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

DETECTION AND SEGMENTATION OF OPTIC DISC IN FUNDUS IMAGES

Objective: Image processing technique is utilized in the medical field widely nowadays. Hence, therefore, this technique is used to extract the different features like blood vessels, optic disk, macula, fovea etc. automatically of the retinal image of eye.Methods: This paper presents a simple and fast algorithm using Mathematical Morphology to find the fovea of fundus retinal image. The image for analysis is obtained from the DRIVE database. Also, this paper is enhanced to detect the Diabetic Retinopathy disease occurring in the eye.Results: Detection of optic disc boundary becomes important for the diagnosis of glaucoma. The iterative curve evolution was stopped at the image boundaries where the energy was minimum.Conclusion: The changes in the shape and size of the optic disc can be used to detect glaucoma and also cup ratio can be used as a measure of glaucoma

Accurate and reliable segmentation of the optic disc in digital fundus images

We describe a complete pipeline for the detection and accurate automatic segmentation of the optic disc in digital fundus images. This procedure provides separation of vascular information and accurate inpainting of vessel-removed images, symmetry-based optic disc localization, and fitting of incrementally complex contour models at increasing resolutions using information related to inpainted images and vessel masks. Validation experiments, performed on a large dataset of images of healthy and pathological eyes, annotated by experts and partially graded with a quality label, demonstrate the good performances of the proposed approach. The method is able to detect the optic disc and trace its contours better than the other systems presented in the literature and tested on the same data. The average error in the obtained contour masks is reasonably close to the interoperator errors and suitable for practical applications. The optic disc segmentation pipeline is currently integrated in a complete software suite for the semiautomatic quantification of retinal vessel properties from fundus camera images (VAMPIRE)

Detection of Glaucoma and Microaneurysm in Retinal Fundus Images Based on Optic Disk and Optic Cup Segmentation

Diabetes cause’s metabolic and physiological abnormalities in the retina and the changes suggest a role for inflammation in the development of diabetic retinopathy. The occurrence of micro aneurysms, a small red dot in retinal layer in the eye, is one of the early signs of diabetic retinopathy. To serve this purpose, various automated systems have been designed which includespreprocessing methods and candidate extractors. The objectives of this paper are to classify different stages of diabetic retinopathy as mild, Moderate, and Severe. Glaucoma is an irreversible chronic eye disease that leads to vision loss. In this paper, we propose a method for cup to disc ratio (CDR) assessment using 2-D retinal fundus images. In the proposed method, the optic disc and optic cup is segmented using thresholding algorithm. The cup to disc ratio (CDR) is computed based on the measurement of the segmented optic disc and optic cup. The Cup to Disc Ratio (CDR) of the color retinal fundus camera image is the primary identifier to confirm Glaucoma for a given patient

EDDense-Net: Fully Dense Encoder Decoder Network for Joint Segmentation of Optic Cup and Disc

Glaucoma is an eye disease that causes damage to the optic nerve, which can lead to visual loss and permanent blindness. Early glaucoma detection is therefore critical in order to avoid permanent blindness. The estimation of the cup-to-disc ratio (CDR) during an examination of the optical disc (OD) is used for the diagnosis of glaucoma. In this paper, we present the EDDense-Net segmentation network for the joint segmentation of OC and OD. The encoder and decoder in this network are made up of dense blocks with a grouped convolutional layer in each block, allowing the network to acquire and convey spatial information from the image while simultaneously reducing the network's complexity. To reduce spatial information loss, the optimal number of filters in all convolution layers were utilised. In semantic segmentation, dice pixel classification is employed in the decoder to alleviate the problem of class imbalance. The proposed network was evaluated on two publicly available datasets where it outperformed existing state-of-the-art methods in terms of accuracy and efficiency. For the diagnosis and analysis of glaucoma, this method can be used as a second opinion system to assist medical ophthalmologists

Automated Identification of Diabetic Retinopathy: A Survey

Diabetes strikes when the pancreas stops to produce sufficient insulin, gradually disturbing the retina of the human eye, leading to diabetic retinopathy. The blood vessels in the retina become changed and have abnormality. Exudates are concealed, micro-aneurysms and haemorrhages occur in the retina of eye, which intern leads to blindness. The presence of these structures signifies the harshness of the disease. A systematized Diabetic Retinopathy screening system will enable the detection of lesions accurately, consequently facilitating the ophthalmologists. Micro-aneurysms are the initial clinical signs of diabetic retinopathy. Timely identification of diabetic retinopathy plays a major role in the success of managing the disease. The main task is to extract exudates, which are similar in color property and size of the optic disk; afterwards micro-aneurysms are alike in color and closeness with blood vessels. The primary objective of this review is to survey the methods, techniques potential benefits and limitations of automated detection of micro-aneurysm in order to better manage translation into clinical practice, based on extensive experience with systems used by opthalmologists treating diabetic retinopathy

Automatic Screening and Classification of Diabetic Retinopathy Eye Fundus Image

Diabetic Retinopathy (DR) is a disorder of the retinal vasculature. It develops to some degree in nearly all patients with long-standing diabetes mellitus and can result in blindness. Screening of DR is essential for both early detection and early treatment. This thesis aims to investigate automatic methods for diabetic retinopathy detection and subsequently develop an effective system for the detection and screening of diabetic retinopathy. The presented diabetic retinopathy research involves three development stages. Firstly, the thesis presents the development of a preliminary classification and screening system for diabetic retinopathy using eye fundus images. The research will then focus on the detection of the earliest signs of diabetic retinopathy, which are the microaneurysms. The detection of microaneurysms at an early stage is vital and is the first step in preventing diabetic retinopathy. Finally, the thesis will present decision support systems for the detection of diabetic retinopathy and maculopathy in eye fundus images. The detection of maculopathy, which are yellow lesions near the macula, is essential as it will eventually cause the loss of vision if the affected macula is not treated in time. An accurate retinal screening, therefore, is required to assist the retinal screeners to classify the retinal images effectively. Highly efficient and accurate image processing techniques must thus be used in order to produce an effective screening of diabetic retinopathy. In addition to the proposed diabetic retinopathy detection systems, this thesis will present a new dataset, and will highlight the dataset collection, the expert diagnosis process and the advantages of the new dataset, compared to other public eye fundus images datasets available. The new dataset will be useful to researchers and practitioners working in the retinal imaging area and would widely encourage comparative studies in the field of diabetic retinopathy research. It is envisaged that the proposed decision support system for clinical screening would greatly contribute to and assist the management and the detection of diabetic retinopathy. It is also hoped that the developed automatic detection techniques will assist clinicians to diagnose diabetic retinopathy at an early stage