scholarly journals Identification of Metabolic Pathway Dysregulation in Diabetic Retinopathy: A Propensity Score-Matched Metabolomic Study

Author(s):  
Chengnan Guo ◽  
Depeng Jiang ◽  
Yixi Xu ◽  
Fang Peng ◽  
Shuzhen Zhao ◽  
...  

Abstract Background Diabetic retinopathy (DR) is a major diabetes-related disease linked to metabolism. However, scientifically assessment of serum metabolic alterations in DR is scarce. We aimed to investigate the changes in metabolic coregulation from type 2 diabetic patients (T2DM) to DR and identify corresponding metabolite predictors via a widely targeted metabolomics approach.Methods In this case-control study, we tested 613 serum metabolites in 69 pairs of T2DM with DR (case) and propensity score-matched T2DM without DR (control) utilizing the ultra-performance liquid chromatography-electrospray ionization-tandem mass spectrometry system. The discrimination capability of differentially expressed metabolites (DEMs) in DR identification was also evaluated using a least absolute shrinkage and selection operator (LASSO) regression-based linear support vector machine (SVM) classifier. Metabolic pathway dysregulation in DR were comprehensively investigated by metabolic pathway analysis, chemical similarity enrichment analysis and MetaMapp approaches.Results A total of 89 DEMs were identified after paired univariate analysis and partial least squares discriminant analysis. The linear-SVM model based on LASSO regression selected DEMs had an excellent discrimination with an area under the ROC curve (AUC) as 0.99 (95% confidence interval: 0.95, 1.00). The biosynthesis of polyunsaturated fatty acids (PUFAs), thiamine metabolism, amino acids (mainly glycine, serine and threonine metabolism), hydroxyeicosatetraenoic acid (HETE), disaccharides, indoles and nucleotides were significantly enriched in DR. Conclusions This study systematically demonstrates that distinct metabolic alterations are linked to DR initiation. n-3 PUFAs, trehalose and vitamin B1 play an important role in inhibiting DR progression.

2020 ◽  
Vol 17 (12) ◽  
pp. 5582-5589
Author(s):  
P. L. Meenal ◽  
P. Sheela Gowr ◽  
A. Sajeev Ram ◽  
A. R. Rajini ◽  
B. Ebenezer Abishek ◽  
...  

Excess amount of insulin in human blood might affect the retina in eyes and cause abnormalities in human vision, which is generally termed as Diabetic Retinopathy (DR). Many diabetic patients are often saved by the earlier diagnosis of Diabetic Retinopathy. The surface of retinal layer that has the earlier signs of Diabetic Retinopathy. This type of abnormalities are detected using traditional image processing methods which includes stages such as capturing fundus images, preprocessing, feature extraction and finally classification is performed to classify it as retinal and healthy images. (The proposed system, this detection is completed by Fuzzy-C Means (FCM) clustering). The proposed automated system consists of four phases which includes, preprocessing of the captured fundus images in which the image is resized and the second stage involves CLAHE. Images has to enhanced in order to boost up the features for which Contrast adjustment is performed in the third phase and before classification the grey and green channels of the images are extracted from the processed images. This detection process provides better results than the prevailing method. SVM classifier has been used in the proposed framework which classified the malady level of diabetic retinopathy in eye. The proposed system manages to provide better classification rates compared to the previous methodologies. The accuracy, sensitivity and specificity of the developed automated system was found to be 94.4%, 100% and 85.7%, which was promising than the compared methods.


2019 ◽  
Vol 45 (10) ◽  
pp. 3193-3201 ◽  
Author(s):  
Yajuan Li ◽  
Xialing Huang ◽  
Yuwei Xia ◽  
Liling Long

Abstract Purpose To explore the value of CT-enhanced quantitative features combined with machine learning for differential diagnosis of renal chromophobe cell carcinoma (chRCC) and renal oncocytoma (RO). Methods Sixty-one cases of renal tumors (chRCC = 44; RO = 17) that were pathologically confirmed at our hospital between 2008 and 2018 were retrospectively analyzed. All patients had undergone preoperative enhanced CT scans including the corticomedullary (CMP), nephrographic (NP), and excretory phases (EP) of contrast enhancement. Volumes of interest (VOIs), including lesions on the images, were manually delineated using the RadCloud platform. A LASSO regression algorithm was used to screen the image features extracted from all VOIs. Five machine learning classifications were trained to distinguish chRCC from RO by using a fivefold cross-validation strategy. The performance of the classifier was mainly evaluated by areas under the receiver operating characteristic (ROC) curve and accuracy. Results In total, 1029 features were extracted from CMP, NP, and EP. The LASSO regression algorithm was used to screen out the four, four, and six best features, respectively, and eight features were selected when CMP and NP were combined. All five classifiers had good diagnostic performance, with area under the curve (AUC) values greater than 0.850, and support vector machine (SVM) classifier showed a diagnostic accuracy of 0.945 (AUC 0.964 ± 0.054; sensitivity 0.999; specificity 0.800), showing the best performance. Conclusions Accurate preoperative differential diagnosis of chRCC and RO can be facilitated by a combination of CT-enhanced quantitative features and machine learning.


