A novel vessel segmentation algorithm for pathological retina images based on the divergence of vector fields

Retinal image analysis aimed at blood vessel tree segmentation and early detection of neural-layer deterioration

An automatic method of segmenting the retinal vessel tree and estimating status of retinal neural fibre layer (NFL) from high resolution fundus camera images is presented. First, reliable blood vessel segmentation, using 2D directional matched filtering, enables to remove areas occluded by blood vessels thus leaving remaining retinal area available to the following NFL detection. The local existence of rather faint and hardly visible NFL is detected by combining several newly designed local textural features, sensitive to subtle NFL characteristics, into feature vectors submitted to a trained neural-network classifier. Obtained binary retinal maps of NFL distribution show a good agreement with both medical expert evaluations and quantitative results obtained by optical coherence tomography.

A function for quality evaluation of retinal vessel segmentations

Retinal blood vessel assessment plays an important role in the diagnosis of ophthalmic pathologies. The use of digital images for this purpose enables the application of a computerized approach and has fostered the development of multiple methods for automated vascular tree segmentation. Metrics based on contingency tables for binary classification have been widely used for evaluating the performance of these algorithms. Metrics from this family are based on the measurement of a success or failure rate in the detected pixels, obtained by means of pixel-to-pixel comparison between the automated segmentation and a manually-labeled reference image. Therefore, vessel pixels are not considered as a part of a vascular structure with specific features. This paper contributes a function for the evaluation of global quality in retinal vessel segmentations. This function is based on the characterization of vascular structures as connected segments with measurable area and length. Thus, its design is meant to be sensitive to anatomical vascularity features. Comparison of results between the proposed function and other general quality evaluation functions shows that this proposal renders a high matching degree with human quality perception. Therefore, it can be used to enhance quality evaluation in retinal vessel segmentations, supplementing the existing functions. On the other hand, from a general point of view, the applied concept of measuring descriptive properties may be used to design specialized functions aimed at segmentation quality evaluation in other complex structures.

Digital ocular fundus imaging: a review

Ocular fundus imaging plays a key role in monitoring the health status of the human eye. Currently, a large number of imaging modalities allow the assessment and/or quantification of ocular changes from a healthy status. This review focuses on the main digital fundus imaging modality, color fundus photography, with a brief overview of complementary techniques, such as fluorescein angiography. While focusing on two-dimensional color fundus photography, the authors address the evolution from nondigital to digital imaging and its impact on diagnosis. They also compare several studies performed along the transitional path of this technology. Retinal image processing and analysis, automated disease detection and identification of the stage of diabetic retinopathy (DR) are addressed as well. The authors emphasize the problems of image segmentation, focusing on the major landmark structures of the ocular fundus: the vascular network, optic disk and the fovea. Several proposed approaches for the automatic detection of signs of disease onset and progression, such as microaneurysms, are surveyed. A thorough comparison is conducted among different studies with regard to the number of eyes/subjects, imaging modality, fundus camera used, field of view and image resolution to identify the large variation in characteristics from one study to another. Similarly, the main features of the proposed classifications and algorithms for the automatic detection of DR are compared, thereby addressing computer-aided diagnosis and computer-aided detection for use in screening programs.

A new supervised method for blood vessel segmentation in retinal images by using gray-level and moment invariants-based features

This paper presents a new supervised method for blood vessel detection in digital retinal images. This method uses a neural network (NN) scheme for pixel classification and computes a 7-D vector composed of gray-level and moment invariants-based features for pixel representation. The method was evaluated on the publicly available DRIVE and STARE databases, widely used for this purpose, since they contain retinal images where the vascular structure has been precisely marked by experts. Method performance on both sets of test images is better than other existing solutions in literature. The method proves especially accurate for vessel detection in STARE images. Its application to this database (even when the NN was trained on the DRIVE database) outperforms all analyzed segmentation approaches. Its effectiveness and robustness with different image conditions, together with its simplicity and fast implementation, make this blood vessel segmentation proposal suitable for retinal image computer analyses such as automated screening for early diabetic retinopathy detection.

