Neuropathy Classification of Corneal Nerve Images Using Artificial Intelligence

Nerve variations in the human cornea have been associated with alterations in the neuropathy state of a patient suffering from chronic diseases. For some diseases, such as diabetes, detection of neuropathy prior to visible symptoms is important, whereas for others, such as multiple sclerosis, early prediction of disease worsening is crucial. As current methods fail to provide early diagnosis of neuropathy, in vivo corneal confocal microscopy enables very early insight into the nerve damage by illuminating and magnifying the human cornea. This non-invasive method captures a sequence of images from the corneal sub-basal nerve plexus. Current practices of manual nerve tracing and classification impede the advancement of medical research in this domain. Since corneal nerve analysis for neuropathy is in its initial stages, there is a dire need for process automation. To address this limitation, we seek to automate the two stages of this process: nerve segmentation and neuropathy classification of images. For nerve segmentation, we compare the performance of two existing solutions on multiple datasets to select the appropriate method and proceed to the classification stage. Consequently, we approach neuropathy classification of the images through artificial intelligence using Adaptive Neuro-Fuzzy Inference System, Support Vector Machines, Naïve Bayes and k-nearest neighbors. We further compare the performance of machine learning classifiers with deep learning. We ascertained that nerve segmentation using convolutional neural networks provided a significant improvement in sensitivity and false negative rate by at least 5% over the state-of-the-art software. For classification, ANFIS yielded the best classification accuracy of 93.7% compared to other classifiers. Furthermore, for this problem, machine learning approaches performed better in terms of classification accuracy than deep learning

SciTech News Volume 71, No. 1 (2017)

Columns and Reports From the Editor 3 Division News Science-Technology Division 5 Chemistry Division 8 Engineering Division Aerospace Section of the Engineering Division 9 Architecture, Building Engineering, Construction and Design Section of the Engineering Division 11 Reviews Sci-Tech Book News Reviews 12 Advertisements IEEE

Fuzzy logic: A “simple” solution for complexities in neurosciences?

Background: Fuzzy logic is a multi-valued logic which is similar to human thinking and interpretation. It has the potential of combining human heuristics into computer-assisted decision making, which is applicable to individual patients as it takes into account all the factors and complexities of individuals. Fuzzy logic has been applied in all disciplines of medicine in some form and recently its applicability in neurosciences has also gained momentum.Methods: This review focuses on the use of this concept in various branches of neurosciences including basic neuroscience, neurology, neurosurgery, psychiatry and psychology.Results: The applicability of fuzzy logic is not limited to research related to neuroanatomy, imaging nerve fibers and understanding neurophysiology, but it is also a sensitive and specific tool for interpretation of EEGs, EMGs and MRIs and an effective controller device in intensive care units. It has been used for risk stratification of stroke, diagnosis of different psychiatric illnesses and even planning neurosurgical procedures.Conclusions: In the future, fuzzy logic has the potential of becoming the basis of all clinical decision making and our understanding of neurosciences

Automatic extraction of retinal features from colour retinal images for glaucoma diagnosis: a review

Glaucoma is a group of eye diseases that have common traits such as, high eye pressure, damage to the Optic Nerve Head and gradual vision loss. It affects peripheral vision and eventually leads to blindness if left untreated. The current common methods of pre-diagnosis of Glaucoma include measurement of Intra-Ocular Pressure (IOP) using Tonometer, Pachymetry, Gonioscopy; which are performed manually by the clinicians. These tests are usually followed by Optic Nerve Head (ONH) Appearance examination for the confirmed diagnosis of Glaucoma. The diagnoses require regular monitoring, which is costly and time consuming. The accuracy and reliability of diagnosis is limited by the domain knowledge of different ophthalmologists. Therefore automatic diagnosis of Glaucoma attracts a lot of attention.This paper surveys the state-of-the-art of automatic extraction of anatomical features from retinal images to assist early diagnosis of the Glaucoma. We have conducted critical evaluation of the existing automatic extraction methods based on features including Optic Cup to Disc Ratio (CDR), Retinal Nerve Fibre Layer (RNFL), Peripapillary Atrophy (PPA), Neuroretinal Rim Notching, Vasculature Shift, etc., which adds value on efficient feature extraction related to Glaucoma diagnosis. © 2013 Elsevier Ltd

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

Automatic Segmentation of Optic Disc in Eye Fundus Images: A Survey

Optic disc detection and segmentation is one of the key elements for automatic retinal disease screening systems. The aim of this survey paper is to review, categorize and compare the optic disc detection algorithms and methodologies, giving a description of each of them, highlighting their key points and performance measures. Accordingly, this survey firstly overviews the anatomy of the eye fundus showing its main structural components along with their properties and functions. Consequently, the survey reviews the image enhancement techniques and also categorizes the image segmentation methodologies for the optic disc which include property-based methods, methods based on convergence of blood vessels, and model-based methods. The performance of segmentation algorithms is evaluated using a number of publicly available databases of retinal images via evaluation metrics which include accuracy and true positive rate (i.e. sensitivity). The survey, at the end, describes the different abnormalities occurring within the optic disc region