2018 ◽  
Vol 7 (2.15) ◽  
pp. 154 ◽  
Author(s):  
Fanji Ari Mukti ◽  
C Eswaran ◽  
Noramiza Hashim ◽  
Ho Chiung Ching ◽  
Mohamed Uvaze Ahamed Ayoobkhan

In this paper, an automated system for grading the severity level of Diabetic Retinopathy (DR) disease based on fundus images is presented. Features are extracted using fast discrete curvelet transform. These features are applied to hierarchical support vector machine (SVM) classifier to obtain four types of grading levels, namely, normal, mild, moderate and severe. These grading levels are determined based on the number of anomalies such as microaneurysms, hard exudates and haemorrhages that are present in the fundus image. The performance of the proposed system is evaluated using fundus images from the Messidor database. Experiment results show that the proposed system can achieve an accuracy rate of 86.23%. 


2021 ◽  
Author(s):  
Abdullah Biran

Automatic Detection and Classification of Diabetic Retinopathy from Retinal Fundus Images by Abdullah Biran, Master of Applied Science, lectrical and computer engineering Department, Ryerson University, 2017. Diabetic Retinopathy (DR) is an eye disease that leads to blindness when it progresses to proliferative level. The earliest signs of DR are the appearance of red and yellow lesions on the retina called hemorrhages and exudates. Early diagnosis of DR prevents from blindness. In this thesis, an automatic algorithm for detecting diabetic retinopathy is presented. The algorithm is based on combination of several image processing techniques including Circular Hough Transform (CHT), Contrast Limited Adaptive Histogram Equalization (CLAHE), Gabor filter and thresholding. In addition, Support Vector Machine (SVM) classifier is used to classify retinal images into normal or abnormal cases of DR including non-proliferative (NPDR) or proliferative diabetic retinopathy (PDR). The proposed method has been tested on fundus images from Standard Diabetic Retinopathy Database (DIARETDB). The implementation of the presented methodology was done in MATLAB. The methodology is tested for sensitivity and accuracy.


2020 ◽  
Vol 17 (9) ◽  
pp. 4219-4222
Author(s):  
ManjulaSri Rayudu ◽  
Srujana Pendam ◽  
Srilaxmi Dasari

All the patients of Type1 and more than 60% of Type2 Diabetes suffer from Diabetic Retinopathy (DR). Diabetic retinopathy causes damage to retina of eye and slowly leads to complete vision loss. The longer the patients are suffering from diabetes the probability of presence of DR is more. Hence diabetic retinopathy is to be identified in early stage to avoid blindness. The objective of this research work is to predict the severity of diabetic retinopathy (Non Proliferated) using machine learning techniques. Proliferated diabetic retinopathy (later stage) is characterized by neovasculature in the retinal veins and is the final stage. Non proliferated DR (earlier stage) is identified by any of the abnormalities out of microaneurysms, Hard exudates and hemorrhages. Then Machine learning techniques are employed to identify the class of DR. The following Classification and regression techniques are employed for categorizing the DR: Gini Diversity Index method, Linear discriminant analysis, Ensemble method with bagged and boosted trees, K-Nearest Neighbor, and Support Vector Machine classification methods. 89 images from DRIVE database (DiaRet DB1) are classified using the machine learning techniques cited above. It is observed the maximum accuracy is achieved as 88.8% with Linear SVM classifier.


2016 ◽  
Vol 16 (01) ◽  
pp. 1640003 ◽  
Author(s):  
RAM BILAS PACHORI ◽  
MOHIT KUMAR ◽  
PAKALA AVINASH ◽  
KORA SHASHANK ◽  
U. RAJENDRA ACHARYA

Diabetes Mellitus (DM) which is a chronic disease and difficult to cure. If diabetes is not treated in a timely manner, it may cause serious complications. For timely treatment, an early detection of the disease is of great interest. Diabetes can be detected by analyzing the RR-interval signals. This work presents a methodology for classification of diabetic and normal RR-interval signals. Firstly, empirical mode decomposition (EMD) method is applied to decompose the RR-interval signals in to intrinsic mode functions (IMFs). Then five parameters namely, area of analytic signal representation (AASR), mean frequency computed using Fourier-Bessel series expansion (MFFB), area of ellipse evaluated from second-order difference plot (ASODP), bandwidth due to frequency modulation (BFM) and bandwidth due to amplitude modulation (BAM) are extracted from IMFs obtained from RR-interval signals. Statistically significant features are fed to least square-support vector machine (LS-SVM) classifier. The three kernels namely, Radial Basis Function (RBF), Morlet wavelet, and Mexican hat wavelet kernels have been studied to obtain the suitable kernel function for the classification of diabetic and normal RR-interval signals. In this work, we have obtained the highest classification accuracy of 95.63%, using Morlet wavelet kernel function with 10-fold cross-validation. The classification system proposed in this work can help the clinicians to diagnose diabetes using electrocardiogram (ECG) signals.


