Diabetic retinopathy (DR) is the primary cause of vision loss among grownup people around the world. In four out of five cases having diabetes for a prolonged period leads to DR. If detected early, more than 90 percent of the new DR occurrences can be prevented from turning into blindness through proper treatment. Despite having multiple treatment procedures available that are well capable to deal with DR, the negligence and failure of early detection cost most of the DR patients their precious eyesight. The recent developments in the field of Digital Image Processing (DIP) and Machine Learning (ML) have paved the way to use machines in this regard. The contemporary technologies allow us to develop devices capable of automatically detecting the condition of a persons eyes based on their retinal images. However, in practice, several factors hinder the quality of the captured images and impede the detection outcome. In this study, a novel early blind detection method has been proposed based on the color information extracted from retinal images using an ensemble learning algorithm. The method has been tested on a set of retinal images collected from people living in the rural areas of South Asia, which resulted in a 91 percent classification accuracy.
JIS College of Engineering（JIS工程学院）；Kalyani Govt. Engineering College（卡利亚尼政府工程学院）
Segmentation of blood vessels in retinal images provides early diagnosis of diseases like glaucoma, diabetic retinopathy and macular degeneration. Among these diseases occurrence of Glaucoma is most frequent and has serious ocular consequences that can even lead to blindness, if it is not detected early. The clinical criteria for the diagnosis of glaucoma include intraocular pressure measurement, optic nerve head evaluation, retinal nerve fiber layer and visual field defects. This form of blood vessel segmentation helps in early detection for ophthalmic diseases, and potentially reduces the ri…
Manarat International University（玛纳拉特国际大学）；Bangladesh University of Engineering and Technology（孟加拉国工程技术大学）
Diabetic Retinopathy (DR) is a constantly deteriorating disease, being one of the leading causes of vision impairment and blindness. Subtle distinction among different grades and existence of many significant small features make the task of recognition very challenging. In addition, the present approach of retinopathy detection is a very laborious and time-intensive task, which heavily relies on the skill of a physician. Automated detection of diabetic retinopathy is essential to tackle these problems. Early-stage detection of diabetic retinopathy is also very important for diagnosis, which ca…
The Chinese University of Hong Kong (Shenzhen)（香港中文大学（深圳））；Shenzhen Research Institute of Big Data（深圳大数据研究院）；University of Science and Technology of China（中国科学技术大学）
Diabetic retinopathy is the most important complication of diabetes. Early diagnosis of retinal lesions helps to avoid visual loss or blindness. Due to high-resolution and small-size lesion regions, applying existing methods, such as U-Nets, to perform segmentation on fundus photography is very challenging. Although downsampling the input images could simplify the problem, it loses detailed information. Conducting patch-level analysis helps reaching fine-scale segmentation yet usually leads to misunderstanding as the lack of context information. In this paper, we propose an efficient network t…
Indian Institute of Technology Kharagpur（印度理工学院卡拉格普尔分校）
Automated segmentation of retinal blood vessels in label-free fundus images entails a pivotal role in computed aided diagnosis of ophthalmic pathologies, viz., diabetic retinopathy, hypertensive disorders and cardiovascular diseases. The challenge remains active in medical image analysis research due to varied distribution of blood vessels, which manifest variations in their dimensions of physical appearance against a noisy background. In this paper we formulate the segmentation challenge as a classification task. Specifically, we employ unsupervised hierarchical feature learning using ensembl…
Indian Institute of Technology Bombay（印度理工学院孟买分校）；Indian Institute of Science（印度科学学院）；National Institute of Technology, Tiruchirappalli（印度国立理工学院蒂鲁吉拉伯利分校）
Diabetic Retinopathy is the leading cause of blindness in the world. At least 90\% of new cases can be reduced with proper treatment and monitoring of the eyes. However, scanning the entire population of patients is a difficult endeavor. Computer-aided diagnosis tools in retinal image analysis can make the process scalable and efficient. In this work, we focus on the problem of localizing the centers of the Optic disc and Fovea, a task crucial to the analysis of retinal scans. Current systems recognize the Optic disc and Fovea individually, without exploiting their relations during learning. W…
