- •Contents
- •1.1. Introduction to the Eye
- •1.2. The Anatomy of the Human Visual System
- •1.3. Neurons
- •1.4. Synapses
- •1.5. Vision — Sensory Transduction
- •1.6. Retinal Processing
- •1.7. Visual Processing in the Brain
- •1.8. Biological Vision and Computer Vision Algorithms
- •References
- •2.1. Introduction to Computational Methods for Feature Detection
- •2.2. Preprocessing Methods for Retinal Images
- •2.2.1. Illumination Effect Reduction
- •2.2.1.1. Non-linear brightness transform
- •2.2.2. Image Normalization and Enhancement
- •2.2.2.1. Color channel transformations
- •2.2.2.3. Local adaptive contrast enhancement
- •2.2.2.4. Histogram transformations
- •2.3. Segmentation Methods for Retinal Anatomy Detection and Localization
- •2.3.1. A Boundary Detection Methods
- •2.3.1.1. First-order difference operators
- •2.3.1.2. Second-order boundary detection
- •2.3.1.3. Canny edge detection
- •2.3.2. Edge Linkage Methods for Boundary Detection
- •2.3.2.1. Local neighborhood gradient thresholding
- •2.3.2.2. Morphological operations for edge link enhancement
- •2.3.2.3. Hough transform for edge linking
- •2.3.3. Thresholding for Image Segmentation
- •2.3.3.1. Segmentation with a single threshold
- •2.3.3.2. Multi-level thresholding
- •2.3.3.3. Windowed thresholding
- •2.3.4. Region-Based Methods for Image Segmentation
- •2.3.4.1. Region growing
- •2.3.4.2. Watershed segmentation
- •2.4.1. Statistical Features
- •2.4.1.1. Geometric descriptors
- •2.4.1.2. Texture features
- •2.4.1.3. Invariant moments
- •2.4.2. Data Transformations
- •2.4.2.1. Fourier descriptors
- •2.4.2.2. Principal component analysis (PCA)
- •2.4.3. Multiscale Features
- •2.4.3.1. Wavelet transform
- •2.4.3.2. Scale-space methods for feature extraction
- •2.5. Summary
- •References
- •3.1.1. EBM Process
- •3.1.2. Evidence-Based Medical Issues
- •3.1.3. Value-Based Evidence
- •3.2.1. Economic Evaluation
- •3.2.2. Decision Analysis Method
- •3.2.3. Advantages of Decision Analysis
- •3.2.4. Perspective in Decision Analysis
- •3.2.5. Decision Tree in Decision Analysis
- •3.3. Use of Information Technologies for Diagnosis in Ophthalmology
- •3.3.1. Data Mining in Ophthalmology
- •3.3.2. Graphical User Interface
- •3.4. Role of Computational System in Curing Disease of an Eye
- •3.4.1. Computational Decision Support System: Diabetic Retinopathy
- •3.4.1.1. Wavelet-based neural network23
- •3.4.1.2. Content-based image retrieval
- •3.4.2. Computational Decision Support System: Cataracts
- •3.4.2.2. K nearest neighbors
- •3.4.2.3. GUI of the system
- •3.4.3. Computational Decision Support System: Glaucoma
- •3.4.3.1. Using fuzzy logic
- •3.4.4. Computational Decision Support System: Blepharitis, Rosacea, Sjögren, and Dry Eyes
- •3.4.4.1. Utility of bleb imaging with anterior segment OCT in clinical decision making
- •3.4.4.2. Computational decision support system: RD
- •3.4.4.3. Role of computational system
- •3.4.5. Computational Decision Support System: Amblyopia
- •3.4.5.1. Role of computational decision support system in amblyopia
- •3.5. Conclusion
- •References
- •4.1. Introduction to Oxygen in the Retina
- •4.1.1. Microelectrode Methods
- •4.1.2. Phosphorescence Dye Method
- •4.1.3. Spectrographic Method
- •4.1.6. HSI Method
- •4.2. Experiment One
- •4.2.1. Methods and Materials
- •4.2.1.1. Animals
- •4.2.1.2. Systemic oxygen saturation
- •4.2.1.3. Intraocular pressure
- •4.2.1.4. Fundus camera
- •4.2.1.5. Hyperspectral imaging
