1
|
Martinez-Perez ME, Hughes AD, Thom SAM, Parker KH, Witt NW. Evaluation of a portable retinal imaging device: towards a comparative quantitative analysis for morphological measurements of retinal blood vessels. ROYAL SOCIETY OPEN SCIENCE 2023; 10:230065. [PMID: 37351500 PMCID: PMC10282589 DOI: 10.1098/rsos.230065] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/20/2023] [Accepted: 05/30/2023] [Indexed: 06/24/2023]
Abstract
This study investigated the possibility of using low-cost, handheld, retinal imaging devices for the automatic extraction of quantifiable measures of retinal blood vessels. Initially, the available handheld devices were compared using a Zeiss model eye incorporating a USAF resolution test chart to assess their optical properties. The only suitable camera of the five evaluated was the Horus DEC 200. This device was then subjected to a detailed evaluation in which images in human eyes taken from the handheld camera were compared in a quantitative analysis with those of the same eye from a Canon CR-DGi retinal desktop camera. We found that the Horus DEC 200 exhibited shortcomings in capturing images of human eyes by comparison with the Canon. More images were rejected as being unevaluable or suffering failures in automatic segmentation than with the Canon, and even after exclusion of affected images, the Horus yielded lower measurements of vessel density than the Canon. A number of issues affecting handheld cameras in general and some features of the Horus in particular have been identified that might contribute to the observed differences in performance. Some potential mitigations are discussed which might yield improvements in performance, thus potentially facilitating use of handheld retinal imaging devices for quantitative retinal microvascular measurements.
Collapse
Affiliation(s)
- M. Elena Martinez-Perez
- Department of Computer Science, Institute of Research on Applied Mathematics and Systems, National Autonomous University of Mexico, Mexico City, Mexico
- National Heart and Lung Institute, Imperial College London, Hammersmith Campus, London W12 0HS, UK
| | - Alun D. Hughes
- MRC Unit for Lifelong Health and Ageing, Institute of Cardiovascular Science, University College London, Gower Street, London WC1E 6BT, UK
| | - Simon A. McG. Thom
- National Heart and Lung Institute, Imperial College London, Hammersmith Campus, London W12 0HS, UK
| | - Kim H. Parker
- Department of Bioengineering, Imperial College, London, South Kensington Campus, London SW7 2AZ, UK
| | - Nicholas W. Witt
- MRC Unit for Lifelong Health and Ageing, Institute of Cardiovascular Science, University College London, Gower Street, London WC1E 6BT, UK
| |
Collapse
|
2
|
El-Hag NA, Sedik A, El-Shafai W, El-Hoseny HM, Khalaf AAM, El-Fishawy AS, Al-Nuaimy W, Abd El-Samie FE, El-Banby GM. Classification of retinal images based on convolutional neural network. Microsc Res Tech 2020; 84:394-414. [PMID: 33350559 DOI: 10.1002/jemt.23596] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2020] [Revised: 08/11/2020] [Accepted: 08/30/2020] [Indexed: 02/05/2023]
Abstract
Automatic detection of maculopathy disease is a very important step to achieve high-accuracy results for the early discovery of the disease to help ophthalmologists to treat patients. Manual detection of diabetic maculopathy needs much effort and time from ophthalmologists. Detection of exudates from retinal images is applied for the maculopathy disease diagnosis. The first proposed framework in this paper for retinal image classification begins with fuzzy preprocessing in order to improve the original image to enhance the contrast between the objects and the background. After that, image segmentation is performed through binarization of the image to extract both blood vessels and the optic disc and then remove them from the original image. A gradient process is performed on the retinal image after this removal process for discrimination between normal and abnormal cases. Histogram of the gradients is estimated, and consequently the cumulative histogram of gradients is obtained and compared with a threshold cumulative histogram at certain bins. To determine the threshold cumulative histogram, cumulative histograms of images with exudates and images without exudates are obtained and averaged for each type, and the threshold cumulative histogram is set as the average of both cumulative histograms. Certain histogram bins are selected and thresholded according to the estimated threshold cumulative histogram, and the results are used for retinal image classification. In the second framework in this paper, a Convolutional Neural Network (CNN) is utilized to classify normal and abnormal cases.
Collapse
Affiliation(s)
- Noha A El-Hag
- Dept. of Electronics and Electrical Comm., Faculty of Engineering, Minia University, Minya, Egypt
| | - Ahmed Sedik
- Dept. of Robotics and intelligent machines, Faculty of artificial intelligent, Kafr elsheikh University, Kafr el-Sheikh, Egypt
| | - Walid El-Shafai
- Dept. of Electronics and Electrical Communications, Faculty of Electronic Engineering, Menoufia University, Menouf, Egypt
| | - Heba M El-Hoseny
- Dept. of Electronic and Electrical Communication Engineering, Al-Obour High Institute for Engineering and Technology, Egypt
| | - Ashraf A M Khalaf
- Dept. of Electronics and Electrical Comm., Faculty of Engineering, Minia University, Minya, Egypt
| | - Adel S El-Fishawy
- Dept. of Robotics and intelligent machines, Faculty of artificial intelligent, Kafr elsheikh University, Kafr el-Sheikh, Egypt
| | - Waleed Al-Nuaimy
- Dept. of Electrical and Electronic Engineering, University of Liverpool, Liverpool, UK
| | - Fathi E Abd El-Samie
- Dept. of Electronics and Electrical Communications, Faculty of Electronic Engineering, Menoufia University, Menouf, Egypt.,Department of Electronics and Electrical Communications Engineering, Faculty of Electronic Engineering, Menoufia University, Menouf, Egypt
| | - Ghada M El-Banby
- Dept. Industrial electronics and control engineering, Faculty of Electronic Engineering, Menoufia University, Menouf, Egypt
| |
Collapse
|