1,426 research outputs found
Combining Fine- and Coarse-Grained Classifiers for Diabetic Retinopathy Detection
Visual artefacts of early diabetic retinopathy in retinal fundus images are
usually small in size, inconspicuous, and scattered all over retina. Detecting
diabetic retinopathy requires physicians to look at the whole image and fixate
on some specific regions to locate potential biomarkers of the disease.
Therefore, getting inspiration from ophthalmologist, we propose to combine
coarse-grained classifiers that detect discriminating features from the whole
images, with a recent breed of fine-grained classifiers that discover and pay
particular attention to pathologically significant regions. To evaluate the
performance of this proposed ensemble, we used publicly available EyePACS and
Messidor datasets. Extensive experimentation for binary, ternary and quaternary
classification shows that this ensemble largely outperforms individual image
classifiers as well as most of the published works in most training setups for
diabetic retinopathy detection. Furthermore, the performance of fine-grained
classifiers is found notably superior than coarse-grained image classifiers
encouraging the development of task-oriented fine-grained classifiers modelled
after specialist ophthalmologists.Comment: Pages 12, Figures
Detection of Neovascularization Based on Fractal and Texture Analysis with Interaction Effects in Diabetic Retinopathy
Diabetic retinopathy is a major cause of blindness. Proliferative diabetic retinopathy is a result of severe vascular complication and is visible as neovascularization of the retina. Automatic detection of such new vessels would be useful for the severity grading of diabetic retinopathy, and it is an important part of screening process to identify those who may require immediate treatment for their diabetic retinopathy. We proposed a novel new vessels detection method including statistical texture analysis (STA), high order spectrum analysis (HOS), fractal analysis (FA), and most importantly we have shown that by incorporating their associated interactions the accuracy of new vessels detection can be greatly improved. To assess its performance, the sensitivity, specificity and accuracy (AUC) are obtained. They are 96.3%, 99.1% and 98.5% (99.3%), respectively. It is found that the proposed method can improve the accuracy of new vessels detection significantly over previous methods. The algorithm can be automated and is valuable to detect relatively severe cases of diabetic retinopathy among diabetes patients.published_or_final_versio
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A Smartphone-Based Tool for Rapid, Portable, and Automated Wide-Field Retinal Imaging.
Purpose:High-quality, wide-field retinal imaging is a valuable method for screening preventable, vision-threatening diseases of the retina. Smartphone-based retinal cameras hold promise for increasing access to retinal imaging, but variable image quality and restricted field of view can limit their utility. We developed and clinically tested a smartphone-based system that addresses these challenges with automation-assisted imaging. Methods:The system was designed to improve smartphone retinal imaging by combining automated fixation guidance, photomontage, and multicolored illumination with optimized optics, user-tested ergonomics, and touch-screen interface. System performance was evaluated from images of ophthalmic patients taken by nonophthalmic personnel. Two masked ophthalmologists evaluated images for abnormalities and disease severity. Results:The system automatically generated 100° retinal photomontages from five overlapping images in under 1 minute at full resolution (52.3 pixels per retinal degree) fully on-phone, revealing numerous retinal abnormalities. Feasibility of the system for diabetic retinopathy (DR) screening using the retinal photomontages was performed in 71 diabetics by masked graders. DR grade matched perfectly with dilated clinical examination in 55.1% of eyes and within 1 severity level for 85.2% of eyes. For referral-warranted DR, average sensitivity was 93.3% and specificity 56.8%. Conclusions:Automation-assisted imaging produced high-quality, wide-field retinal images that demonstrate the potential of smartphone-based retinal cameras to be used for retinal disease screening. Translational Relevance:Enhancement of smartphone-based retinal imaging through automation and software intelligence holds great promise for increasing the accessibility of retinal screening
The automated detection of proliferative diabetic retinopathy using dual ensemble classification
Objective: Diabetic retinopathy (DR) is a retinal vascular disease that is caused by complications of diabetes. Proliferative diabetic retinopathy (PDR) is the advanced stage of the disease which carries a high risk of severe visual impairment. This stage is characterized by the growth of abnormal new vessels. We aim to develop a method for the automated detection of new vessels from retinal images.
Methods: This method is based on a dual classification approach. Two vessel segmentation approaches are applied to create two separate binary vessel maps which each hold vital information. Local morphology, gradient and intensity features are measured using each binary vessel map to produce two separate 21-D feature vectors. Independent classification is performed for each feature vector using an ensemble system of bagged decision trees. These two independent outcomes are then combined to a produce a final decision.
Results: Sensitivity and specificity results using a dataset of 60 images are 1.0000 and 0.9500 on a per image basis.
