Glaucoma Assessment from Fundus Images with Fundus to OCT Feature Space Mapping

Early detection and treatment of glaucoma is of interest as it is a chronic eye disease leading to an irreversible loss of vision. Existing automated systems rely largely on fundus images for assessment of glaucoma due to their fast acquisition and cost-effectiveness. Optical Coherence Tomographic ( OCT ) images provide vital and unambiguous information about nerve fiber loss and optic cup morphology, which are essential for disease assessment. However, the high cost of OCT is a deterrent for deployment in screening at large scale. In this article, we present a novel CAD solution wherein both OCT and fundus modality images are leveraged to learn a model that can perform a mapping of fundus to OCT feature space. We show how this model can be subsequently used to detect glaucoma given an image from only one modality (fundus). The proposed model has been validated extensively on four public andtwo private datasets. It attained an AUC/Sensitivity value of 0.9429/0.9044 on a diverse set of 568 images, which is superior to the figures obtained by a model that is trained only on fundus features. Cross-validation was also done on nearly 1,600 images drawn from a private (OD-centric) and a public (macula-centric) dataset and the proposed model was found to outperform the state-of-the-art method by 8% (public) to 18% (private). Thus, we conclude that fundus to OCT feature space mapping is an attractive option for glaucoma detection.

An Efficient Deep Learning Approach to Automatic Glaucoma Detection Using Optic Disc and Optic Cup Localization

Glaucoma is an eye disease initiated due to excessive intraocular pressure inside it and caused complete sightlessness at its progressed stage. Whereas timely glaucoma screening-based treatment can save the patient from complete vision loss. Accurate screening procedures are dependent on the availability of human experts who performs the manual analysis of retinal samples to identify the glaucomatous-affected regions. However, due to complex glaucoma screening procedures and shortage of human resources, we often face delays which can increase the vision loss ratio around the globe. To cope with the challenges of manual systems, there is an urgent demand for designing an effective automated framework that can accurately identify the Optic Disc (OD) and Optic Cup (OC) lesions at the earliest stage. Efficient and effective identification and classification of glaucomatous regions is a complicated job due to the wide variations in the mass, shade, orientation, and shapes of lesions. Furthermore, the extensive similarity between the lesion and eye color further complicates the classification process. To overcome the aforementioned challenges, we have presented a Deep Learning (DL)-based approach namely EfficientDet-D0 with EfficientNet-B0 as the backbone. The presented framework comprises three steps for glaucoma localization and classification. Initially, the deep features from the suspected samples are computed with the EfficientNet-B0 feature extractor. Then, the Bi-directional Feature Pyramid Network (BiFPN) module of EfficientDet-D0 takes the computed features from the EfficientNet-B0 and performs the top-down and bottom-up keypoints fusion several times. In the last step, the resultant localized area containing glaucoma lesion with associated class is predicted. We have confirmed the robustness of our work by evaluating it on a challenging dataset namely an online retinal fundus image database for glaucoma analysis (ORIGA). Furthermore, we have performed cross-dataset validation on the High-Resolution Fundus (HRF), and Retinal Image database for Optic Nerve Evaluation (RIM ONE DL) datasets to show the generalization ability of our work. Both the numeric and visual evaluations confirm that EfficientDet-D0 outperforms the newest frameworks and is more proficient in glaucoma classification.

Automated Early Prediction of Anomalies Due to Diabetes Using Fundus Images

Diabetes is one of the common diseases in the world that cannot be permanently cured, but with proper medication one can lead a long and healthy life by curbing extreme complications. The skills and equipment required to identify the conditions take a longer time to provide an accurate result and are not an affordable means for all the income groups. In order to overcome this issue, an ML model is created and deployed in an application so it will be used by many in predicting the presence of the disease. The chapter focuses on detecting the presence of two major anomalies, namely diabetic retinopathy (DR) and glaucoma, which were caused due to diabetes. All the dataset used for the project is gathered from Kaggle and Messidor. Around six machine learning algorithms that fall under supervised learning techniques are executed. Among the many models, the random forest model has a high accuracy of 73% for DR prediction. Simultaneously, glaucoma detection is performed using different algorithms showing that Naive Bayes has the highest accuracy of 98%.

Disc damage likelihood scale recognition for Glaucoma detection

Glaucoma is a visual disorder, which is one of the significant driving reason for visual impairment. Glaucoma leads to frustrate the visual information transmission to the brain. Dissimilar to other eye illness such as myopia and cataracts. The impact of glaucoma can’t be cured; The Disc Damage Likelihood Scale (DDLS) can be used to assess the Glaucoma. The proposed methodology suggested simple method to extract Neuroretinal rim (NRM) region then dividing the region into four sectors after that calculate the width for each sector and select the minimum value to use it in DDLS factor. The feature was fed to the SVM classification algorithm, the DDLS successfully classified Glaucoma disease with 70% percentage; moreover, when the dimensions of both Optic Disc(OD) and Optic Cup(OC) were used as additional features the accuracy rate raised to 91%.

Digital Forensics Use Case for Glaucoma Detection Using Transfer Learning Based on Deep Convolutional Neural Networks

In parallel with the development of various emerging fields such as computer vision and related technologies, e.g., iris identification and glaucoma detection, criminals are developing their methods. It is the foremost reason for the blindness of human beings that affects the eye’s optic nerve. Fundus photography is carried out to examine this eye disease. Medical experts evaluate fundus photographs, which is a time-consuming visual inspection. Most current systems for automated glaucoma detection in fundus images rely on segmentation-based features nuanced by the underlying segmentation methods. Convolutional neural networks (CNNs) are powerful tools for solving image classification tasks, as they can learn highly discriminative features from raw pixel intensities. However, their applicability to medical image analysis is limited by the nonavailability of large sets of annotated data required for training. In this work, we aim to accelerate this process using a computer-aided diagnosis of this severe disease with the help of transfer learning based on deep convolutional neural networks. We have suggested the Inception V-3 approach for image classification based on convolution neural networks. Our developed model has the potential to address this CNN model’s problem of classification accuracy, and with imaging data, our proposed method outperforms recent state-of-the-art approaches. The case study for digital forensics is an essential component of emerging technologies, and hence glaucoma detection plays a vital role in it.

A Novel Context Aware Joint Segmentation and Classification Framework for Glaucoma Detection

Glaucoma is a chronic ocular disease characterized by damage to the optic nerve resulting in progressive and irreversible visual loss. Early detection and timely clinical interventions are critical in improving glaucoma-related outcomes. As a typical and complicated ocular disease, glaucoma detection presents a unique challenge due to its insidious onset and high intra- and interpatient variabilities. Recent studies have demonstrated that robust glaucoma detection systems can be realized with deep learning approaches. The optic disc (OD) is the most commonly studied retinal structure for screening and diagnosing glaucoma. This paper proposes a novel context aware deep learning framework called GD-YNet, for OD segmentation and glaucoma detection. It leverages the potential of aggregated transformations and the simplicity of the YNet architecture in context aware OD segmentation and binary classification for glaucoma detection. Trained with the RIGA and RIMOne-V2 datasets, this model achieves glaucoma detection accuracies of 99.72%, 98.02%, 99.50%, and 99.41% with the ACRIMA, Drishti-gs, REFUGE, and RIMOne-V1 datasets. Further, the proposed model can be extended to a multiclass segmentation and classification model for glaucoma staging and severity assessment.