Simple methods for segmentation and measurement of diabetic retinopathy lesions in retinal fundus images.

Diabetic retinopathy (DR) is one of the most important complications of diabetes mellitus, which causes serious damages in the retina, consequently visual loss and sometimes blindness if necessary medical treatment is not applied on time. One of the difficulties in this illness is that the patient with diabetes mellitus requires a continuous screening for early detection. So far, numerous methods have been proposed by researchers to automate the detection process of DR in retinal fundus images. In this paper, we developed an alternative simple approach to detect DR. This method was built on the inverse segmentation method, which we suggested before to detect Age Related Macular Degeneration (ARMDs). Background image approach along with inverse segmentation is employed to measure and follow up the degenerations in retinal fundus images. Direct segmentation techniques generate unsatisfactory results in some cases. This is because of the fact that the texture of unhealthy areas such as DR is not homogenous. The inverse method is proposed to exploit the homogeneity of healthy areas rather than dealing with varying structure of unhealthy areas for segmenting bright lesions (hard exudates and cotton wool spots). On the other hand, the background image, dividing the retinal image into high and low intensity areas, is exploited in segmentation of hard exudates and cotton wool spots, and microaneurysms (MAs) and hemorrhages (HEMs), separately. Therefore, a complete segmentation system is developed for segmenting DR, including hard exudates, cotton wool spots, MAs, and HEMs. This application is able to measure total changes across the whole retinal image. Hence, retinal images that belong to the same patients are examined in order to monitor the trend of the illness. To make a comparison with other methods, a Naïve Bayes method is applied for segmentation of DR. The performance of the system, tested on different data sets including various qualities of retinal fundus images, is over 95% in detection of the optic disc (OD), and 90% in segmentation of the DR.

A statistical segmentation method for measuring age-related macular degeneration in retinal fundus images.

Day by day, huge amount of information is collected in medical databases. These databases include quite interesting information that could be exploited in diagnosis of illnesses and medical treatment of patients. Classification of these data is getting harder as the databases are expanded. On the other hand, automated image analysis and processing is one of the most promising areas of computer vision used in medical diagnosis and treatment. In this context, retinal fundus images, offering very high resolutions that are sufficient for most of the clinical cases, provide many indications that could be exploited in diagnosing and screening retinal degenerations or diseases. Consequently, there is a strong demand in developing automated evaluation systems to utilize the information stored in the medical databases. This study proposes an automatic method for segmentation of ARMD in retinal fundus images. The method used in the automated system extracts lesions of the ARMD by employing a statistical method. In order to do this, the statistical segmentation method is first used to extract the healthy area of the macula that is more familiar and regular than the unhealthy parts. Here, characteristic images of the patterns of the macula are extracted and used to segment the healthy textures of an eye. In addition to this, blood vessels are also extracted and then classified as healthy regions. Finally, the inverse image of the segmented image is generated which determines the unhealthy regions of the macula. The performance of the method is examined on various quality retinal fundus images. Segmented images are also compared with consecutive images of the same patient to follow up the changes in the disease.