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Purpose Retinopathies are the leading cause of eyesight loss, especially among diabetics. Due to the low contrast of blood vessels in fundus images, the visual inspection is a challenging job even for specialists. In this context, this work aims to implement image processing techniques to support contrast enhancement and segmentation of retinal blood vessels. Methods The initial proposal consisted only of green channel separation, contrast limited adaptive histogram equalization, and 2D Gabor wavelet and mathematical morphology. The new proposal includes the edge and mask detection and the vessel enhancement 2D to preserve image's characteristics. The development and validation of this work, in MatLab® environment, involved 40 images from Digital Retinal Images for Vessel Extraction (DRIVE), 20 images from Structured Analysis of the Retina (STARE), and 45 images from High-Resolution Fundus (HRF) database. Results In the unsupervised method context, the proposal presented the best performance regarding sensitivity and second place for balanced-accuracy on all databases. A subjective validation involving eleven ophthalmology professionals showed higher levels of acceptance (above 80%) after contrast limited adaptive histogram equalization (CLAHE) and vessel enhancement 2D steps and 75.5% for overall quality system. Conclusion The main contributions refer to the inclusion of techniques for automatic mask detection, image edge removal, and suppression of vessels background to improve the retinal vessels segmentation process. In addition, this work made a computational interface named "Retinal Lab-A Tool for Fundus Image Analysis" available, which permits the users to adjust the contrast and segmentation of blood vessels in retinal images.

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