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Lisha LB, Helen Sulochana C. DEC-DRR: deep ensemble of classification model for diabetic retinopathy recognition. Med Biol Eng Comput 2024; 62:2911-2938. [PMID: 38713340 DOI: 10.1007/s11517-024-03076-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2023] [Accepted: 03/16/2024] [Indexed: 05/08/2024]
Abstract
Most diabetes patients are liable to have diabetic retinopathy (DR); however, the majority of them might not be even aware of the ailment. Therefore, early detection and treatment of DR are necessary to prevent vision loss. But, avoiding DR is not a simple process. An ophthalmologist can typically identify DR through an optical evaluation of the fundus and through the evaluation of color pictures. However, due to the increased count of DR patients, this could not be possible as it consumes more time. To rectify this problem, a novel deep ensemble-based DR classification technique is developed in this work. Initially, a Wiener filter (WF) is applied for preprocessing the image. Then, the enhanced U-Net-based segmentation process is done. Subsequent to the segmentation process, features are extracted that include statistical features, inferior superior nasal temporal (ISNT), cup to disc ratio (CDR), and improved LGBP as well. Further, deep ensemble classifiers (DEC) like CNN, Bi-GRU, and DMN are used to recognize the disease. The outcomes from DMN, CNN, and Bi-GRU are then subjected to improved SLF. Additionally, the weights of DMN, CNN, and Bi-GRU are adjusted via pelican updated Tasmanian devil optimization (PU-TDO). Finally, outputs on DR (microaneurysms, hemorrhages, hard exudates, and soft exudates) are obtained. The performance of DEC + PU-TDO for diabetic retinopathy is computed over extant models with regard to different measures for four datasets. The results on accuracy using the DEC + PU-TDO scheme for the IDRID dataset is maximum around 0.975 at 90th LP while other models have less accuracy. The FPR of DEC + PU-TDO is less around 0.039 at the 90th LP for the SUSTech-SYSU dataset, while other extant models have maximum FPR.
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Affiliation(s)
- L B Lisha
- Department of Computer Science and Engineering, Marthandam College of Engineering and Technology, Kuttakuzhi, Veeyannoor, Kanyakumari, Tamil Nadu, India.
| | - C Helen Sulochana
- Department of Electronics and Communication Engineering, St. Xavier's Catholic College of Engineering, Chunkankadai, Kanyakumari, Tamil Nadu, India
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Anand V, Koundal D, Alghamdi WY, Alsharbi BM. Smart grading of diabetic retinopathy: an intelligent recommendation-based fine-tuned EfficientNetB0 framework. Front Artif Intell 2024; 7:1396160. [PMID: 38694880 PMCID: PMC11062181 DOI: 10.3389/frai.2024.1396160] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2024] [Accepted: 03/27/2024] [Indexed: 05/04/2024] Open
Abstract
Diabetic retinopathy is a condition that affects the retina and causes vision loss due to blood vessel destruction. The retina is the layer of the eye responsible for visual processing and nerve signaling. Diabetic retinopathy causes vision loss, floaters, and sometimes blindness; however, it often shows no warning signals in the early stages. Deep learning-based techniques have emerged as viable options for automated illness classification as large-scale medical imaging datasets have become more widely available. To adapt to medical image analysis tasks, transfer learning makes use of pre-trained models to extract high-level characteristics from natural images. In this research, an intelligent recommendation-based fine-tuned EfficientNetB0 model has been proposed for quick and precise assessment for the diagnosis of diabetic retinopathy from fundus images, which will help ophthalmologists in early diagnosis and detection. The proposed EfficientNetB0 model is compared with three transfer learning-based models, namely, ResNet152, VGG16, and DenseNet169. The experimental work is carried out using publicly available datasets from Kaggle consisting of 3,200 fundus images. Out of all the transfer learning models, the EfficientNetB0 model has outperformed with an accuracy of 0.91, followed by DenseNet169 with an accuracy of 0.90. In comparison to other approaches, the proposed intelligent recommendation-based fine-tuned EfficientNetB0 approach delivers state-of-the-art performance on the accuracy, recall, precision, and F1-score criteria. The system aims to assist ophthalmologists in early detection, potentially alleviating the burden on healthcare units.