Beyond imaging with coherent anti-Stokes Raman scattering microscopy

La microscopie optique permet de visualiser des échantillons biologiques avec une bonne sensibilité et une résolution spatiale élevée tout en interférant peu avec les échantillons. La microscopie par diffusion Raman cohérente (CARS) est une technique de microscopie non linéaire basée sur l’effet Raman qui a comme avantage de fournir un mécanisme de contraste endogène sensible aux vibrations moléculaires. La microscopie CARS est maintenant une modalité d’imagerie reconnue, en particulier pour les expériences in vivo, car elle élimine la nécessité d’utiliser des agents de contraste exogènes, et donc les problèmes liés à leur distribution, spécificité et caractère invasif. Cependant, il existe encore plusieurs obstacles à l’adoption à grande échelle de la microscopie CARS en biologie et en médecine : le coût et la complexité des systèmes actuels, les difficultés d’utilisation et d’entretient, la rigidité du mécanisme de contraste, la vitesse de syntonisation limitée et le faible nombre de méthodes d’analyse d’image adaptées. Cette thèse de doctorat vise à aller au-delà de certaines des limites actuelles de l’imagerie CARS dans l’espoir que cela encourage son adoption par un public plus large. Tout d’abord, nous avons introduit un nouveau système d’imagerie spectrale CARS ayant une vitesse de syntonisation de longueur d’onde beaucoup plus rapide que les autres techniques similaires. Ce système est basé sur un laser à fibre picoseconde synchronisé qui est à la fois robuste et portable. Il peut accéder à des lignes de vibration Raman sur une plage importante (2700–2950 cm-1) à des taux allant jusqu’à 10 000 points spectrales par seconde. Il est parfaitement adapté pour l’acquisition d’images spectrales dans les tissus épais. En second lieu, nous avons proposé une nouvelle méthode d’analyse d’images pour l’évaluation de la structure de la myéline dans des images de sections longitudinales de moelle épinière. Nous avons introduit un indicateur quantitatif sensible à l’organisation de la myéline et démontré comment il pourrait être utilisé pour étudier certaines pathologies. Enfin, nous avons développé une méthode automatisé pour la segmentation d’axones myélinisés dans des images CARS de coupes transversales de tissu nerveux. Cette méthode a été utilisée pour extraire des informations morphologique des fibres nerveuses dans des images CARS de grande échelle.Optical-based microscopy techniques can sample biological specimens using many contrast mechanisms providing good sensitivity and high spatial resolution while minimally interfering with the samples. Coherent anti-Stokes Raman scattering (CARS) microscopy is a nonlinear microscopy technique based on the Raman effect. It shares common characteristics of other optical microscopy modalities with the added benefit of providing an endogenous contrast mechanism sensitive to molecular vibrations. CARS is now recognized as a great imaging modality, especially for in vivo experiments since it eliminates the need for exogenous contrast agents, and hence problems related to the delivery, specificity, and invasiveness of those markers. However, there are still several obstacles preventing the wide-scale adoption of CARS in biology and medicine: cost and complexity of current systems as well as difficulty to operate and maintain them, lack of flexibility of the contrast mechanism, low tuning speed and finally, poor accessibility to adapted image analysis methods. This doctoral thesis strives to move beyond some of the current limitations of CARS imaging in the hope that it might encourage a wider adoption of CARS as a microscopy technique. First, we introduced a new CARS spectral imaging system with vibrational tuning speed many orders of magnitude faster than other narrowband techniques. The system presented in this original contribution is based on a synchronized picosecond fibre laser that is both robust and portable. It can access Raman lines over a significant portion of the highwavenumber region (2700–2950 cm-1) at rates of up to 10,000 spectral points per second and is perfectly suitable for the acquisition of CARS spectral images in thick tissue. Secondly, we proposed a new image analysis method for the assessment of myelin health in images of longitudinal sections of spinal cord. We introduced a metric sensitive to the organization/disorganization of the myelin structure and showed how it could be used to study pathologies such as multiple sclerosis. Finally, we have developped a fully automated segmentation method specifically designed for CARS images of transverse cross sections of nerve tissue.We used our method to extract nerve fibre morphology information from large scale CARS images

Fuzzy Logic in neurosurgery: Predicting poor outcomes after lumbar disk surgery in 501 consecutive patients

Background: Despite a lot of research into Patient selection, a significant number of Patients fail to benefit from surgery for symptomatic lumbar disk herniation. We have used Fuzzy Logic-based fuzzy inference system (FIS) for identifying Patients unlikely to improve after disk surgery and explored FIS as a tool for surgical outcome prediction.Methods: Data of 501 Patients were retrospectively reviewed for 54 independent variables. Sixteen variables were short-listed based on heuristics and were further classified into memberships with degrees of membership within each. A set of 11 rules was formed, and the rule base used individual membership degrees and their values mapped from the membership functions to perform Boolean Logical inference for a particular set of inputs. For each rule, a decision bar was generated that, when combined with the other rules in a similar way, constituted a decision surface. The FIS decisions were then based on calculating the centroid for the resulting decision surfaces and thresholding of actual centroid values. The results of FIS were then compared with eventual postoperative Patient outcomes based on clinical follow-ups at 6 months to evaluate FIS as a predictor of poor outcome.Results: Fuzzy inference system has a sensitivity of 88% and specificity of 86% in the prediction of Patients most likely to have poor outcome after lumbosacral miscrodiskectomy. The test thus has a positive predictive value of 0.36 and a negative predictive value of 0.98.Conclusion: Fuzzy inference system is a sensitive method of predicting Patients who will fail to improve with surgical intervention