Diagnosis of Diabetic Retinopathy Using Principal Component Analysis (PCA)

Author(s):  
Amol P. Bhatkar ◽  
Govind Kharat
2020 ◽  
Vol 37 (5) ◽  
pp. 711-722
Author(s):  
Mali Mohammedhasan ◽  
Harun Uğuz

Diabetic retinopathy (DR) is a disease of the retina, which leads over time to vision problems such retinal detachment, vitreous hemorrhage, glaucoma, and in worse cases leads to blindness, which can initially be controlled by periodic DR-screening. Early diagnosis will lead to greater control of the disease, whereas performing retinal examinations on all diabetic patients is an unattainable need, as diabetes is a chronic disease and its global prevalence has been steadily increasing over the past few decades. According to recent World Health Organization statistics, about 422 million people worldwide have diabetes, the majority living in low-and middle-income countries. This paper proposes a new strategy that brings the strength of convolutional neural networks (CNNs) to the diagnosis of DR. Coupled with using principal component analysis (PCA) that performs dimension reduction to improve the diagnostic accuracy, the proposed model exploiting edge-preserving guided image filtering (E-GIF) that performs as a contrast enhancement mechanism, and in addition to smoothing low gradient areas, it also accentuates strong edges. Diabetic retinopathy causes progressive damage to the blood vessels in the retina to the extent that it leaves traces and lesions in the tissues of the retina. These lesions appear in the form of edges and when processing retinal images, we seek to accentuate these edges to enable better diagnosis of diabetic retinopathy symptoms. A new CNN architecture with residual connections is used, which performs very well in diagnosing DR. The proposed model is named with RUnet-PCA: Residual U-net Deep CNN with Principal Component Analysis. The well-known AlexNet, VggNet-s, VggNet-16, VggNet-19, GoogleNet, and ResNet models were adopted for comparison with the proposed model. Publicly available Kaggle dataset was employed for training exploring the DR diagnosis accuracy. Experimental results show that the proposed RUnet-PCA model achieved a diagnosis accuracy of 98.44% and it was extremely robust and promising in comparison to other diagnosis methods.


VASA ◽  
2012 ◽  
Vol 41 (5) ◽  
pp. 333-342 ◽  
Author(s):  
Kirchberger ◽  
Finger ◽  
Müller-Bühl

Background: The Intermittent Claudication Questionnaire (ICQ) is a short questionnaire for the assessment of health-related quality of life (HRQOL) in patients with intermittent claudication (IC). The objective of this study was to translate the ICQ into German and to investigate the psychometric properties of the German ICQ version in patients with IC. Patients and methods: The original English version was translated using a forward-backward method. The resulting German version was reviewed by the author of the original version and an experienced clinician. Finally, it was tested for clarity with 5 German patients with IC. A sample of 81 patients were administered the German ICQ. The sample consisted of 58.0 % male patients with a median age of 71 years and a median IC duration of 36 months. Test of feasibility included completeness of questionnaires, completion time, and ratings of clarity, length and relevance. Reliability was assessed through a retest in 13 patients at 14 days, and analysis of Cronbach’s alpha for internal consistency. Construct validity was investigated using principal component analysis. Concurrent validity was assessed by correlating the ICQ scores with the Short Form 36 Health Survey (SF-36) as well as clinical measures. Results: The ICQ was completely filled in by 73 subjects (90.1 %) with an average completion time of 6.3 minutes. Cronbach’s alpha coefficient reached 0.75. Intra-class correlation for test-retest reliability was r = 0.88. Principal component analysis resulted in a 3 factor solution. The first factor explained 51.5 of the total variation and all items had loadings of at least 0.65 on it. The ICQ was significantly associated with the SF-36 and treadmill-walking distances whereas no association was found for resting ABPI. Conclusions: The German version of the ICQ demonstrated good feasibility, satisfactory reliability and good validity. Responsiveness should be investigated in further validation studies.


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