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Affiliation(s)
- Vatsala Anand
- Chitkara University Institute of Engineering and Technology, Chitkara University, Rajpura, Punjab, India
| | - Deepika Koundal
- School of Computer Science, University of Petroleum and Energy Studies, Dehradun, India
- Ho Chi Minh City Open University, Ho Chi Minh City, Vietnam
| | - Wael Y. Alghamdi
- Department of Computer Science, College of Computers and Information Technology, Taif University, Taif, Saudi Arabia
| | - Bayan M. Alsharbi
- Department of Information Technology, College of Computers and Information Technology, Taif University, Taif, Saudi Arabia
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Sebastian A, Elharrouss O, Al-Maadeed S, Almaadeed N. A Survey on Deep-Learning-Based Diabetic Retinopathy Classification. Diagnostics (Basel) 2023; 13:diagnostics13030345. [PMID: 36766451 PMCID: PMC9914068 DOI: 10.3390/diagnostics13030345] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2022] [Revised: 12/21/2022] [Accepted: 12/22/2022] [Indexed: 01/19/2023] Open
Abstract
The number of people who suffer from diabetes in the world has been considerably increasing recently. It affects people of all ages. People who have had diabetes for a long time are affected by a condition called Diabetic Retinopathy (DR), which damages the eyes. Automatic detection using new technologies for early detection can help avoid complications such as the loss of vision. Currently, with the development of Artificial Intelligence (AI) techniques, especially Deep Learning (DL), DL-based methods are widely preferred for developing DR detection systems. For this purpose, this study surveyed the existing literature on diabetic retinopathy diagnoses from fundus images using deep learning and provides a brief description of the current DL techniques that are used by researchers in this field. After that, this study lists some of the commonly used datasets. This is followed by a performance comparison of these reviewed methods with respect to some commonly used metrics in computer vision tasks.
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Nadeem MW, Goh HG, Hussain M, Liew SY, Andonovic I, Khan MA. Deep Learning for Diabetic Retinopathy Analysis: A Review, Research Challenges, and Future Directions. SENSORS (BASEL, SWITZERLAND) 2022; 22:6780. [PMID: 36146130 PMCID: PMC9505428 DOI: 10.3390/s22186780] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/29/2022] [Revised: 08/02/2022] [Accepted: 08/08/2022] [Indexed: 05/12/2023]
Abstract
Deep learning (DL) enables the creation of computational models comprising multiple processing layers that learn data representations at multiple levels of abstraction. In the recent past, the use of deep learning has been proliferating, yielding promising results in applications across a growing number of fields, most notably in image processing, medical image analysis, data analysis, and bioinformatics. DL algorithms have also had a significant positive impact through yielding improvements in screening, recognition, segmentation, prediction, and classification applications across different domains of healthcare, such as those concerning the abdomen, cardiac, pathology, and retina. Given the extensive body of recent scientific contributions in this discipline, a comprehensive review of deep learning developments in the domain of diabetic retinopathy (DR) analysis, viz., screening, segmentation, prediction, classification, and validation, is presented here. A critical analysis of the relevant reported techniques is carried out, and the associated advantages and limitations highlighted, culminating in the identification of research gaps and future challenges that help to inform the research community to develop more efficient, robust, and accurate DL models for the various challenges in the monitoring and diagnosis of DR.
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Affiliation(s)
- Muhammad Waqas Nadeem
- Faculty of Information and Communication Technology (FICT), Universiti Tunku Abdul Rahman (UTAR), Kampar 31900, Malaysia
| | - Hock Guan Goh
- Faculty of Information and Communication Technology (FICT), Universiti Tunku Abdul Rahman (UTAR), Kampar 31900, Malaysia
| | - Muzammil Hussain
- Department of Computer Science, School of Systems and Technology, University of Management and Technology, Lahore 54000, Pakistan
| | - Soung-Yue Liew
- Faculty of Information and Communication Technology (FICT), Universiti Tunku Abdul Rahman (UTAR), Kampar 31900, Malaysia
| | - Ivan Andonovic
- Department of Electronic and Electrical Engineering, Royal College Building, University of Strathclyde, 204 George St., Glasgow G1 1XW, UK
| | - Muhammad Adnan Khan
- Pattern Recognition and Machine Learning Lab, Department of Software, Gachon University, Seongnam 13557, Korea
- Faculty of Computing, Riphah School of Computing and Innovation, Riphah International University, Lahore Campus, Lahore 54000, Pakistan
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Analysis and Recognition of Clinical Features of Diabetes Based on Convolutional Neural Network. COMPUTATIONAL AND MATHEMATICAL METHODS IN MEDICINE 2022; 2022:7902786. [PMID: 35936377 PMCID: PMC9355780 DOI: 10.1155/2022/7902786] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/14/2022] [Revised: 07/04/2022] [Accepted: 07/09/2022] [Indexed: 11/17/2022]
Abstract
Diabetes mellitus is a common chronic noncommunicable disease, the main manifestation of which is the long-term high blood sugar level in patients due to metabolic disorders. However, due to excessive reliance on the clinical experience of ophthalmologists, our diagnosis takes a long time, and it is prone to missed diagnosis and misdiagnosis. In recent years, with the development of deep learning, its application in the auxiliary diagnosis of diabetic retinopathy has become possible. How to use the powerful feature extraction ability of deep learning algorithm to realize the mining of massive medical data is of great significance. Therefore, under the action of computer-aided technology, this paper processes and analyzes the retinal images of the fundus through traditional image processing and convolutional neural network-related methods, so as to achieve the role of assisting clinical treatment. Based on the admission records of diabetic patients after data analysis and feature processing, this paper uses an improved convolutional neural network algorithm to establish a model for predicting changes in diabetic conditions. The model can assist doctors to judge the patient's treatment effect by using it based on the case records of inpatient diagnosis and treatment and to predict the risk of readmission of inpatients after discharge. It also can help to judge the effectiveness of the treatment plan. The results of the study show that the model proposed in this paper has a lower probability of misjudging patients with poor recovery as good recovery, and the prediction is more accurate.