Early detection of retinal diseases is one of the most important means of preventing partial or permanent blindness in patients. In this research, a novel multi-label classification system is proposed for the detection of multiple retinal diseases, using fundus images collected from a variety of sources. First, a new multi-label retinal disease dataset, the MuReD dataset, is constructed, using a number of publicly available datasets for fundus disease classification. Next, a sequence of post-processing steps is applied to ensure the quality of the image data and the range of diseases, present …
Kasetsart University（泰国农业大学）；National Electronics and Computer Technology Centre（泰国国家电子与计算机技术中心）；Tokyo Institute of Technology（东京工业大学）
This research aims to develop an efficient system for screening of diabetic retinopathy. Diabetic retinopathy is the major cause of blindness. Severity of diabetic retinopathy is recognized by some features, such as blood vessel area, exudates, haemorrhages and microaneurysms. To grade the disease the screening system must efficiently detect these features. In this paper we are proposing a simple and fast method for detection of diabetic retinopathy. We do pre-processing of grey-scale image and find all labelled connected components (blobs) in an image regardless of whether it is haemorrhages,…
Universidad Nacional de Colombia（哥伦比亚国立大学）；Fundación Oftalmológica Nacional（国家眼科基金会）；Universidad del Rosario（罗萨里奥大学）
Diabetic retinopathy (DR) is the result of a complication of diabetes affecting the retina. It can cause blindness, if left undiagnosed and untreated. An ophthalmologist performs the diagnosis by screening each patient and analyzing the retinal lesions via ocular imaging. In practice, such analysis is time-consuming and cumbersome to perform. This paper presents a model for automatic DR classification on eye fundus images. The approach identifies the main ocular lesions related to DR and subsequently diagnoses the illness. The proposed method follows the same workflow as the clinicians, provid…
Tsinghua-Berkeley Shenzhen Institute（清华-伯克利深圳学院）；University of California, Berkeley（加州大学伯克利分校）；Affiliated Eye Hospital of Nanchang University（南昌大学附属眼科医院）
Retinopathy of prematurity (ROP) is an abnormal blood vessel development in the retina of a prematurely-born infant or an infant with low birth weight. ROP is one of the leading causes for infant blindness globally. Early detection of ROP is critical to slow down and avert the progression to vision impairment caused by ROP. Yet there is limited awareness of ROP even among medical professionals. Consequently, dataset for ROP is limited if ever available, and is in general extremely imbalanced in terms of the ratio between negative images and positive ones. In this study, we formulate the proble…
COMSATS University Islamabad（伊斯兰堡 COMSATS 大学）；Deakin University（迪肯大学）；Victoria University（维多利亚大学）
Diabetic retinopathy refers to the pathology of the retina induced by diabetes and is one of the leading causes of preventable blindness in the world. Early detection of diabetic retinopathy is critical to avoid vision problem through continuous screening and treatment. In traditional clinical practice, the involved lesions are manually detected using photographs of the fundus. However, this task is cumbersome and time-consuming and requires intense effort due to the small size of lesion and low contrast of the images. Thus, computer-assisted diagnosis of diabetic retinopathy based on the dete…
Indian Institute of Technology Kharagpur（印度理工学院卡拉格普尔分校）；Texas Instruments Inc.（德州仪器公司）
Vision impairment due to pathological damage of the retina can largely be prevented through periodic screening using fundus color imaging. However the challenge with large scale screening is the inability to exhaustively detect fine blood vessels crucial to disease diagnosis. In this work we present a computational imaging framework using deep and ensemble learning for reliable detection of blood vessels in fundus color images. An ensemble of deep convolutional neural networks is trained to segment vessel and non-vessel areas of a color fundus image. During inference, the responses of the indi…
