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

A New Image Encryption Scheme Based on Hybrid Chaotic Maps

Chaos-based encryption algorithms offer many advantages over conventional cryptographic algorithms, such as speed, high security, affordable overheads for computation, and procedure power. In this paper, we propose a novel perturbation algorithm for data encryption based on double chaotic systems. A new image encryption algorithm based on the proposed chaotic maps is introduced. The proposed chaotification method is a hybrid technique that parallels and combines the chaotic maps. It is based on combination between Discrete Wavelet Transform (DWT) to decompose the original image into sub-bands and both permutation and diffusion properties are attained using the chaotic states and parameters of the proposed maps, which are then concerned in shuffling of pixel and operations of substitution, respectively. Security, statistical test analyses, and comparison with other techniques indicate that the proposed algorithm has promising effect and it can resist several common attacks. Namely, the average values for UACI and NPCR metrics were 33.6248% and 99.6472%, respectively. Additionally, unscrambling quality can fulfill security and execution prerequisites as evidenced by PSNR (9.005955) and entropy (7.999275) values. In sum, the proposed method has enough ability to achieve low residual intelligibility with high quality recovered data, high sensitivity, and high security performance compared to some other recent literature approaches

A Chaotic-Based Encryption/Decryption Framework for Secure Multimedia Communications

Chaos-based encryption has shown an increasingly important and dominant role in modern multimedia cryptography compared with traditional algorithms. This work proposes novel chaotic-based multimedia encryption schemes utilizing 2D alteration models for high secure data transmission. A novel perturbation-based data encryption for both confusion and diffusion rounds is proposed. Our chaotification structure is hybrid, in which multiple maps are combined combines for media encryption. Blended chaotic maps are used to generate the control parameters for the permutation (shuffling) and diffusion (substitution) structures. The proposed schemes not only maintain great encryption quality reproduced by chaotic, but also possess other advantages, including key sensitivity and low residual clarity. Extensive security and differential analyses documented that the proposed schemes are efficient for secure multimedia transmission as well as the encrypted media possesses resistance to attacks. Additionally, statistical evaluations using well-known metrics for specific media types, show that proposed encryption schemes can acquire low residual intelligibility with excessive nice recovered statistics. Finally, the advantages of the proposed schemes have been highlighted by comparing it against different state-of-the-art algorithms from literature. The comparative performance results documented that our schemes are extra efficacious than their data-specific counterpart methods

A deep learning framework for automated classification of histopathological kidney whole-slide images

Background: Renal cell carcinoma is the most common type of malignant kidney tumor and is responsible for 14,830 deaths per year in the United States. Among the four most common subtypes of renal cell carcinoma, clear cell renal cell carcinoma has the worst prognosis and clear cell papillary renal cell carcinoma appears to have no malignant potential. Distinction between these two subtypes can be difficult due to morphologic overlap on examination of histopathological preparation stained with hematoxylin and eosin. Ancillary techniques, such as immunohistochemistry, can be helpful, but they are not universally available. We propose and evaluate a new deep learning framework for tumor classification tasks to distinguish clear cell renal cell carcinoma from papillary renal cell carcinoma. Methods: Our deep learning framework is composed of three convolutional neural networks. We divided whole-slide kidney images into patches with three different sizes where each network processes a specific patch size. Our framework provides patchwise and pixelwise classification. The histopathological kidney data is composed of 64 image slides that belong to 4 categories: fat, parenchyma, clear cell renal cell carcinoma, and clear cell papillary renal cell carcinoma. The final output of our framework is an image map where each pixel is classified into one class. To maintain consistency, we processed the map with Gauss-Markov random field smoothing. Results: Our framework succeeded in classifying the four classes and showed superior performance compared to well-established state-of-the-art methods (pixel accuracy: 0.89 ResNet18, 0.92 proposed). Conclusions: Deep learning techniques have a significant potential for cancer diagnosis

A Computer-Aided Diagnostic System for Diabetic Retinopathy Based on Local and Global Extracted Features

Diabetic retinopathy (DR) is a major public health problem and the leading cause of vision loss in the working age population. This paper presents a novel deep learning system for the detection and diagnosis of DR using optical coherence tomography (OCT) images. The input for this system is three-channel local and global information from OCT images. The local high-level information is represented by the thickness channel and the reflectivity channel. The global low-level information is represented by the grey-level OCT original image. The deep learning system processes the three-channel input to produce the final DR diagnoses. Experimental results on 200 OCT images, augmented to 800 images, which are collected by the University of Louisville, show high system performance related to other competing methods. Moreover, 10-fold and leave-one-subject-out (LOSO) experiments are performed to confirm how significant using the fused images is in improving the performance of the diagnoses, by investigating four different CNN architectures. All of the four architectures achieve acceptable performance and confirm a significant performance improvement using the fused images. Using LOSO, the best network performance has improved from 90.1 ± 2% using only the grey level dataset to 97.7 ± 0.5% using the proposed fused dataset. These results confirm the promise of using the proposed system for the detection of DR using OCT images