CURVELET FUSION ENHACEMENT BASED EVALUATION OF DIABETIC RETINOPATHY BY THE IDENTIFICATION OF EXUDATES IN OPTIC COLOR FUNDUS IMAGES

2016 ◽  
Vol 28 (06) ◽  
pp. 1650046
Author(s):  
V. Ratna Bhargavi ◽  
Ranjan K. Senapati

Rapid growth of Diabetes mellitus in people causes damage to posterior part of eye vessel structures. Diabetic retinopathy (DR) is an important hurdle in diabetic people and it causes lesion formation in retina due to retinal vessel structures damage. Bright lesions (BLs) or exudates are initial clinical signs of DR. Early BLs detection can help avoiding vision loss. The severity can be recognized based on number of BLs formed in the color fundus image. Manually diagnosing a large amount of images is time consuming. So a computerized DR grading and BLs detection system is proposed. In this paper for BLs detection, curvelet fusion enhancement is done initially because bright objects maps to largest coefficients in an image by utilizing the curvelet transform, so that BLs can be recognized in the retina easily. Then optic disk (OD) appearance is similar to BLs and vessel structures are barriers for lesion exact detection and moreover OD falsely classified as BLs and that increases false positives in classification. So these structures are segmented and eliminated by thresholding techniques. Various features were obtained from detected BLs. Publicly available databases are used for DR severity testing. 260 fundus images were used for the performance evaluation of proposed work. The support vector machine classifier (SVM) used to separate fundus images in various levels of DR based on feature set extracted. The proposed system that obtained the statistical measures were sensitivity 100%, specificity 95.4% and accuracy 97.74%. Compared to existing state-of-art techniques, the proposed work obtained better results in terms of sensitivity, specificity and accuracy.

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Pelin Görgel ◽  

Diabetic retinopathy (DR) is the major reason of vision loss in the active population. It can usually be prevented by regulating the blood glucose and providing a timely treatment. DR has clinical features recognized by the experts including the blood vessel area, exudates, neovascularization, hemorrhages, and microaneurysm. Because DR has some varieties and complexities due to its geometrical and haemodynamic features, it is hard and time-consuming to detect DR in manual diagnosis. In Computer Aided Diagnosis (CAD) systems, the features of DR fundus images are detected using computer vision techniques. In this paper, a CAD system is proposed, which distinguishes automatically whether the fundus is normal or it suffers from diabetic retinopathy disease. As preprocess morphological operations like filtering, opening, and dilation are applied to the images firstly, then, Optic Disk (OD) segmentation is implemented using Greedy algorithm. Because of the intensity of an OD is similar to some DR intensities, OD regions are removed from the fundus images for an accurate feature extraction. The features extracted with Curvelet Transform (CT) and Scale Invariant Feature Transform (SIFT), respectively, are concatenated to provide a feature set that defines the fundus data optimally. Finally, the feature set is given to the Support Vector Machines (SVM), K-Nearest Neighborhood (KNN), and Naïve–Bayes (NB) classifiers for the DR identification purpose. The proposed method achieves the highest accuracy and sensitivity as 92.8% and 97.6%, respectively, with SVM and specificity as 92.5% with KNN classifier.


2012 ◽  
Vol 2012 ◽  
pp. 1-11 ◽  
Author(s):  
Shirin Hajeb Mohammad Alipour ◽  
Hossein Rabbani ◽  
Mohammad Reza Akhlaghi

One of the major complications of diabetes is diabetic retinopathy. As manual analysis and diagnosis of large amount of images are time consuming, automatic detection and grading of diabetic retinopathy are desired. In this paper, we use fundus fluorescein angiography and color fundus images simultaneously, extract 6 features employing curvelet transform, and feed them to support vector machine in order to determine diabetic retinopathy severity stages. These features are area of blood vessels, area, regularity of foveal avascular zone, and the number of micro-aneurisms therein, total number of micro-aneurisms, and area of exudates. In order to extract exudates and vessels, we respectively modify curvelet coefficients of color fundus images and angiograms. The end points of extracted vessels in predefined region of interest based on optic disk are connected together to segment foveal avascular zone region. To extract micro-aneurisms from angiogram, first extracted vessels are subtracted from original image, and after removing detected background by morphological operators and enhancing bright small pixels, micro-aneurisms are detected. 70 patients were involved in this study to classify diabetic retinopathy into 3 groups, that is, (1) no diabetic retinopathy, (2) mild/moderate nonproliferative diabetic retinopathy, (3) severe nonproliferative/proliferative diabetic retinopathy, and our simulations show that the proposed system has sensitivity and specificity of 100% for grading.