Retinal Optical Coherence Tomography (OCT), a noninvasive cross-sectional scan of the eye with qualitative 3D visualization of the retinal anatomy is use to study the retinal structure and the presence of pathogens. The advent of the retinal OCT has transformed ophthalmology and it is currently paramount for the diagnosis, monitoring and treatment of many eye pathogens including Macular Edema which impairs vision severely or Glaucoma that can cause irreversible blindness. However the quality of retinal OCT images varies among device manufacturers. Deep Learning methods have had their success i…
Eindhoven University of Technology（埃因霍温理工大学）；Maastricht University Medical Center+（马斯特里赫特大学医学中心+）
Type 2 Diabetes (T2D) is a chronic metabolic disorder that can lead to blindness and cardiovascular disease. Information about early stage T2D might be present in retinal fundus images, but to what extent these images can be used for a screening setting is still unknown. In this study, deep neural networks were employed to differentiate between fundus images from individuals with and without T2D. We investigated three methods to achieve high classification performance, measured by the area under the receiver operating curve (ROC-AUC). A multi-target learning approach to simultaneously output r…
FaraAI Company（法拉人工智能公司）；University of Tehran（德黑兰大学）
Optical coherence tomography (OCT) imaging is a well-known technology for visualizing retinal layers and helps ophthalmologists to detect possible diseases. Accurate and early diagnosis of common retinal diseases can prevent the patients from suffering critical damages to their vision. Computer-aided diagnosis (CAD) systems can significantly assist ophthalmologists in improving their examinations. This paper presents a new enhanced deep ensemble convolutional neural network for detecting retinal diseases from OCT images. Our model generates rich and multi-resolution features by employing the l…
3D imaging modalities are becoming increasingly popular and relevant in retinal imaging owing to their effectiveness in highlighting structures in sub-retinal layers. OCT is one such modality which has great importance in the context of analysis of cystoid structures in subretinal layers. Signal to noise ratio(SNR) of the images obtained from OCT is less and hence automated and accurate determination of cystoid structures from OCT is a challenging task. We propose an automated method for detecting/segmenting cysts in 3D OCT volumes. The proposed method is biologically inspired and fast aided b…
Bruch's membrane (BM) segmentation on optical coherence tomography (OCT) is a pivotal step for the diagnosis and follow-up of age-related macular degeneration (AMD), one of the leading causes of blindness in the developed world. Automated BM segmentation methods exist, but they usually do not account for the anatomical coherence of the results, neither provide feedback on the confidence of the prediction. These factors limit the applicability of these systems in real-world scenarios. With this in mind, we propose an end-to-end deep learning method for automated BM segmentation in AMD patients.…
From Retinal Pixels to Patients: Evolution of Deep Learning Research in Diabetic Retinopathy Screening
Fraunhofer IAIS - Department of Media Engineering, Germany（弗劳恩霍夫研究所媒体工程部门）；University of Bonn - Department of Computer Science, Germany（波恩大学计算机科学系）；University Hospital Bonn - Department of Ophthalmology, Germany（波恩大学医院眼科部门）；Lamarr Institute for Machine Learning and Artificial Intelligence, Germany（拉马尔人工智能与机器学习研究所）
Glaucoma is the leading cause of irreversible but preventable blindness in the world. Its major treatable risk factor is the intra-ocular pressure, although other biomarkers are being explored to improve the understanding of the pathophysiology of the disease. It has been recently observed that glaucoma induces changes in the ocular hemodynamics. However, its effects on the functional behavior of the retinal arterioles have not been studied yet. In this paper we propose a first approach for characterizing those changes using computational hemodynamics. The retinal blood flow is simulated using…
University of Tehran（德黑兰大学）；Noor Ophthalmology Research Center, Noor Eye Hospital（努尔眼科研究中心，努尔眼科医院）；Henry Ford Health System（亨利·福特医疗系统）
Age-related macular degeneration (AMD) is the most common cause of blindness in developed countries, especially in people over 60 years of age. The workload of specialists and the healthcare system in this field has increased in recent years mainly due to the prevalence of population aging worldwide and the chronic nature of AMD. Recent developments in deep learning have provided a unique opportunity to develop fully automated diagnosis frameworks. Considering the presence of AMD-related retinal pathologies in varying sizes in OCT images, our objective was to propose a multi-scale convolutiona…
