Automatic Discrimination of Color Retinal Images using the Bag of Words Approach

International audienceDiabetic retinopathy (DR) and age related macular degeneration (ARMD) are among the major causes of visual impairment all over the world. DR is mainly characterized by small red spots, namely microaneurysms and bright lesions, specifically exudates. However, ARMD is mainly identified by tiny yellow or white deposits called drusen. Since exudates might be the only visible signs of the early diabetic retinopathy, there is an increase demand for automatic diagnosis of retinopathy. Exudates and drusen may share similar appearances; as a result discriminating between them plays a key role in improving screening performance. In this research, we investigative the role of bag of words approach in the automatic diagnosis of retinopathy diabetes. Initially, the color retinal images are preprocessed in order to reduce the intra and inter patient variability. Subsequently, SURF (Speeded up Robust Features), HOG (Histogram of Oriented Gradients), and LBP (Local Binary Patterns) descriptors are extracted. We proposed to use single-based and multiple-based methods to construct the visual dictionary by combining the histogram of word occurrences from each dictionary and building a single histogram. Finally, this histogram representation is fed into a support vector machine with linear kernel for classification. The introduced approach is evaluated for automatic diagnosis of normal and abnormal color retinal images with bright lesions such as drusen and exudates. This approach has been implemented on 430 color retinal images, including six publicly available datasets, in addition to one local dataset. The mean accuracies achieved are 97.2% and 99.77% for single-based and multiple-based dictionaries respectively

A compactness based saliency approach for leakages detection in fluorescein angiogram

This study has developed a novel saliency detection method based on compactness feature for detecting three common types of leakage in retinal fluorescein angiogram: large focal, punctate focal, and vessel segment leakage. Leakage from retinal vessels occurs in a wide range of retinal diseases, such as diabetic maculopathy and paediatric malarial retinopathy. The proposed framework consists of three major steps: saliency detection, saliency refinement and leakage detection. First, the Retinex theory is adapted to address the illumination inhomogeneity problem. Then two saliency cues, intensity and compactness, are proposed for the estimation of the saliency map of each individual superpixel at each level. The saliency maps at different levels over the same cues are fused using an averaging operator. Finally, the leaking sites can be detected by masking the vessel and optic disc regions. The effectiveness of this framework has been evaluated by applying it to different types of leakage images with cerebral malaria. The sensitivity in detecting large focal, punctate focal and vessel segment leakage is 98.1, 88.2 and 82.7 %, respectively, when compared to a reference standard of manual annotations by expert human observers. The developed framework will become a new powerful tool for studying retinal conditions involving retinal leakage

