Diabetic retinopathy, a symptomless complication of diabetes, is one of the significant causes of vision impairment in the world. The early detection and diagnosis can reduce the occurrence of severe vision loss due to diabetic retinopathy. The diagnosis of diabetic retinopathy depends on the reliable detection and classification of bright and dark lesions present in retinal fundus images. Therefore, in this work, reliable segmentation of lesions has been performed using iterative clustering irrespective of associated heterogeneity, bright and faint edges. Afterwards, a computer-aided severity level detection method is proposed to aid ophthalmologists for appropriate treatment and effective planning in the diagnosis of non-proliferative diabetic retinopathy. This work has been performed on a composite database of 5048 retinal fundus images having varying attributes such as position, dimensions, shapes and color to make a reasonable comparison with state-of-the-art methods and to establish generalization capability of the proposed method. Experimental results on per-lesion basis show that the proposed method outperforms state-of-the methods with an average sensitivity/specificity/accuracy of 96.41/96.57/94.96 and 95.19/96.24/96.50 for bright and dark lesions respectively on composite database. Individual per-image based class accuracies delivered by the proposed method: No DR-95.9%, MA-98.3%, HEM-98.4%, EXU-97.4% and CWS-97.9% demonstrate the clinical competence of the method. Major contribution of the proposed method is that it efficiently grades the severity level of diabetic retinopathy in spite of huge variations in retinal images of different databases. Additionally, the substantial combined performance of these experiments on clinical and open source benchmark databases support a strong candidature of the proposed method in the diagnosis of non-proliferative diabetic retinopathy.
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Diabetic retinopathy, an asymptomatic complication of diabetes, is one of the leading causes of blindness in the world. The exudates, abnormal leaked fatty deposits on retina, are one of the most prevalent and earliest clinical signs of diabetic retinopathy. In this paper, a generalized exudates segmentation method to assist ophthalmologists for timely treatment and effective planning in the diagnosis of diabetic retinopathy is developed. The main contribution of the proposed method is the reliable segmentation of exudates using dynamic decision thresholding irrespective of associated heterogeneity, bright and faint edges. The method is robust in the sense that it selects the threshold value dynamically irrespective of the large variations in retinal fundus images from varying databases. Since no performance comparison of state of the art methods is available on common database, therefore, to make a fair comparison of the proposed method, this work has been performed on a diversified database having 1307 retinal fundus images of varying characteristics namely: location, shapes, color and sizes. The database comprises of 649 clinically acquired retinal fundus images from eye hospital and 658 retinal images from publicly available databases such as STARE, MESSIDOR, DIARETDB1 and e-Optha EX. The segmentation results are validated by performing two sets of experiments namely: lesion based evaluation criteria and image based evaluation criteria. Experimental results at lesion level show that the proposed method outperforms other existing methods with a mean sensitivity/specificity/accuracy of 88.85/96.15/93.46 on a composite database of retinal fundus images. The segmentation results for image-based evaluation with a mean sensitivity/specificity/accuracy of 94.62/ 98.64/96.74 respectively prove the clinical effectiveness of the method. Furthermore, the significant collective performance of these experiments on clinically as well as publicly available standard databases proves the generalization ability and the strong candidature of the proposed method in the real-time diagnosis of diabetic retinopathy.
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Variations in blood vasculature morphology of retinal fundus images is one of the dominant characteristic for the early detection and analysis of retinal abnormalities. Therefore the accurate interpretation of blood vasculature is useful for ophthalmologists to diagnose patients that suffer from retinal abnormalities. A generalized method to detect and segment blood vasculature using retinal fundus images has been proposed in this work using (i) preprocessing for quality improvement of retinal fundus images, (ii) initial segmentation of vasculature map to find vascular and non vascular structures, (iii) extraction of relevant set of geometrical based features from the vasculature map and intensity based features from original retinal fundus image that differentiate vascular and non vascular structures efficiently, (iv) supervised classification of vascular and non vascular structures using the extracted features, and (v) joining of candidate vascular structures to create connectivity. The proposed method is evaluated on clinically acquired dataset and different publically available standard datasets such as DRIVE, STARE, ARIA and HRF. The clinically acquired dataset consists of 468 retinal fundus images comprising of healthy images, images with mild, intermediate and severe pathologies. Test results of the proposed method shows average sensitivity/specificity/accuracy of 85.43/97.94/95.45 on the 785 retinal fundus images. The proposed method shows an improvement of 14.01% in sensitivity without degrading specificity and accuracy in comparison to the recently published methods.
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