Early detection of microaneurysms (MAs), the first sign of Diabetic Retinopathy (DR), is an essential first step in automated detection of DR to prevent vision loss and blindness. This study presents a novel and different algorithm for automatic detection of MAs in fluorescein angiography (FA) fundus images, based on Radon transform (RT) and multi-overlapping windows. This project addresses a novel method, in detection of retinal land marks and lesions to diagnose the DR. At the first step, optic nerve head (ONH) was detected and masked. In preprocessing stage, top-hat transformation and averaging filter were applied to remove the background. In main processing section, firstly, we divided the whole preprocessed image into sub-images and then segmented and masked the vascular tree by applying RT in each sub-image. After detecting and masking retinal vessels and ONH, MAs were detected and numbered by using RT and appropriated thresholding. The results of the proposed method were evaluated reported on three different retinal images databases, the Mashhad Database with 120 FA fundus images, Second Local Database from Tehran with 50 FA retinal images and a part of Retinopathy Online Challenge (ROC) database with 22images. Automated DR detection demonstrated a sensitivity and specificity of 94% and 75% for Mashhad database and 100% and 70% for the Second Local Database respectively.
Anterior megalophthalmic eyes seem to be affected by a type of vitreoretinopathy predisposing to retinal detachment. Current vitreoretinal surgical techniques usually achieve good anatomic results in these cases.
Tortuosity of retinal blood vessels is an important symptom of diabetic retinopathy or retinopathy of prematurity. In this paper, we propose an automatic image-based method for measuring single vessel and vessel network tortuosity of these vessels. Simplicity of the algorithm, low-computational burden, and an excellent matching to the clinically perceived tortuosity are the important features of the proposed algorithm. To measure tortuosity, we use curvature which is an indicator of local inflection of a curve. For curvature calculation, template disk method is a common choice and has been utilized in most of the state of the art. However, we show that this method does not possess linearity against curvature and by proposing two modifications, we improve the method. We use the basic and the modified methods to measure tortuosity on a publicly available data bank and two data banks of our own. While interpreting the results, we pursue three goals. First, to show that our algorithm is more efficient to implement than the state of the art. Second, to show that our method possesses an excellent correlation with subjective results (0.94 correlation for vessel tortuosity, 0.95 correlation for vessel network tortuosity in diabetic retinopathy, and 0.7 correlation for vessel network tortuosity in retinopathy of prematurity). Third, to show that the tortuosity perceived by an expert and curvature possess a nonlinear relation.
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