General retinal vessel segmentation using regularization-based multiconcavity modeling

Detecting blood vessels in retinal images with the presence of bright and dark lesions is a challenging unsolved problem. In this paper, a novel multiconcavity modeling approach is proposed to handle both healthy and unhealthy retinas simultaneously. The differentiable concavity measure is proposed to handle bright lesions in a perceptive space. The line-shape concavity measure is proposed to remove dark lesions which have an intensity structure different from the line-shaped vessels in a retina. The locally normalized concavity measure is designed to deal with unevenly distributed noise due to the spherical intensity variation in a retinal image. These concavity measures are combined together according to their statistical distributions to detect vessels in general retinal images. Very encouraging experimental results demonstrate that the proposed method consistently yields the best performance over existing state-of-the-art methods on the abnormal retinas and its accuracy outperforms the human observer, which has not been achieved by any of the state-of-the-art benchmark methods. Most importantly, unlike existing methods, the proposed method shows very attractive performances not only on healthy retinas but also on a mixture of healthy and pathological retinas.

A Hybrid Genetic Algorithm based Fuzzy Approach for Abnormal Retinal Image Classification

Fuzzy approaches are one of the widely used artificial intelligence techniques in the field of ophthalmology. These techniques are used for classifying the abnormal retinal images into different categories that assist in treatment planning. The main characteristic feature that makes the fuzzy techniques highly popular is their accuracy. But, the accuracy of these fuzzy logic techniques depends on the expertise knowledge, which indirectly relies on the input samples. Insignificant input samples may reduce the accuracy that further reduces the efficiency of the fuzzy technique. In this work, the application of Genetic Algorithm (GA) for optimizing the input samples is explored in the context of abnormal retinal image classification. Abnormal retinal images from four different classes are used in this work and a comprehensive feature set is extracted from these images as classification is performed with the fuzzy classifier and also with the GA optimized fuzzy classifier. Experimental results suggest highly accurate results for the GA based classifier than the conventional fuzzy classifier.

Unsupervised fuzzy based vessel segmentation in pathological digital fundus images

Performing the segmentation of vasculature in the retinal images having pathology is a challenging problem. This paper presents a novel approach for automated segmentation of the vasculature in retinal images. The approach uses the intensity information from red and green channels of the same retinal image to correct non-uniform illumination in color fundus images. Matched filtering is utilized to enhance the contrast of blood vessels against the background. The enhanced blood vessels are then segmented by employing spatially weighted fuzzy c-means clustering based thresholding which can well maintain the spatial structure of the vascular tree segments. The proposed method's performance is evaluated on publicly available DRIVE and STARE databases of manually labeled images. On the DRIVE and STARE databases, it achieves an area under the receiver operating characteristic curve of 0.9518 and 0.9602 respectively, being superior to those presented by state-of-the-art unsupervised approaches and comparable to those obtained with the supervised methods.

Correcting motion artifacts in retinal spectral domain optical coherence tomography via image registration

Spectral domain optical coherence tomography (SD-OCT) is an important tool for the diagnosis of various retinal diseases. The measurements available from SD-OCT volumes can be used to detect structural changes in glaucoma patients before the resulting vision loss becomes noticeable. Eye movement during the imaging process corrupts the data, making measurements unreliable. We propose a method to correct for transverse motion artifacts in SD-OCT volumes after scan acquisition by registering the volume to an instantaneous, and therefore artifact-free, reference image. Our procedure corrects for smooth deformations resulting from ocular tremor and drift as well as the abrupt discontinuities in vessels resulting from microsaccades. We test our performance on 48 scans of healthy eyes and 116 scans of glaucomatous eyes, improving scan quality in 96% of healthy and 73% of glaucomatous eyes.

Segmentation of vessels cluttered with cells using a physics based model

Segmentation of vessels in biomedical images is important as it can provide insight into analysis of vascular morphology, topology and is required for kinetic analysis of flow velocity and vessel permeability. Intravital microscopy is a powerful tool as it enables in vivo imaging of both vasculature and circulating cells. However, the analysis of vasculature in those images is difficult due to the presence of cells and their image gradient. In this paper, we provide a novel method of segmenting vessels with a high level of cell related clutter. A set of virtual point pairs ("vessel probes") are moved reacting to forces including Vessel Vector Flow (VVF) and Vessel Boundary Vector Flow (VBVF) forces. Incorporating the cell detection, the VVF force attracts the probes toward the vessel, while the VBVF force attracts the virtual points of the probes to localize the vessel boundary without being distracted by the image features of the cells. The vessel probes are moved according to Newtonian Physics reacting to the net of forces applied on them. We demonstrate the results on a set of five real in vivo images of liver vasculature cluttered by white blood cells. When compared against the ground truth prepared by the technician, the Root Mean Squared Error (RMSE) of segmentation with VVF and VBVF was 55% lower than the method without VVF and VBVF.