Conclusions: The described automated system is capable of detecting the presence of new vessels
Optic Nerve Changes in Diabetic Retinopathy
Diabetic retinopathy (DR) is a devastating sight-threatening complication of diabetes mellitus (DM). Besides damaging the vascular system of the retina, DM will also destruct the tissue surrounding the retina, including the optic nerve. DR impairs the optic nerve by damaging its conduction and integrity. There are few clinical manifestations of optic nerve changes in DR such as diabetic papillopathy, neovascularization of optic disc, and optic nerve atrophy. These involve metabolic alterations related to DM, production of advanced glycation end products (AGEs), oxidative stress, and hemodynamic changes. Diagnostic tests including visual evoked potential (VEP) and optical coherence tomography (OCT) can detect functional and structural changes. This finding is important as it may reflect the early loss of retinal ganglion cell axons. As the neuronal loss is irreversible, it is pivotal to be able to screen these nervous system changes in the early stage of DR and prevent further deterioration
Psychiatric Case Record
Bipolar Disorder-Mania:
Patient was apparently normal one-month back, Then all of a sudden he developed sleep disturbances –mainly difficult in initiation of sleep. He also started abusing his family members for unwanted things. Subsequently, he started talking excessively and irritable. Sometimes he sings film songs and dances.
He used to say that God Supreme exists in himself and so he has all the powers of Almighty. With that superior power he says that he can solve all the problems in this world. He also says that he has invented herbs to keep people young.
For the past one week, he talks excessively without having an hour of sleep & wanders here and there & found excessively smoking. He becomes excessively spiritual and goes to near by villages for offering prayers to God. He takes only a little food everyday and he is very much keen in personal cleanliness.
Paranoid Schizophrenia:
She was apparently normal 8 months back, then she developed sleep disturbances in the form of difficult in falling asleep. She was found talking & smiling to herself at night & day with mirror gazing. She started saying that her neighbour & relatives are planning to kill herself by poisoning.
In this context she had frequent quarrels with them and she refused to take food prepared by her mother in law.
She left the home at night without informing any one and started wandering in the road side near her home. She was complaining that she hears voices as if her neighbour & relatives were talking about her among themselves
She was not doing house hold activities for past 6 months and she was not taking care of her child. Her personal hygiene was very much deteriorated slowly as she used to take bath & brush, only if she was asked to do so. She started abusing & assaulting the strangers and family members.
Generalised Anxiety Disorder:
Six months back he was apparently normal. He is working as a system analyst in a private bank . He had once, made a mistake in his bank work for which he was given charges by his employer, followed this event he becomes very tense and afraid whenever his boss called him. He is very cautious that he should not commit any mistakes. Even though he is not doing so, he fears that he may commit some mistake in his work. At that moment he develops palpitation, giddiness, breathlessness, excessive sweating over palms and soles. Slowly these symptoms present through out the day even when he was not in his office, and he could not control his
fearfulness. For the past 6 months he didn’t sleep well. His sleep is disturbed by bad dreams.
Recurrent Depressive Disorder:
Patient was apparently alright 2 months back. Then she developed sleep disturbances particularly early morning awakening, she use to wake up by 3.00 am and use to brood about herself and started crying. She was not doing her domestic work as before, as she felt excess tiredness and use to take frequent rests. She developed poor communication. She had lost her interest in pleasurable activities and was not interested in watching TV, and
attending family gatherings. She stayed aloof most of the time & calm, quiet and withdrawn. She was expressing her helplessness and hopelessness about the future.
She started to have decline in maintaining self care. 15 days back, she frequently expressed suicidal ideas and she had attempted suicide by hanging herself and was rescued by neighbours.
5 days back, she started talking in an irrelevant manner. She was smiling to self. She was assaulting her family members. She was suspicious that her neighbour had done black magic on her and also saying that people are talking about her. She reported hearing the voice of her neighbour
scolding and threatening her.
Organic Brain Syndrome – Dementia:
Ten months back he was apparently alright. Then his relatives noticed himself frequently misplaces things inside his home. Then he started behaving aggressively. He was beating his wife without reason. He was roaming here and there, running out of home and wandering aimlessly.
He was not able to come back home when he goes out. He was brought back to home by his relatives.
Slowly he developed fearfulness and tremulousness while he was staying alone.
He also started saying that his family members & neighbours were talking about himself, in this context he would make frequent quarrels with them. He also started hearing voices of known male voices abusing himself in third person.
He sleeps for few hour only. He is passing urine and motion inside the house. He is asking about his brother and mother-in-law who were expired long back. He behaves abnormally such as pouring water in the plate while eating. And his relatives found the symptoms were worsened by evening.
All these symptoms started insidiously, increased in severity through time and attained the present state.
No history of loss of appetite / crying spells / suicidal tendencies / convulsions / fever / head injury
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