional feature space; 2) an Adaptive Edge Smoothing Update model (AESU) of contour points (e.g. misclassified or irregular points) based on iterative force field calculations with contours obtained from the RCM model by minimising energy function (an approach that does not require predefined geometric templates to guide autosegmentation). Such an approach provides robustness in capturing a range of variations and shapes. We have conducted a comprehensive comparison between our approach and the state-of-the-art existing deformable models and validated it with publicly available datasets. The experimental evaluation shows that the proposed approach significantly outperforms existing methods. The generality of the proposed approach will enable segmentation and detection of other object boundaries and provide added value in the field of medical image processing and analysis

Retinal imaging tool for assessment of the parapapillary atrophy and the optic disc

Ophthalmic diseases such as glaucoma are associated with progressive changes in the structure of the optic disc (OD) and parapapillary atrophy (PPA). These structural changes may therefore have relevance to other systemic diseases. The size and location of OD and PPA can be used as registration landmarks for monitoring changes in features of the fundus of the eye. Retinal vessel evaluation, for example, can be used as a biomarker for the effects of multiple systemic diseases, or co-morbidities. This thesis presents the first computer-aided measuring tool that detects and quantifies the progression of PPA automatically on a 2D retinal fundus image in the presence of image noise. An automated segmentation system is described that can detect features of the optic nerve. Three novel approaches are explored that extract the PPA and OD region approximately from a 2D fundus image. The OD region is segmented using (i) a combination of active contour and morphological operations, (ii) a modified Chan-Vese algorithm and (iii) a combination of edge detection and ellipse fitting methods. The PPA region is identified from the presence of bright pixels in the temporal zone of the OD, and segmented using a sequence of techniques, including a modified Chan-Vese approach, thresholding, scanning filter and multi-seed region growing methods. The work demonstrates for the first time how the OD and PPA regions can be identified and quantified from 2D fundus images using a standard fundus camera

Computational models for stuctural analysis of retinal images

This thesis was submitted for the degree of Doctor of Philosophy and awarded by Brunel University LondonThe evaluation of retina structures has been of great interest because it could be used as a non-intrusive diagnosis in modern ophthalmology to detect many important eye diseases as well as cardiovascular disorders. A variety of retinal image analysis tools have been developed to assist ophthalmologists and eye diseases experts by reducing the time required in eye screening, optimising the costs as well as providing efficient disease treatment and management systems. A key component in these tools is the segmentation and quantification of retina structures. However, the imaging artefacts such as noise, intensity homogeneity and the overlapping tissue of retina structures can cause significant degradations to the performance of these automated image analysis tools. This thesis aims to provide robust and reliable automated retinal image analysis technique to allow for early detection of various retinal and other diseases. In particular, four innovative segmentation methods have been proposed, including two for retinal vessel network segmentation, two for optic disc segmentation and one for retina nerve fibre layers detection. First, three pre-processing operations are combined in the segmentation method to remove noise and enhance the appearance of the blood vessel in the image, and a Mixture of Gaussians is used to extract the blood vessel tree. Second, a graph cut segmentation approach is introduced, which incorporates the mechanism of vectors flux into the graph formulation to allow for the segmentation of very narrow blood vessels. Third, the optic disc segmentation is performed using two alternative methods: the Markov random field image reconstruction approach detects the optic disc by removing the blood vessels from the optic disc area, and the graph cut with compensation factor method achieves that using prior information of the blood vessels. Fourth, the boundaries of the retinal nerve fibre layer (RNFL) are detected by adapting a graph cut segmentation technique that includes a kernel-induced space and a continuous multiplier based max-flow algorithm. The strong experimental results of our retinal blood vessel segmentation methods including Mixture of Gaussian, Graph Cut achieved an average accuracy of 94:33%, 94:27% respectively. Our optic disc segmentation methods including Markov Random Field and Compensation Factor also achieved an average sensitivity of 92:85% and 85:70% respectively. These results obtained on several public datasets and compared with existing methods have shown that our proposed methods are robust and efficient in the segmenting retinal structures such the blood vessels and the optic disc.Brunel University Londonhttp://bura.brunel.ac.uk/bitstream/2438/10387/1/FulltextThesis.pd

Nuevo Algoritmo para el Cálculo de la Relación Disco ÓpticoExcavación Basado en Distancias de Color

