A new convolutional neural network based on combination of circlets and wavelets for macular OCT classification

Artificial intelligence (AI) algorithms, encompassing machine learning and deep learning, can assist ophthalmologists in early detection of various ocular abnormalities through the analysis of retinal optical coherence tomography (OCT) images. Despite considerable progress in these algorithms, several limitations persist in medical imaging fields, where a lack of data is a common issue. Accordingly, specific image processing techniques, such as time–frequency transforms, can be employed in conjunction with AI algorithms to enhance diagnostic accuracy. This research investigates the influence of non-data-adaptive time–frequency transforms, specifically X-lets, on the classification of OCT B-scans. For this purpose, each B-scan was transformed using every considered X-let individually, and all the sub-bands were utilized as the input for a designed 2D Convolutional Neural Network (CNN) to extract optimal features, which were subsequently fed to the classifiers. Evaluating per-class accuracy shows that the use of the 2D Discrete Wavelet Transform (2D-DWT) yields superior outcomes for normal cases, whereas the circlet transform outperforms other X-lets for abnormal cases characterized by circles in their retinal structure (due to the accumulation of fluid). As a result, we propose a novel transform named CircWave by concatenating all sub-bands from the 2D-DWT and the circlet transform. The objective is to enhance the per-class accuracy of both normal and abnormal cases simultaneously. Our findings show that classification results based on the CircWave transform outperform those derived from original images or any individual transform. Furthermore, Grad-CAM class activation visualization for B-scans reconstructed from CircWave sub-bands highlights a greater emphasis on circular formations in abnormal cases and straight lines in normal cases, in contrast to the focus on irrelevant regions in original B-scans. To assess the generalizability of our method, we applied it to another dataset obtained from a different imaging system. We achieved promising accuracies of 94.5% and 90% for the first and second datasets, respectively, which are comparable with results from previous studies. The proposed CNN based on CircWave sub-bands (i.e. CircWaveNet) not only produces superior outcomes but also offers more interpretable results with a heightened focus on features crucial for ophthalmologists

Dual-Tree Complex Wavelet Input Transform for Cyst Segmentation in OCT Images Based on a Deep Learning Framework

Optical coherence tomography (OCT) represents a non-invasive, high-resolution cross-sectional imaging modality. Macular edema is the swelling of the macular region. Segmentation of fluid or cyst regions in OCT images is essential, to provide useful information for clinicians and prevent visual impairment. However, manual segmentation of fluid regions is a time-consuming and subjective procedure. Traditional and off-the-shelf deep learning methods fail to extract the exact location of the boundaries under complicated conditions, such as with high noise levels and blurred edges. Therefore, developing a tailored automatic image segmentation method that exhibits good numerical and visual performance is essential for clinical application. The dual-tree complex wavelet transform (DTCWT) can extract rich information from different orientations of image boundaries and extract details that improve OCT fluid semantic segmentation results in difficult conditions. This paper presents a comparative study of using DTCWT subbands in the segmentation of fluids. To the best of our knowledge, no previous studies have focused on the various combinations of wavelet transforms and the role of each subband in OCT cyst segmentation. In this paper, we propose a semantic segmentation composite architecture based on a novel U-net and information from DTCWT subbands. We compare different combination schemes, to take advantage of hidden information in the subbands, and demonstrate the performance of the methods under original and noise-added conditions. Dice score, Jaccard index, and qualitative results are used to assess the performance of the subbands. The combination of subbands yielded high Dice and Jaccard values, outperforming the other methods, especially in the presence of a high level of noise

Documenting and predicting topic changes in Computers in Biology and Medicine: A bibliometric keyword analysis from 1990 to 2017

The Computers in Biology and Medicine (CBM) journal promotes the use of com-puting machinery in the fields of bioscience and medicine. Since the first volume in 1970, the importance of computers in these fields has grown dramatically, this is evident in the diversification of topics and an increase in the publication rate. In this study, we quantify both change and diversification of topics covered in CBM. This is done by analysing the author supplied keywords, since they were electronically captured in 1990. The analysis starts by selecting 40 keywords, related to Medical (M) (7), Data (D)(10), Feature (F) (17) and Artificial Intelligence (AI) (6) methods. Automated keyword clustering shows the statistical connection between the selected keywords. We found that the three most popular topics in CBM are: Support Vector Machine (SVM), Elec-troencephalography (EEG) and IMAGE PROCESSING. In a separate analysis step, we bagged the selected keywords into sequential one year time slices and calculated the normalized appearance. The results were visualised with graphs that indicate the CBM topic changes. These graphs show that there was a transition from Artificial Neural Network (ANN) to SVM. In 2006 SVM replaced ANN as the most important AI algo-rithm. Our investigation helps the editorial board to manage and embrace topic change. Furthermore, our analysis is interesting for the general reader, as the results can help them to adjust their research directions

The Role of Medical Image Modalities and AI in the Early Detection, Diagnosis and Grading of Retinal Diseases: A Survey.