Detection and Classification of Diabetic Retinopathy using Deep Learning Algorithms for Segmentation to Facilitate Referral Recommendation for Test and Treatment Prediction
Diabetic Retinopathy (DR) is a prominent cause of blindness in the world. The early treatment of DR can be conducted from detection of microaneurysms (MAs) which appears as reddish spots in retinal images. An automated microaneurysm detection can be a helpful system for ophthalmologists. In this paper, deep learning, in particular convolutional neural network (CNN), is used as a powerful tool to efficiently detect MAs from fundus images. In our method a new technique is used to utilise a two-stage training process which results in an accurate detection, while decreasing computational complexit…
Access to low cost retinal imaging devices in low and middle income countries is limited, compromising progress in preventing needless blindness. The Arclight is a recently developed low-cost solar powered direct ophthalmoscope which can be attached to the camera of a smartphone to acquire retinal images and video. However, the acquired data is inherently limited by the optics of direct ophthalmoscopy, resulting in a narrow field of view with associated corneal reflections, limiting its usefulness. In this work we describe the first fully automatic method utilizing videos acquired using the Ar…
Disentanglement and Assessment of Shortcuts in Ophthalmological Retinal Imaging Exams
Faculdade de Engenharia, Universidade do Porto, Portugal（葡萄牙波尔图大学工程学院）；Institute for Systems and Computer Engineering, Technology and Science, Porto, Portugal（葡萄牙波尔图系统与计算机工程研究所）；University of Oxford, United Kingdom（英国牛津大学）；Federal University of São Paulo, São Paulo, Brasil（巴西圣保罗联邦大学）
National Institute of Technology Karnataka（卡纳塔克邦国家技术研究所）
Diabetic retinopathy (DR) is a severe complication of diabetes that can cause permanent blindness. Timely diagnosis and treatment of DR are critical to avoid total loss of vision. Manual diagnosis is time consuming and error-prone. In this paper, we propose a novel deep learning based method for automatic screening of retinal fundus images to detect and classify DR based on the severity. The method uses a dual-path configuration of deep neural networks to achieve the objective. In the first step, a modified UNet++ based retinal vessel segmentation is used to create a fundus image that emphasis…
Uncertainty-Aware Retinal Vessel Segmentation via Ensemble Distillation
University of Ibadan（伊巴迪安大学）；African Institute for Mathematical Sciences（非洲数学科学研究所）；University College London（伦敦大学学院）；Hertie Institute for Brain Health（海德研究所）
Image and Pervasive Access Lab, CNRS UMI 2955（图像与普适接入实验室，法国国家科学研究中心 UMI 2955）；Universite Jean Monnet, CNRS, UMR 5516, Laboratoire Hubert Curien（让·莫奈大学，法国国家科学研究中心 UMR 5516，于贝尔·居里安实验室）；Interdisciplinary Centre for Security, Reliability, and Trust, University of Luxembourg（卢森堡大学安全、可靠性与信任跨学科中心）；Department of Computer Science, Faculty of Computers and Informatics, Suez Canal University（苏伊士运河大学计算机与信息学院计算机科学系）
The diabetic retinopathy is timely diagonalized through color eye fundus images by experienced ophthalmologists, in order to recognize potential retinal features and identify early-blindness cases. In this paper, it is proposed to extract deep features from the last fully-connected layer of, four different, pre-trained convolutional neural networks. These features are then feeded into a non-linear classifier to discriminate three-class diabetic cases, i.e., normal, exudates, and drusen. Averaged across 1113 color retinal images collected from six publicly available annotated datasets, the deep…
Eindhoven University of Technology（埃因霍温理工大学）；Northeastern University（东北大学）
Retinal microaneurysms are the earliest clinical sign of diabetic retinopathy disease. Detection of microaneurysms is crucial for the early diagnosis of diabetic retinopathy and prevention of blindness. In this paper, a novel and reliable method for automatic detection of microaneurysms in retinal images is proposed. In the first stage of the proposed method, several preliminary microaneurysm candidates are extracted using a gradient weighting technique and an iterative thresholding approach. In the next stage, in addition to intensity and shape descriptors, a new set of features based on loca…
A Comprehensive Review of Artificial Intelligence Applications in Major Retinal Conditions
University of Tennessee Health Science Center（田纳西大学健康科学中心）；Khalifa University（哈利法大学）；National University of Sciences and Technology（巴基斯坦国立科技大学）；Margalla Institute of Health Sciences（马尔加拉健康科学学院）；Abu Dhabi University（阿布扎比大学）；Weill Cornell Medicine-Qatar（威尔康奈尔医学院卡塔尔分校）