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%. 


Author(s):  
Mohammad Shorfuzzaman ◽  
M. Shamim Hossain ◽  
Abdulmotaleb El Saddik

Diabetic retinopathy (DR) is one of the most common causes of vision loss in people who have diabetes for a prolonged period. Convolutional neural networks (CNNs) have become increasingly popular for computer-aided DR diagnosis using retinal fundus images. While these CNNs are highly reliable, their lack of sufficient explainability prevents them from being widely used in medical practice. In this article, we propose a novel explainable deep learning ensemble model where weights from different models are fused into a single model to extract salient features from various retinal lesions found on fundus images. The extracted features are then fed to a custom classifier for the final diagnosis of DR severity level. The model is trained on an APTOS dataset containing retinal fundus images of various DR grades using a cyclical learning rates strategy with an automatic learning rate finder for decaying the learning rate to improve model accuracy. We develop an explainability approach by leveraging gradient-weighted class activation mapping and shapely adaptive explanations to highlight the areas of fundus images that are most indicative of different DR stages. This allows ophthalmologists to view our model's decision in a way that they can understand. Evaluation results using three different datasets (APTOS, MESSIDOR, IDRiD) show the effectiveness of our model, achieving superior classification rates with a high degree of precision (0.970), sensitivity (0.980), and AUC (0.978). We believe that the proposed model, which jointly offers state-of-the-art diagnosis performance and explainability, will address the black-box nature of deep CNN models in robust detection of DR grading.


The higher levels of blood glucose most often causes a metabolic disorder commonly called as Diabetes, scientifically as Diabetes Mellitus. A consequence of this is a major loss of vision and in long terms may eventually cause complete blindness. It initiates with swelling on blood vessels, formation of microaneurysms at the end of narrow capillaries. Haemorrhages due to rupture of small vessels and fluid leak causes exudates. The specialist examines it to diagnose and gives proper treatment. Fundus images are the fundamental tool for proper diagnosis of patients by medical experts. In this research work the fundus images are taken for processing, the neural network and support vector machine are trained for the proposed model. The features are extracted from the diabetic retinopathy image by using texture based algorithms such as Gabor, Local binary pattern and Gray level co-occurrence matrix for rating the level of diabetic retinopathy. The performance of all methods is calculated based on accuracy, precision, Recall and f-measure.


When pancreas fails to secrete sufficient insulin in the human body, the glucose level in blood either becomes too high or too low. This fluctuation in glucose level affects different body organs such as kidney, brain, and eye. When the complications start appearing in the eyes due to Diabetic Mellitus (DM), it is called Diabetic Retinopathy (DR). DR can be categorized in several classes based on the severity, it can be Microaneurysms (ME), Haemorrhages (HE), Hard and Soft Exudates (EX and SE). DR is a slow start process that starts with very mild symptoms, becomes moderate with the time and results in complete vision loss, if not detected on time. Early-stage detection may greatly bolster in vision loss. However, it is impassable to detect the symptoms of DR with naked eyes. Ophthalmologist harbor to the several approaches and algorithm which makes use of different Machine Learning (ML) methods and classifiers to overcome this disease. The burgeoning insistence of Convolutional Neural Network (CNN) and their advancement in extracting features from different fundus images captivate several researchers to strive on it. Transfer Learning (TL) techniques help to use pre-trained CNN on a dataset that has finite training data, especially that in under developing countries. In this work, we propose several CNN architecture along with distinct classifiers which segregate the different lesions (ME and EX) in DR images with very eye-catching accuracies.