En este trabajo se presenta una nueva herramienta automática de diagnóstico asistido por computador (CAD) para programas de rastreo masivo de glaucoma mediante el cálculo de la relación de aspecto entre la excavación de la cabeza del nervio óptico y el disco óptico (Cup to Disk Ratio, CDR). El algoritmo combina métodos morfológicos, basados en intensidad y multitolerancia, junto a las técnicas de contornos activos y clustering o agrupación K-means adaptada a la percepción humana al trabajar sobre el espacio de color CIE L* a * b * haciendo uso de la distancia de color avanzada CIE94. Los resultados se han comparado con la segmentación manual a cargo de especialistas, demostrando la bondad del método. A su vez, se ha comprobado la mejora que supone la adaptación del algoritmo a la percepción humana comparando los resultados obtenidos con los que se alcanzarían con la distancia de color Euclídea

Level set segmentation of retinal structures

This thesis was submitted for the degree of Doctor of Philosophy and awarded by Brunel University London.Changes in retinal structure are related to different eye diseases. Various retinal imaging techniques, such as fundus imaging and optical coherence tomography (OCT) imaging modalities, have been developed for non-intrusive ophthalmology diagnoses according to the vasculature changes. However, it is time consuming or even impossible for ophthalmologists to manually label all the retinal structures from fundus images and OCT images. Therefore, computer aided diagnosis system for retinal imaging plays an important role in the assessment of ophthalmologic diseases and cardiovascular disorders. The aim of this PhD thesis is to develop segmentation methods to extract clinically useful information from these retinal images, which are acquired from different imaging modalities. In other words, we built the segmentation methods to extract important structures from both 2D fundus images and 3D OCT images. In the first part of my PhD project, two novel level set based methods were proposed for detecting the blood vessels and optic discs from fundus images. The first one integrates Chan-Vese's energy minimizing active contour method with the edge constraint term and Gaussian Mixture Model based term for blood vessels segmentation, while the second method combines the edge constraint term, the distance regularisation term and the shape-prior term for locating the optic disc. Both methods include the pre-processing stage, used for removing noise and enhancing the contrast between the object and the background. Three automated layer segmentation methods were built for segmenting intra-retinal layers from 3D OCT macular and optic nerve head images in the second part of my PhD project. The first two methods combine different methods according to the data characteristics. First, eight boundaries of the intra-retinal layers were detected from the 3D OCT macular images and the thickness maps of the seven layers were produced. Second, four boundaries of the intra-retinal layers were located from 3D optic nerve head images and the thickness maps of the Retinal Nerve Fiber Layer (RNFL) were plotted. Finally, the choroidal layer segmentation method based on the Level Set framework was designed, which embedded with the distance regularisation term, edge constraint term and Markov Random Field modelled region term. The thickness map of the choroidal layer was calculated and shown.Department of Computer Science, Brunel University London

Applications of Artificial Intelligence in Medicine Practice

This book focuses on a variety of interdisciplinary perspectives concerning the theory and application of artificial intelligence (AI) in medicine, medically oriented human biology, and healthcare. The list of topics includes the application of AI in biomedicine and clinical medicine, machine learning-based decision support, robotic surgery, data analytics and mining, laboratory information systems, and usage of AI in medical education. Special attention is given to the practical aspect of a study. Hence, the inclusion of a clinical assessment of the usefulness and potential impact of the submitted work is strongly highlighted

Three-dimensional optical coherence tomography imaging of the optic nerve head

Background: the primary site of injury in glaucoma is likely to be at the lamina cribrosa (LC), deep within the optic nerve head (ONH). Optical coherence tomography (OCT) in glaucoma has, to date, focused on the detection of nerve fibre loss. Spectral domain OCT (SDOCT) has improved speed and axial resolution, allowing acquisition of three-dimensional ONH volumes and may capture targets deep within the ONH. This thesis explores the capabilities and potential of deep SDOCT imaging in the monkey ONH. Plan of research: an investigation was conducted into the detection of key landmarks that would be necessary for future quantification strategies. In particular, detection of the neural canal opening (NCO) was assessed and how the NCO relates to what is clinically identified as the disc margin. The next phase involved clarifying the anatomical and histological basis of ONH structures observed within SDCOT volumes, by comparison with histological sections and disc photographs. Finally, quantification strategies for novel parameters based on deep targets were developed and used to detect chronic longitudinal changes in experimental glaucoma and acute changes following IOP manipulation. Results: SDOCT reliably detects the NCO, which can be used as an anchoring structure for reference planes. Usually the NCO equates to the disc margin but disc margin architecture can be complex and highly variable. SDOCT captures the prelaminar tissue and anterior LC surface. Prelaminar thinning and posterior LC displacement were both detected longitudinally in experimental glaucoma. Prelaminar thinning was observed with acute IOP elevation; posterior LC movement was rare. Significance: deep ONH structures, including the LC, are realistic targets for clinical imaging. These imaging targets may be useful in the detection of glaucoma progression and in the verification of ex-vivo models of ONH biomechanical behaviour