Southern University of Science and Technology（南方科技大学）；The University of Hong Kong（香港大学）
Glaucoma is one of the ophthalmic diseases that may cause blindness, for which early detection and treatment are very important. Fundus images and optical coherence tomography (OCT) images are both widely-used modalities in diagnosing glaucoma. However, existing glaucoma grading approaches mainly utilize a single modality, ignoring the complementary information between fundus and OCT. In this paper, we propose an efficient multi-modality supervised contrastive learning framework, named COROLLA, for glaucoma grading. Through layer segmentation as well as thickness calculation and projection, re…
Leveraging Semi-Supervised Graph Learning for Enhanced Diabetic Retinopathy Detection
Vel Tech Rangarajan Dr. Sagunthala R&D Institute of Science and Technology（韦尔技术兰加拉詹博士萨贡塔拉研发科学技术学院）；Dr. N.G.P. Institute of Technology（恩.G.P.博士技术学院）；Panimalar Engineering College（帕尼马尔工程学院）；R.M.K College of Engineering and Technology（R.M.K.工程技术学院）
Pladema Institute, UNCPBA（UNCPBA Pladema研究所）；Scientific Institute of Public Health (WIV-ISP)（公共卫生科学研究所）；Federal Agency for Medicines and Health Products (FAMHP)（联邦药品和健康产品局）；KU Leuven（鲁汶大学）
Diabetic retinopathy is one of the leading causes of preventable blindness in the world. Its earliest sign are red lesions, a general term that groups both microaneurysms and hemorrhages. In daily clinical practice, these lesions are manually detected by physicians using fundus photographs. However, this task is tedious and time consuming, and requires an intensive effort due to the small size of the lesions and their lack of contrast. Computer-assisted diagnosis of DR based on red lesion detection is being actively explored due to its improvement effects both in clinicians consistency and acc…
Many eye diseases like Diabetic Macular Edema (DME), Age-related Macular Degeneration (AMD), and Glaucoma manifest in the retina, can cause irreversible blindness or severely impair the central version. The Optical Coherence Tomography (OCT), a 3D scan of the retina with high qualitative information about the retinal morphology, can be used to diagnose and monitor changes in the retinal anatomy. Many Deep Learning (DL) methods have shared the success of developing an automated tool to monitor pathological changes in the retina. However, the success of these methods depend mainly on large datas…
Enhancing Retinal Disease Classification from OCTA Images via Active Learning Techniques
West Virginia University（西弗吉尼亚大学）；Lane Department of Computer Science and Electrical Engineering, West Virginia University（西弗吉尼亚大学莱恩计算机科学与电气工程学院）；School of Medicine, West Virginia University（西弗吉尼亚大学医学院）
Montclair State University（蒙特克莱尔州立大学）；Austin Peay State University（奥斯汀佩伊州立大学）
Diabetic retinopathy (DR) is a retinal microvascular condition that emerges in diabetic patients. DR will continue to be a leading cause of blindness worldwide, with a predicted 191.0 million globally diagnosed patients in 2030. Microaneurysms, hemorrhages, exudates, and cotton wool spots are common signs of DR. However, they can be small and hard for human eyes to detect. Early detection of DR is crucial for effective clinical treatment. Existing methods to classify images require much time for feature extraction and selection, and are limited in their performance. Convolutional Neural Networ…
Rochester Institute of Technology（罗切斯特理工学院）；Drexel University（德雷塞尔大学）；University of Rochester（罗切斯特大学）
Widespread outreach programs using remote retinal imaging have proven to decrease the risk from diabetic retinopathy, the leading cause of blindness in the US. However, this process still requires manual verification of image quality and grading of images for level of disease by a trained human grader and will continue to be limited by the lack of such scarce resources. Computer-aided diagnosis of retinal images have recently gained increasing attention in the machine learning community. In this paper, we introduce a set of neural networks for diabetic retinopathy classification of fundus reti…
The College of New Jersey（新泽西学院）；University of Oxford（牛津大学）；Ludwig Institute for Cancer Research（路德维希癌症研究所）
Disease complications can alter vascular network morphology and disrupt tissue functioning. Diabetic retinopathy, for example, is a complication of types 1 and 2 diabetes mellitus that can cause blindness. Microvascular diseases are assessed by visual inspection of retinal images, but this can be challenging when diseases exhibit silent symptoms or patients cannot attend in-person meetings. We examine the performance of machine learning algorithms in detecting microvascular disease when trained on statistical and topological summaries of segmented retinal vascular images. We apply our methods …