Author(s):  
Jaskirat Kaur ◽  
Deepti Mittal

Diabetic retinopathy, a symptomless medical condition of diabetes, is one of the significant reasons of vision impairment all over the world. The prior detection and diagnosis can decrease the occurrence of acute vision loss and enhance efficiency of treatment. Fundus imaging, a non-invasive diagnostic technique, is the most frequently used mode for analyzing retinal abnormalities related to diabetic retinopathy. Computer-aided methods based on retinal fundus images support quick diagnosis, impart an additional perspective during decision-making, and behave as an efficient means to assess response of treatment on retinal abnormalities. However, in order to evaluate computer-aided systems, a benchmark database of clinical retinal fundus images is required. Therefore, a representative database comprising of 2942 clinical retinal fundus images is developed and presented in this work. This clinical database, having varying attributes such as position, dimensions, shapes, and color, is formed to evaluate the generalization capability of computer-aided systems for diabetic retinopathy diagnosis. A framework for the development of benchmark retinal fundus images database is also proposed. The developed database comprises of medical image annotations for each image from expert ophthalmologists corresponding to anatomical structures, retinal lesions and stage of diabetic retinopathy. In addition, the substantial performance comparison capability of the proposed database aids in analyzing candidature of different methods, and subsequently its usage in medical practice for real-time applications.


2021 ◽  
Author(s):  
Nilarun Mukherjee ◽  
Souvik Sengupta

Abstract Background: Diabetic retinopathy (DR) is a complication of diabetes mellitus, which if left untreated may lead to complete vision loss. Early diagnosis and treatment is the key to prevent further complications of DR. Computer-aided diagnosis is a very effective method to support ophthalmologists, as manual inspection of pathological changes in retina images are time consuming and expensive. In recent times, Machine Learning and Deep Learning techniques have subsided conventional rule based approaches for detection, segmentation and classification of DR stages and lesions in fundus images. Method: In this paper, we present a comparative study of the different state-of-the-art preprocessing methods that have been used in deep learning based DR classification tasks in recent times and also propose a new unsupervised learning based retinal region extraction technique and new combinations of preprocessing pipelines designed on top of it. Efficacy of different existing and new combinations of the preprocessing methods are analyzed using two publicly available retinal datasets (EyePACS and APTOS) for different DR stage classification tasks, such as referable DR, DR screening, and five-class DR grading, using a benchmark deep learning model (ResNet-50). Results: It has been observed that the proposed preprocessing strategy composed of region of interest extraction through K-means clustering followed by contrast and edge enhancement using Graham’s method and z-score intensity normalization achieved the highest accuracy of 98.5%, 96.51% and 90.59% in DR-screening, referable-DR, and DR gradation tasks respectively and also achieved the best quadratic weighted kappa score of 0.945 in DR grading task. It achieved best AUC-ROC of 0.98 and 0.9981 in DR grading and DR screening tasks respectively. Conclusion: It is evident from the results that the proposed preprocessing pipeline composed of the proposed ROI extraction through K-means clustering, followed by edge and contrast enhancement using Graham’s method and then z-score intensity normalization outperforms all other existing preprocessing pipelines and has proven to be the most effective preprocessing strategy in helping the baseline CNN model to extract meaningful deep features.


2018 ◽  
Vol 7 (4.5) ◽  
pp. 134
Author(s):  
Pooja M. Pawar ◽  
Avinash J. Agrawal

Diabetes is characterized by impaired metabolism of glucose caused by insulin deficiency. Diabetic retinopathy is the eye disease, is caused by retinal damage which is generally formed as a result of diabetes mellitus. It is a serious vascular disorder for which early detection and the treatment are required to inhibit the intense vision loss. Also, the diagnosis entails skilled professionals for detection because non-automatic screening methods are very time consuming and are not that efficient for a large number of retinal images. This paper provides a broad review of various techniques and methodologies used by the authors for diabetic retinopathy detection and classification. Furthermore, most recent work and developments are studied in this paper. We are proposing an advanced deep learning CNN approach for automatic diagnosis of DR from color fundus images.  


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