2019 ◽  
Vol 25 (2) ◽  
pp. 131-139
Author(s):  
Sathya D Janaki ◽  
K Geetha

Abstract Diabetic Retinopathy (DR) is one of the leading causes of visual impairment. Diabetic Retinopathy is the most recent technique of identifying the intensity of acid secretion in the eye for diabetic patients. The identification of DR is performed by visual analysis of retinal images for exudates (fat deposits) and the main patterns are traced by ophthalmologists. This paper proposes a fully automated Computer Assisted Evaluation (CAE) system which comprises of a set of algorithms for exudates detection and to classify the different stages of Diabetics Retinopathy, which are identified as either normal or mild or moderate or severe. Experimental validation is performed on a real fundus retinal image database. The segmentation of exudates is achieved using fuzzy C-means clustering and entropy filtering. An optimal set obtained from the statistical textural features (GLCM and GLHM) is extracted from the segmented exudates for classifying the different stages of Diabetics Retinopathy. The different stages of Diabetic Retinopathy are classified using three classifiers such as Back Propagation Neural Network (BPN), Probabilistic Neural Network (PNN) and Support Vector Machine (SVM). The experimental results show that the SVM classifiers outperformed other classifiers for the examined fundus retinal image dataset. The results obtained confirm that with new a set of texture features, the proposed methodology provides better performance when compared to the other methods available in the literature. These results suggest that our proposed method in this paper can be useful as a diagnostic aid system for Diabetic Retinopathy.


Diabetic Retinopathy is an eye disease which is caused by excessive sugar level in blood. Insufficient secretion of insulin hormone is the ground for evolution of diabetes. It affects most of the important organs in our body. There are two types of DR: Non Proliferative Diabetic Retinopathy and Proliferative Diabetic Retinopathy. In this proposed system techniques are introduced to detect and classify neovascularisation. Input fundus image is preprocessed by median filtering and further new vessels are segmented by using Fuzzy c-means clustering algorithm. After segmentation SIFT features are extracted and are used to train support vector machine (SVM) classifier. This automated system has been tested for 70 fundus images and accuracy of 96% is achieved


2021 ◽  
Author(s):  
Abdullah Biran

Automatic Detection and Classification of Diabetic Retinopathy from Retinal Fundus Images by Abdullah Biran, Master of Applied Science, lectrical and computer engineering Department, Ryerson University, 2017. Diabetic Retinopathy (DR) is an eye disease that leads to blindness when it progresses to proliferative level. The earliest signs of DR are the appearance of red and yellow lesions on the retina called hemorrhages and exudates. Early diagnosis of DR prevents from blindness. In this thesis, an automatic algorithm for detecting diabetic retinopathy is presented. The algorithm is based on combination of several image processing techniques including Circular Hough Transform (CHT), Contrast Limited Adaptive Histogram Equalization (CLAHE), Gabor filter and thresholding. In addition, Support Vector Machine (SVM) classifier is used to classify retinal images into normal or abnormal cases of DR including non-proliferative (NPDR) or proliferative diabetic retinopathy (PDR). The proposed method has been tested on fundus images from Standard Diabetic Retinopathy Database (DIARETDB). The implementation of the presented methodology was done in MATLAB. The methodology is tested for sensitivity and accuracy.


2015 ◽  
Vol 15 (04) ◽  
pp. 1550045 ◽  
Author(s):  
MUTHU RAMA KRISHNAN MOOKIAH ◽  
JEN HONG TAN ◽  
CHUA KUANG CHUA ◽  
E. Y. K. NG ◽  
AUGUSTINUS LAUDE ◽  
...  

The chronic and uncontrolled diabetes mellitus (DM) damages the retinal blood vessels leading to diabetic retinopathy (DR). The advanced stage of DR leads to loss of vision and subsequently blindness. The morphological changes during the progression of DR can be diagnosed using digital fundus images. The pathological changes in the retina influence the variations in pixel patterns which can be quantified using texture measures. In this paper, we have explored different texture measures namely statistical moments, gray level co-occurrence matrix (GLCM), gray level run length matrix (GLRLM), local binary pattern (LBP), laws mask energy (LME), fractal dimension (FD), fourier spectrum (FS) and Gabor wavelet to characterize and classify the normal and DR classes. We have tabulated 109 texture parameters for the normal and DR classes. Further, these features were subjected to empirical receiver operating characteristic (ROC) based ranking to select optimal feature set. The ranked nested features were fed to the support vector machine (SVM) classifier with different kernel functions to evaluate the highest performance measure using the least number of features to discriminate normal and DR classes. Our proposed system was evaluated using two different databases Kasturba Medical College Hospital (KMCH) and Tan Tock Seng Hospital (TTSH), each with 340 images (170 normal and 170 DR). We have also formulated an integrated index called as diabetic retinopathy risk index (DRRI) using selected texture features to discriminate normal and DR classes using single number. The proposed frame work can be used to help the clinicians and also for mass DR screening programs.


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