Traditional dilated ophthalmoscopy can reveal diseases, such as age-related macular degeneration (AMD), diabetic retinopathy (DR), diabetic macular edema (DME), retinal tear, epiretinal membrane, macular hole, retinal detachment, retinitis pigmentosa, retinal vein occlusion (RVO), and retinal artery occlusion (RAO). Among these diseases, AMD and DR are the major causes of progressive vision loss, while the latter is recognized as a world-wide epidemic. Advances in retinal imaging have improved the diagnosis and management of DR and AMD. In this review article, we focus on the variable imaging modalities for accurate diagnosis, early detection, and staging of both AMD and DR. In addition, the role of artificial intelligence (AI) in providing automated detection, diagnosis, and staging of these diseases will be surveyed. Furthermore, current works are summarized and discussed. Finally, projected future trends are outlined. The work done on this survey indicates the effective role of AI in the early detection, diagnosis, and staging of DR and/or AMD. In the future, more AI solutions will be presented that hold promise for clinical applications

Data mining for AMD screening: A classification based approach

This paper investigates the use of three alternative approaches to classifying retinal images. The novelty of these approaches is that they are not founded on individual lesion segmentation for feature generation, instead use encodings focused on the entire image. Three different mechanisms for encoding retinal image data were considered: (i) time series, (ii) tabular and (iii) tree based representations. For the evaluation two publically available, retinal fundus image data sets were used. The evaluation was conducted in the context of Age-related Macular Degeneration (AMD) screening and according to statistical significance tests. Excellent results were produced: Sensitivity, specificity and accuracy rates of 99% and over were recorded, while the tree based approach has the best performance with a sensitivity of 99.5%. Further evaluation indicated that the results were statistically significant. The excellent results indicated that these classification systems are ideally suited to large scale AMD screening processes

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

WARP: Wavelets with adaptive recursive partitioning for multi-dimensional data

Effective identification of asymmetric and local features in images and other data observed on multi-dimensional grids plays a critical role in a wide range of applications including biomedical and natural image processing. Moreover, the ever increasing amount of image data, in terms of both the resolution per image and the number of images processed per application, requires algorithms and methods for such applications to be computationally efficient. We develop a new probabilistic framework for multi-dimensional data to overcome these challenges through incorporating data adaptivity into discrete wavelet transforms, thereby allowing them to adapt to the geometric structure of the data while maintaining the linear computational scalability. By exploiting a connection between the local directionality of wavelet transforms and recursive dyadic partitioning on the grid points of the observation, we obtain the desired adaptivity through adding to the traditional Bayesian wavelet regression framework an additional layer of Bayesian modeling on the space of recursive partitions over the grid points. We derive the corresponding inference recipe in the form of a recursive representation of the exact posterior, and develop a class of efficient recursive message passing algorithms for achieving exact Bayesian inference with a computational complexity linear in the resolution and sample size of the images. While our framework is applicable to a range of problems including multi-dimensional signal processing, compression, and structural learning, we illustrate its work and evaluate its performance in the context of 2D and 3D image reconstruction using real images from the ImageNet database. We also apply the framework to analyze a data set from retinal optical coherence tomography

Detection of pathologies in retina digital images an empirical mode decomposition approach

Accurate automatic detection of pathologies in retina digital images offers a promising approach in clinicalapplications. This thesis employs the discrete wavelet transform (DWT) and empirical mode decomposition (EMD) to extract six statistical textural features from retina digital images. The statistical features are the mean, standard deviation, smoothness, third moment, uniformity, and entropy. The purpose is to classify normal and abnormal images. Five different pathologies are considered. They are Artery sheath (Coat’s disease), blot hemorrhage, retinal degeneration (circinates), age-related macular degeneration (drusens), and diabetic retinopathy (microaneurysms and exudates). Four classifiers are employed; including support vector machines (SVM), quadratic discriminant analysis (QDA), k-nearest neighbor algorithm (k-NN), and probabilistic neural networks (PNN). For each experiment, ten random folds are generated to perform cross-validation tests. In order to assess the performance of the classifiers, the average and standard deviation of the correct recognition rate, sensitivity and specificity are computed for each simulation. The experimental results highlight two main conclusions. First, they show the outstanding performance of EMD over DWT with all classifiers. Second, they demonstrate the superiority of the SVM classifier over QDA, k-NN, and PNN. Finally, principal component analysis (PCA) was employed to reduce the number of features in hope to improve the accuracy of classifiers. We find that there is no general and significant improvement of the performance, however. In sum, the EMD-SVM system provides a promising approach for the detection of pathologies in digital retina