Segmentation of retinal blood vessels is the first step for several computer aided-diagnosis systems (CAD), not only for ocular disease diagnosis such as diabetic retinopathy (DR) but also of non-ocular disease, such as hypertension, stroke and cardiovascular diseases. In this paper, a supervised learning-based method, using a multi-layer perceptron neural network and carefully selected vector of features, is proposed. In particular, for each pixel of a retinal fundus image, we construct a 24-D feature vector, encoding information on the local intensity, morphology transformation, principal moments of phase congruency, Hessian, and difference of Gaussian values. A post-processing technique depending on mathematical morphological operators is used to optimise the segmentation. Moreover, the selected feature vector succeeded in outfitting the symmetric features that provided the final blood vessel probability as a binary map image. The proposed method is tested on three known datasets: Digital Retinal Image for Extraction (DRIVE), Structure Analysis of the Retina (STARE), and CHASED_DB1 datasets. The experimental results, both visual and quantitative, testify to the robustness of the proposed method. This proposed method achieved 0.9607, 0.7542, and 0.9843 in DRIVE, 0.9632, 0.7806, and 0.9825 on STARE, 0.9577, 0.7585 and 0.9846 in CHASE_DB1, with respectable accuracy, sensitivity, and specificity performance metrics. Furthermore, they testify that the method is superior to seven similar state-of-the-art methods.

Diabetic retinopathy (DR) and glaucoma can both be incurable if they are not detected early enough. Therefore, ophthalmologists worldwide are striving to detect them by personally screening retinal fundus images. However, this procedure is not only tedious, subjective, and labor-intensive, but also error-prone. Worse yet, it may not even be attainable in some countries where ophthalmologists are in short supply. A practical solution to this complicated problem is a computer-aided diagnosis (CAD) system—the objective of this work. We propose an accurate system to detect at once any of the two diseases from retinal fundus images. The accuracy stems from two factors. First, we calculate a large set of hybrid features belonging to three groups: first-order statistics (FOS), higher-order statistics (HOS), and histogram of oriented gradient (HOG). Then, these features are skillfully reduced using a genetic algorithm scheme that selects only the most relevant and significant of them. Finally, the selected features are fed to a classifier to detect one of three classes: DR, glaucoma, or normal. Four classifiers are tested for this job: decision tree (DT), naive Bayes (NB), k-nearest neighbor (kNN), and linear discriminant analysis (LDA). The experimental work, conducted on three publicly available datasets, two of them merged into one, shows impressive performance in terms of four standard classification metrics, each computed using k-fold crossvalidation for added credibility. The highest accuracy has been provided by DT—96.67% for DR, 100% for glaucoma, and 96.67% for normal.