Computer-aided diagnosis of diabetic retinopathy: A review

Glaucoma is a disease of the optic nerve caused by the increase in the intraocular pressure of the eye. Glaucoma mainly affects the optic disc by increasing the cup size. It can lead to the blindness if it is not detected and treated in proper time. The detection of glaucoma through Optical Coherence Tomography (OCT) and Heidelberg Retinal Tomography (HRT) is very expensive. This paper presents a novel method for glaucoma detection using digital fundus images. Digital image processing techniques, such as preprocessing, morphological operations and thresholding, are widely used for the automatic detection of optic disc, blood vessels and computation of the features. We have extracted features such as cup to disc (c/d) ratio, ratio of the distance between optic disc center and optic nerve head to diameter of the optic disc, and the ratio of blood vessels area in inferior-superior side to area of blood vessel in the nasal-temporal side. These features are validated by classifying the normal and glaucoma images using neural network classifier. The results presented in this paper indicate that the features are clinically significant in the detection of glaucoma. Our system is able to classify the glaucoma automatically with a sensitivity and specificity of 100% and 80% respectively.

Automated Diagnosis of Glaucoma Using Digital Fundus Images

Diabetes is a chronic end organ disease that occurs when the pancreas does not secrete enough insulin or the body is unable to process it properly. Over time, diabetes affects the circulatory system, including that of the retina. Diabetic retinopathy is a medical condition where the retina is damaged because fluid leaks from blood vessels into the retina. Ophthalmologists recognize diabetic retinopathy based on features, such as blood vessel area, exudes, hemorrhages, microaneurysms and texture. In this paper we review algorithms used for the extraction of these features from digital fundus images. Furthermore, we discuss systems that use these features to classify individual fundus images. The classifications efficiency of different DR systems is discussed. Most of the reported systems are highly optimized with respect to the analyzed fundus images, therefore a generalization of individual results is difficult. However, this review shows that the classification results improved has improved recently, and it is getting closer to the classification capabilities of human ophthalmologists.

Algorithms for the Automated Detection of Diabetic Retinopathy Using Digital Fundus Images: A Review

RESULTS. The algorithm was able to assign cup, rim, and background correctly to 88% of all pixels. Correlations of the LCDR estimates of glaucoma fellows with those of the reference standard were 0.73 (95% CI, 0.58‐0.83), 0.81 (95% CI, 0.70‐ 0.89), and 0.86 (95% CI, 0.78‐0.91), respectively, whereas the correlation of the algorithm with the reference standard was 0.93 (95% CI, 0.89‐0.96; n 58). CONCLUSIONS. The pixel feature classification algorithm allows objective segmentation of the optic disc from conventional color stereo photographs automatically without human input. The performance of the disc segmentation and LCDR calculation of the algorithm was comparable to that of glaucoma fellows in training and is promising for objective evaluation of optic disc cupping. (Invest Ophthalmol Vis Sci. 2007;48: 1665‐1673) DOI:10.1167/iovs.06-1081

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Automated segmentation of the optic disc from stereo color photographs using physiologically plausible features.

Eye images provide an insight into important parts of the visual system, and also indicate the health of the entire human body. Glaucoma is one of the most common causes of blindness. It is a disease in which fluid pressure in the eye increases gradually, damaging the optic nerve and causing vision loss. Robust mass screening may help to extend the symptom-free life for the affected patients. The retinal optic nerve fiber layer can be assessed using optical coherence tomography, scanning laser polarimetry (SLP), and Heidelberg Retina Tomography (HRT) scanning methods. These methods are expensive and hence a novel low cost automated glaucoma diagnosis system using digital fundus images is proposed. The paper discusses the system for the automated identification of normal and glaucoma classes using Higher Order Spectra (HOS) and Discrete Wavelet Transform (DWT) features. The extracted features are fed to the Support Vector Machine (SVM) classifier with linear, polynomial order 1, 2, 3 and Radial Basis Function (RBF) to select the best kernel function for automated decision making. In this work, SVM classifier with kernel function of polynomial order 2 was able to identify the glaucoma and normal images automatically with an accuracy of 95%, sensitivity and specificity of 93.33% and 96.67% respectively. Finally, we have proposed a novel integrated index called Glaucoma Risk Index (GRI) which is made up of HOS and DWT features, to diagnose the unknown class using a single feature. We hope that this GRI will aid clinicians to make a faster glaucoma diagnosis during the mass screening of normal/glaucoma images.

Caroline Chee

Papers

Identification of different stages of diabetic retinopathy using retinal optical images