Técnicas de análise de imagens para detecção de retinopatia diabética

Orientadores: Anderson de Rezende Rocha. Jacques WainerTese (doutorado) - Universidade Estadual de Campinas, Instituto de ComputaçãoResumo: Retinopatia Diabética (RD) é uma complicação a longo prazo do diabetes e a principal causa de cegueira da população ativa. Consultas regulares são necessárias para diagnosticar a retinopatia em um estágio inicial, permitindo um tratamento com o melhor prognóstico capaz de retardar ou até mesmo impedir a cegueira. Alavancados pela evolução da prevalência do diabetes e pelo maior risco que os diabéticos têm de desenvolver doenças nos olhos, diversos trabalhos com abordagens bem estabelecidas e promissoras vêm sendo desenvolvidos para triagem automática de retinopatia. Entretanto, a maior parte dos trabalhos está focada na detecção de lesões utilizando características visuais particulares de cada tipo de lesão. Além do mais, soluções artesanais para avaliação de necessidade de consulta e de identificação de estágios da retinopatia ainda dependem bastante das lesões, cujo repetitivo procedimento de detecção é complexo e inconveniente, mesmo se um esquema unificado for adotado. O estado da arte para avaliação automatizada de necessidade de consulta é composto por abordagens que propõem uma representação altamente abstrata obtida inteiramente por meio dos dados. Usualmente, estas abordagens recebem uma imagem e produzem uma resposta ¿ que pode ser resultante de um único modelo ou de uma combinação ¿ e não são facilmente explicáveis. Este trabalho objetivou melhorar a detecção de lesões e reforçar decisões relacionadas à necessidade de consulta, fazendo uso de avançadas representações de imagens em duas etapas. Nós também almejamos compor um modelo sofisticado e direcionado pelos dados para triagem de retinopatia, bem como incorporar aprendizado supervisionado de características com representação orientada por mapa de calor, resultando em uma abordagem robusta e ainda responsável para triagem automatizada. Finalmente, tivemos como objetivo a integração das soluções em dispositivos portáteis de captura de imagens de retina. Para detecção de lesões, propusemos abordagens de caracterização de imagens que possibilitem uma detecção eficaz de diferentes tipos de lesões. Nossos principais avanços estão centrados na modelagem de uma nova técnica de codificação para imagens de retina, bem como na preservação de informações no processo de pooling ou agregação das características obtidas. Decidir automaticamente pela necessidade de encaminhamento do paciente a um especialista é uma investigação ainda mais difícil e muito debatida. Nós criamos um método mais simples e robusto para decisões de necessidade de consulta, e que não depende da detecção de lesões. Também propusemos um modelo direcionado pelos dados que melhora significativamente o desempenho na tarefa de triagem da RD. O modelo produz uma resposta confiável com base em respostas (locais e globais), bem como um mapa de ativação que permite uma compreensão de importância de cada pixel para a decisão. Exploramos a metodologia de explicabilidade para criar um descritor local codificado em uma rica representação em nível médio. Os modelos direcionados pelos dados são o estado da arte para triagem de retinopatia diabética. Entretanto, mapas de ativação são essenciais para interpretar o aprendizado em termos de importância de cada pixel e para reforçar pequenas características discriminativas que têm potencial de melhorar o diagnósticoAbstract: Diabetic Retinopathy (DR) is a long-term complication of diabetes and the leading cause of blindness among working-age adults. A regular eye examination is necessary to diagnose DR at an early stage, when it can be treated with the best prognosis and the visual loss delayed or deferred. Leveraged by the continuous expansion of diabetics and by the increased risk that those people have to develop eye diseases, several works with well-established and promising approaches have been proposed for automatic screening. Therefore, most existing art focuses on lesion detection using visual characteristics specific to each type of lesion. Additionally, handcrafted solutions for referable diabetic retinopathy detection and DR stages identification still depend too much on the lesions, whose repetitive detection is complex and cumbersome to implement, even when adopting a unified detection scheme. Current art for automated referral assessment resides on highly abstract data-driven approaches. Usually, those approaches receive an image and spit the response out ¿ that might be resulting from only one model or ensembles ¿ and are not easily explainable. Hence, this work aims at enhancing lesion detection and reinforcing referral decisions with advanced handcrafted two-tiered image representations. We also intended to compose sophisticated data-driven models for referable DR detection and incorporate supervised learning of features with saliency-oriented mid-level image representations to come up with a robust yet accountable automated screening approach. Ultimately, we aimed at integrating our software solutions with simple retinal imaging devices. In the lesion detection task, we proposed advanced handcrafted image characterization approaches to detecting effectively different lesions. Our leading advances are centered on designing a novel coding technique for retinal images and preserving information in the pooling process. Automatically deciding on whether or not the patient should be referred to the ophthalmic specialist is a more difficult, and still hotly debated research aim. We designed a simple and robust method for referral decisions that does not rely upon lesion detection stages. We also proposed a novel and effective data-driven model that significantly improves the performance for DR screening. Our accountable data-driven model produces a reliable (local- and global-) response along with a heatmap/saliency map that enables pixel-based importance comprehension. We explored this methodology to create a local descriptor that is encoded into a rich mid-level representation. Data-driven methods are the state of the art for diabetic retinopathy screening. However, saliency maps are essential not only to interpret the learning in terms of pixel importance but also to reinforce small discriminative characteristics that have the potential to enhance the diagnosticDoutoradoCiência da ComputaçãoDoutor em Ciência da ComputaçãoCAPE

Saliency Driven Vasculature Segmentation with Infinite Perimeter Active Contour Model

Automated detection of retinal blood vessels plays an important role in advancing the understanding of the mechanism, diagnosis and treatment of cardiovascular disease and many systemic diseases, such as diabetic retinopathy and age-related macular degeneration. Here, we propose a new framework for precisely segmenting retinal vasculatures. The proposed framework consists of three steps. A non-local total variation model is adapted to the Retinex theory, which aims to address challenges presented by intensity inhomogeneities, and the relatively low contrast of thin vessels compared to the background. The image is then divided into superpixels, and a compactness-based saliency detection method is proposed to locate the object of interest. For better general segmentation performance, we then make use of a new infinite active contour model to segment the vessels in each superpixel. The proposed framework has wide applications, and the results show that our model outperforms its competitors

Intensity and Compactness Enabled Saliency Estimation for Leakage Detection in Diabetic and Malarial Retinopathy

Leakage in retinal angiography currently is a key feature for confirming the activities of lesions in the management of a wide range of retinal diseases, such as diabetic maculopathy and paediatric malarial retinopathy. This paper proposes a new saliency-based method for the detection of leakage in fluorescein angiography. A superpixel approach is firstly employed to divide the image into meaningful patches (or superpixels) at different levels. Two saliency cues, intensity and compactness, are then proposed for the estimation of the saliency map of each individual superpixel at each level. The saliency maps at different levels over the same cues are fused using an averaging operator. The two saliency maps over different cues are fused using a pixel-wise multiplication operator. Leaking regions are finally detected by thresholding the saliency map followed by a graph-cut segmentation. The proposed method has been validated using the only two publicly available datasets: one for malarial retinopathy and the other for diabetic retinopathy. The experimental results show that it outperforms one of the latest competitors and performs as well as a human expert for leakage detection and outperforms several state-of-the-art methods for saliency detection