Mohamed bin Zayed University of Artificial Intelligence（穆罕默德·本·扎耶德人工智能大学）
Glaucoma is one of the most severe eye diseases, characterized by rapid progression and leading to irreversible blindness. It is often the case that diagnostics is carried out when one's sight has already significantly degraded due to the lack of noticeable symptoms at early stage of the disease. Regular glaucoma screenings of the population shall improve early-stage detection, however the desirable frequency of etymological checkups is often not feasible due to the excessive load imposed by manual diagnostics on limited number of specialists. Considering the basic methodology to detect glauco…
Brown University（布朗大学）；Beetham Eye Institute, Joslin Diabetes Center（乔斯林糖尿病中心比瑟姆眼科研究所）；Harvard Medical School（哈佛医学院）
Microaneurysms (MAs) are one of the earliest signs of diabetic retinopathy (DR), a frequent complication of diabetes that can lead to visual impairment and blindness. Adaptive optics scanning laser ophthalmoscopy (AOSLO) provides real-time retinal images with resolution down to 2 $μm$ and thus allows detection of the morphologies of individual MAs, a potential marker that might dictate MA pathology and affect the progression of DR. In contrast to the numerous automatic models developed for assessing the number of MAs on fundus photographs, currently there is no high throughput image protocol a…
Université de Bretagne Occidentale - UBO（西布列塔尼大学）；Inserm（法国国家健康与医学研究院）
The advances in machine learning (ML) have greatly improved AI-based diagnosis aid systems in medical imaging. However, being based on collecting medical data specific to individuals induces several security issues, especially in terms of privacy. Even though the owner of the images like a hospital put in place strict privacy protection provisions at the level of its information system, the model trained over his images still holds disclosure potential. The trained model may be accessible to an attacker as: 1) White-box: accessing to the model architecture and parameters; 2) Black box: where h…
Among the most impactful diabetic complications are diabetic retinopathy, the leading cause of blindness among working class adults, and cardiovascular disease, the leading cause of death worldwide. This study describes the development of improved machine learning based screening of these conditions. First, a random forest model was developed by retrospectively analyzing the influence of various risk factors (obtained quickly and non-invasively) on cardiovascular risk. Next, a deep-learning model was developed for prediction of diabetic retinopathy from retinal fundus images by a modified and …
Instituto de Investigación e Innovación en Bioingeniería, Universitat Politècnica de València（瓦伦西亚理工大学生物工程研究与创新研究所）；Universidad Politécnica de Cartagena（卡塔赫纳理工大学）
Glaucoma is one of the leading causes of blindness worldwide and Optical Coherence Tomography (OCT) is the quintessential imaging technique for its detection. Unlike most of the state-of-the-art studies focused on glaucoma detection, in this paper, we propose, for the first time, a novel framework for glaucoma grading using raw circumpapillary B-scans. In particular, we set out a new OCT-based hybrid network which combines hand-driven and deep learning algorithms. An OCT-specific descriptor is proposed to extract hand-crafted features related to the retinal nerve fibre layer (RNFL). In paralle…
Strategy for Rapid Diabetic Retinopathy Exposure Based on Enhanced Feature Extraction Processing
M. Kumarasamy College of Engineering（M. Kumarasamy工程学院）；Saveetha Institute of Medical and Technical Sciences（Saveetha医学与技术学院）；Saveetha School of Engineering（Saveetha工程学院）
Universidade da Coruña（拉科鲁尼亚大学）；Instituto de Investigación Biomédica de A Coruña (INIBIC)（拉科鲁尼亚生物医学研究所）；Hospital Clínico San Carlos（圣卡洛斯临床医院）；Instituto de Investigación Sanitaria (IdISSC)（圣卡洛斯健康研究所）；Centro Internacional de Oftalmología Avanzada（国际高级眼科中心）
Age-related macular degeneration (AMD) is a degenerative disorder affecting the macula, a key area of the retina for visual acuity. Nowadays, it is the most frequent cause of blindness in developed countries. Although some promising treatments have been developed, their effectiveness is low in advanced stages. This emphasizes the importance of large-scale screening programs. Nevertheless, implementing such programs for AMD is usually unfeasible, since the population at risk is large and the diagnosis is challenging. All this motivates the development of automatic methods. In this sense, severa…
