Glaucoma is a serious ocular disorder for which the screening and diagnosis are carried out by the examination of the optic nerve head (ONH). The color fundus image (CFI) is the most common modality used for ocular screening. In CFI, the central region which is the optic disc and the optic cup region within the disc are examined to determine one of the important cues for glaucoma diagnosis called the optic cup-to-disc ratio (CDR). CDR calculation requires accurate segmentation of optic disc and cup. Another important cue for glaucoma progression is the variation of depth in ONH region. In this paper, we first propose a deep learning framework to estimate depth from a single fundus image. For the case of monocular retinal depth estimation, we are also plagued by the labeled data insufficiency. To overcome this problem we adopt the technique of pretraining the deep network where, instead of using a denoising autoencoder, we propose a new pretraining scheme called pseudo-depth reconstruction, which serves as a proxy task for retinal depth estimation. Empirically, we show pseudo-depth reconstruction to be a better proxy task than denoising. Our results outperform the existing techniques for depth estimation on the INSPIRE dataset. To extend the use of depth map for optic disc and cup segmentation, we propose a novel fully convolutional guided network, where, along with the color fundus image the network uses the depth map as a guide. We propose a convolutional block called multimodal feature extraction block to extract and fuse the features of the color image and the guide image. We extensively evaluate the proposed segmentation scheme on three datasets- ORIGA, RIMONEr3, and DRISHTI-GS. The performance of the method is comparable and in many cases, outperforms the most recent state of the art.
The level-set method @cite_21 also managed to solve for Optic cup segmentation with features based on pallor information. But again, they don't tend to be robust in cases that lacked unmarked changes in pallor between the disc and cup. Vessel kinks in the ONH region have been found to be informative @cite_0 for the OC segmentation task. Such vessel bends or kinks are found using wavelet transform or curvature information, and these approaches appear to address a difficult sub problem of accurate vessel bends and kinks detection in the context. Moreover, the consistency of assumptions for the vessel bend to lie on the cup boundary might be data specific.
@cite_0 @cite_21
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Automatic retinal image analysis is emerging as an important screening tool for early detection of eye diseases. Glaucoma is one of the most common causes of blindness. The manual examination of optic disk (OD) is a standard procedure used for detecting glaucoma. In this paper, we present an automatic OD parameterization technique based on segmented OD and cup regions obtained from monocular retinal images. A novel OD segmentation method is proposed which integrates the local image information around each point of interest in multidimensional feature space to provide robustness against variations found in and around the OD region. We also propose a novel cup segmentation method which is based on anatomical evidence such as vessel bends at the cup boundary, considered relevant by glaucoma experts. Bends in a vessel are robustly detected using a region of support concept, which automatically selects the right scale for analysis. A multi-stage strategy is employed to derive a reliable subset of vessel bends called r-bends followed by a local spline fitting to derive the desired cup boundary. The method has been evaluated on 138 images comprising 33 normal and 105 glaucomatous images against three glaucoma experts. The obtained segmentation results show consistency in handling various geometric and photometric variations found across the dataset. The estimation error of the method for vertical cup-to-disk diameter ratio is 0.09 0.08 (mean standard deviation) while for cup-to-disk area ratio it is 0.12 0.10. Overall, the obtained qualitative and quantitative results show effectiveness in both segmentation and subsequent OD parameterization for glaucoma assessment. The automatic extraction of blood vessels in non-fluorescein eye fundus images is a tough task in applications such as diabetic retinopathy screening. However, vessel shapes have complex variations, and accurate modeling of retinal vascular structures is challenging. We have therefore developed a new approach to accurately extract blood vessels in non-fluorescein fundus images using an orientation-aware detector (OAD). The detector was designed according to the intrinsic property of vessels being locally oriented and having linearly elongated structures. We employ the OAD to extract vessel shapes with no assumptions on parametric orientations of vessel shapes. The orientations of vessels can be efficiently modeled by the energy distribution of Fourier transformation. Accordingly, both wide and thin vessels can be extracted with two-scale segmentation in which line operators are applied in large scale and the Gabor filter bank is applied in small scale. A post-processing technique, based on the path opening operation, is applied to eliminate false responses to nonvascular areas, such as retinal structures (optic disc and macula) and pathologies (exudates, hemorrhages,and microaneurysms). This makes the detector robust and structure-aware. By achieving a competitive CAL measurement of 80.82 for the DRIVE database and 68.94 for the STARE, the experimental results demonstrated that the OAD approach outperforms existing segmentation methods. Furthermore, the proposed approach effectively works with non-fluorescein fundus images and proves highly accurate and robust in complicated regions such as the central reflex, close vessels, and crossover points, despite a high level of illumination noise in the original data. An efficient optic disk localization and segmentation are important tasks in an automated retinal image analysis system. General-purpose edge detection algorithms often fail to segment the optic disk due to fuzzy boundaries, inconsistent image contrast or missing edge features. This paper presents a method to automatically locate and boundary detect of the optic disk. The detection procedure comprises two independent methodologies. On one hand, a location methodology obtains a pixel that belongs to the OD using iterative thresholding method followed by Principal Component Analysis techniques (PCA) and, on the other hand, a boundary segmentation methodology estimates the OD boundary by applying region-based active contour model in a variational level set formulation (RSF). The method uses an improved geometric active contour model which can not only solve the boundary leakage problem but also is less sensitive to intensity inhomogeneity The results from the RSF method were compared with conventional optic disk detection using a geometric active contour models (ACM) and later verified with hand-drawn ground truth. Results indicate 89 accuracy for identification and 95.05 average accuracy in localizing the optic disc boundary. Glaucoma is a chronic eye disease that leads to irreversible vision loss. The cup to disc ratio (CDR) plays an important role in the screening and diagnosis of glaucoma. Thus, the accurate and automatic segmentation of optic disc (OD) and optic cup (OC) from fundus images is a fundamental task. Most existing methods segment them separately, and rely on hand-crafted visual feature from fundus images. In this paper, we propose a deep learning architecture, named M-Net, which solves the OD and OC segmentation jointly in a one-stage multi-label system. The proposed M-Net mainly consists of multi-scale input layer, U-shape convolutional network, side-output layer, and multi-label loss function. The multi-scale input layer constructs an image pyramid to achieve multiple level receptive field sizes. The U-shape convolutional network is employed as the main body network structure to learn the rich hierarchical representation, while the side-output layer acts as an early classifier that produces a companion local prediction map for different scale layers. Finally, a multi-label loss function is proposed to generate the final segmentation map. For improving the segmentation performance further, we also introduce the polar transformation, which provides the representation of the original image in the polar coordinate system. The experiments show that our M-Net system achieves state-of-the-art OD and OC segmentation result on ORIGA data set. Simultaneously, the proposed method also obtains the satisfactory glaucoma screening performances with calculated CDR value on both ORIGA and SCES datasets.