Dynamic and Integrative Properties of the Primary Visual Cortex

The ability to derive meaning from complex, ambiguous sensory input requires the integration of information over both space and time, as well as cognitive mechanisms to dynamically shape that integration. We have studied these processes in the primary visual cortex (V1), where neurons have been proposed to integrate visual inputs along a geometric pattern known as the association field (AF). We first used cortical reorganization as a model to investigate the role that a specific network of V1 connections, the long-range horizontal connections, might play in temporal and spatial integration across the AF. When retinal lesions ablate sensory information from portions of the visual field, V1 undergoes a process of reorganization mediated by compensatory changes in the network of horizontal collaterals. The reorganization accompanies the brain’s amazing ability to perceptually “fill-inâ€, or “seeâ€, the lost visual input. We developed a computational model to simulate cortical reorganization and perceptual fill-in mediated by a plexus of horizontal connections that encode the AF. The model reproduces the major features of the perceptual fill-in reported by human subjects with retinal lesions, and it suggests that V1 neurons, empowered by their horizontal connections, underlie both perceptual fill-in and normal integrative mechanisms that are crucial to our visual perception. These results motivated the second prong of our work, which was to experimentally study the normal integration of information in V1. Since psychophysical and physiological studies suggest that spatial interactions in V1 may be under cognitive control, we investigated the integrative properties of V1 neurons under different cognitive states. We performed extracellular recordings from single V1 neurons in macaques that were trained to perform a delayed-match-to-sample contour detection task. We found that the ability of V1 neurons to summate visual inputs from beyond the classical receptive field (cRF) imbues them with selectivity for complex contour shapes, and that neuronal shape selectivity in V1 changed dynamically according to the shapes monkeys were cued to detect. Over the population, V1 encoded subsets of the AF, predicted by the computational model, that shifted as a function of the monkeys’ expectations. These results support the major conclusions of the theoretical work; even more, they reveal a sophisticated mode of form processing, whereby the selectivity of the whole network in V1 is reshaped by cognitive state

Change blindness: eradication of gestalt strategies

Arrays of eight, texture-defined rectangles were used as stimuli in a one-shot change blindness (CB) task where there was a 50% chance that one rectangle would change orientation between two successive presentations separated by an interval. CB was eliminated by cueing the target rectangle in the first stimulus, reduced by cueing in the interval and unaffected by cueing in the second presentation. This supports the idea that a representation was formed that persisted through the interval before being 'overwritten' by the second presentation (Landman et al, 2003 Vision Research 43149–164]. Another possibility is that participants used some kind of grouping or Gestalt strategy. To test this we changed the spatial position of the rectangles in the second presentation by shifting them along imaginary spokes (by ±1 degree) emanating from the central fixation point. There was no significant difference seen in performance between this and the standard task [F(1,4)=2.565, p=0.185]. This may suggest two things: (i) Gestalt grouping is not used as a strategy in these tasks, and (ii) it gives further weight to the argument that objects may be stored and retrieved from a pre-attentional store during this task

ACHIKO-D350: A dataset for early AMD detection and drusen segmentation

Age related macular degeneration is the third leading cause of global blindness. Its prevalence is increasing in these years for the coming of ”aging population”. Early detection and grading can prevent it from becoming severe and protect vision. Drusen is an important indicator for AMD. Thus automatic drusen detection and segmentation has attracted much research attention in the past years. However, a barrier handicapping the research of drusen segmentation is the lack of a public dataset and test platform. To address this issue, in this paper, we publish a dataset, named ACHIKO-D350, with manually marked drusen boundary. ACHIKO-D350 includes 254 healthy fundus images and 96 fundus images with drusen. The images with drusen cover a wide range of types, including images with sparsely distributed drusen or clumped drusen, images of poor quality, and both well macular centered images and mis-centered images. ACHIKO-D350 will be used for performance evaluation of drusen segmentation methods. It will facilitate an objective evaluation and comparison

Seeing the invisible: The scope and limits of unconscious processing in binocular rivalry

When an image is presented to one eye and a very different image is presented to the corresponding location of the other eye, they compete for conscious representation, such that only one image is visible at a time while the other is suppressed. Called binocular rivalry, this phenomenon and its deviants have been extensively exploited to study the mechanism and neural correlates of consciousness. In this paper, we propose a framework, the unconscious binding hypothesis, to distinguish unconscious processing from conscious processing. According to this framework, the unconscious mind not only encodes individual features but also temporally binds distributed features to give rise to cortical representation, but unlike conscious binding, such unconscious binding is fragile. Under this framework, we review evidence from psychophysical and neuroimaging studies, which suggests that: (1) for invisible low level features, prolonged exposure to visual pattern and simple translational motion can alter the appearance of subsequent visible features (i.e. adaptation); for invisible high level features, although complex spiral motion cannot produce adaptation, nor can objects/words enhance subsequent processing of related stimuli (i.e. priming), images of tools can nevertheless activate the dorsal pathway; and (2) although invisible central cues cannot orient attention, invisible erotic pictures in the periphery can nevertheless guide attention, likely through emotional arousal; reciprocally, the processing of invisible information can be modulated by attention at perceptual and neural levels