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Mishra A, Singh L, Pandey M, Lakra S. Image based early detection of diabetic retinopathy: A systematic review on Artificial Intelligence (AI) based recent trends and approaches. JOURNAL OF INTELLIGENT & FUZZY SYSTEMS 2022. [DOI: 10.3233/jifs-220772] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Diabetic Retinopathy (DR) is a disease that damages the retina of the human eye due to diabetic complications, resulting in a loss of vision. Blindness may be avoided If the DR disease is detected at an early stage. Unfortunately, DR is irreversible process, however, early detection and treatment of DR can significantly reduce the risk of vision loss. The manual diagnosis done by ophthalmologists on DR retina fundus images is time consuming, and error prone process. Nowadays, machine learning and deep learning have become one of the most effective approaches, which have even surpassed the human performance as well as performance of traditional image processing-based algorithms and other computer aided diagnosis systems in the analysis and classification of medical images. This paper addressed and evaluated the various recent state-of-the-art methodologies that have been used for detection and classification of Diabetic Retinopathy disease using machine learning and deep learning approaches in the past decade. Furthermore, this study also provides the authors observation and performance evaluation of available research using several parameters, such as accuracy, disease status, and sensitivity. Finally, we conclude with limitations, remedies, and future directions in DR detection. In addition, various challenging issues that need further study are also discussed.
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Affiliation(s)
- Anju Mishra
- Manav Rachna University, Faridabad, Haryana, India
| | - Laxman Singh
- Noida Institute of Engineering and Technology, Greater Noida, U.P, India
| | | | - Sachin Lakra
- Manav Rachna University, Faridabad, Haryana, India
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Wahid FF, Sugandhi K, Raju G. A Fusion Based Approach for Blood Vessel Segmentation from Fundus Images by Separating Brighter Optic Disc. PATTERN RECOGNITION AND IMAGE ANALYSIS 2021. [DOI: 10.1134/s105466182104026x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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NAIR ARUNT, MUTHUVEL K. AUTOMATED SCREENING OF DIABETIC RETINOPATHY WITH OPTIMIZED DEEP CONVOLUTIONAL NEURAL NETWORK: ENHANCED MOTH FLAME MODEL. J MECH MED BIOL 2021. [DOI: 10.1142/s0219519421500056] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Nowadays, analysis on retinal image exists as one of the challenging area for study. Numerous retinal diseases could be recognized by analyzing the variations taking place in retina. However, the main disadvantage among those studies is that, they do not have higher recognition accuracy. The proposed framework includes four phases namely, (i) Blood Vessel Segmentation (ii) Feature Extraction (iii) Optimal Feature Selection and (iv) Classification. Initially, the input fundus image is subjected to blood vessel segmentation from which two binary thresholded images (one from High Pass Filter (HPF) and other from top-hat reconstruction) are acquired. These two images are differentiated and the areas that are common to both are said to be the major vessels and the left over regions are fused to form vessel sub-image. These vessel sub-images are classified with Gaussian Mixture Model (GMM) classifier and the resultant is summed up with the major vessels to form the segmented blood vessels. The segmented images are subjected to feature extraction process, where the features like proposed Local Binary Pattern (LBP), Gray-Level Co-Occurrence Matrix (GLCM) and Gray Level Run Length Matrix (GLRM) are extracted. As the curse of dimensionality seems to be the greatest issue, it is important to select the appropriate features from the extracted one for classification. In this paper, a new improved optimization algorithm Moth Flame with New Distance Formulation (MF-NDF) is introduced for selecting the optimal features. Finally, the selected optimal features are subjected to Deep Convolutional Neural Network (DCNN) model for classification. Further, in order to make the precise diagnosis, the weights of DCNN are optimally tuned by the same optimization algorithm. The performance of the proposed algorithm will be compared against the conventional algorithms in terms of positive and negative measures.
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Affiliation(s)
- ARUN T NAIR
- Department of Electrical and Electronics Engineering, Noorul Islam Centre for Higher Education, Kumaracoil 629180, Tamil Nadu, India
| | - K. MUTHUVEL
- Department of Electrical and Electronics Engineering, Noorul Islam Centre for Higher Education, Kumaracoil 629180, Tamil Nadu, India
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