- •4.2.1.6. Extraction of spectral curves
- •4.2.1.7. Mapping relative oxygen saturation
- •4.2.1.8. Relative saturation indices (RSIs)
- •4.2.2. Results
- •4.2.2.1. Spectral signatures
- •4.2.2.2. Oxygen breathing
- •4.2.2.3. Intraocular pressure
- •4.2.2.4. Responses to oxygen breathing
- •4.2.2.5. Responses to high IOP
- •4.2.3. Discussion
- •4.2.3.1. Pure oxygen breathing experiment
- •4.2.3.2. IOP perturbation experiment
- •4.2.3.3. Hyperspectral imaging
- •4.3. Experiment Two
- •4.3.1. Methods and Materials
- •4.3.1.1. Animals, anesthesia, blood pressure, and IOP perturbation
- •4.3.1.3. Spectral determinant of percentage oxygen saturation
- •4.3.1.5. Preparation and calibration of red blood cell suspensions
- •4.3.2. Results
- •4.3.2.2. Oxygen saturation of the ONH
- •4.3.3. Discussion
- •4.3.4. Conclusions
- •4.4. Experiment Three
- •4.4.1. Methods and Materials
- •4.4.1.1. Compliance testing
- •4.4.1.2. Hyperspectral imaging
- •4.4.1.3. Selection of ONH structures
- •4.4.1.4. Statistical methods
- •4.4.2. Results
- •4.4.2.1. Compliance testing
- •4.4.2.2. Blood spectra from ONH structures
- •4.4.2.3. Oxygen saturation of ONH structures
- •4.4.2.4. Oxygen saturation maps
- •4.4.3. Discussion
- •4.5. Experiment Four
- •4.5.1. Methods and Materials
- •4.5.2. Results
- •4.5.3. Discussion
- •4.6. Experiment Five
- •4.6.1. Methods and Materials
- •4.6.1.3. Automatic control point detection
- •4.6.1.4. Fused image optimization
- •4.7. Conclusion
- •References
- •5.1. Introduction to Thermography
- •5.2. Data Acquisition
- •5.3. Methods
- •5.3.1. Snake and GVF
- •5.3.2. Target Tracing Function and Genetic Algorithm
- •5.3.3. Locating Cornea
- •5.4. Results
- •5.5. Discussion
- •5.6. Conclusion
- •References
- •6.1. Introduction to Glaucoma
- •6.1.1. Glaucoma Types
- •6.1.1.1. Primary open-angle glaucoma
- •6.1.1.2. Angle-closure glaucoma
- •6.1.2. Diagnosis of Glaucoma
- •6.2. Materials and Methods
- •6.2.1. c/d Ratio
- •6.2.2. Measuring the Area of Blood Vessels
- •6.2.3. Measuring the ISNT Ratio
- •6.3. Results
- •6.4. Discussion
- •6.5. Conclusion
- •References
- •7.1. Introduction to Temperature Distribution
- •7.3. Mathematical Model
- •7.3.1. The Human Eye
- •7.3.2. The Eye Tumor
- •7.3.3. Governing Equations
- •7.3.4. Boundary Conditions
- •7.4. Material Properties
- •7.5. Numerical Scheme
- •7.5.1. Integro-Differential Equations
- •7.6. Results
- •7.6.1. Numerical Model
- •7.6.2. Case 1
- •7.6.3. Case 2
- •7.6.4. Discussion
- •7.7. Parametric Optimization
- •7.7.1. Analysis of Variance
- •7.7.2. Taguchi Method
- •7.7.3. Discussion
- •7.8. Concluding Remarks
- •References
- •8.1. Introduction to IR Thermography
- •8.2. Infrared Thermography and the Measured OST
- •8.3. The Acquisition of OST
- •8.3.1. Manual Measures
- •8.3.2. Semi-Automated and Fully Automated
- •8.4. Applications to Ocular Studies
- •8.4.1. On Ocular Physiologies
- •8.4.2. On Ocular Diseases and Surgery
- •8.5. Discussion
- •References
- •9.1. Introduction
- •9.1.1. Preprocessing
- •9.1.1.1. Shade correction
- •9.1.1.2. Hough transform
- •9.1.1.3. Top-hat transform
- •9.1.2. Image Segmentation
- •9.1.2.1. The region approach
- •9.1.2.2. The gradient-based method
- •9.1.2.3. Edge detection
- •9.1.2.3.2. The second-order derivative methods
- •9.1.2.3.3. The optimal edge detector
- •9.2. Image Registration
- •9.4. Automated, Integrated Image Analysis Systems
- •9.5. Conclusion
- •References
- •10.1. Introduction to Diabetic Retinopathy
- •10.2. Data Acquisition
- •10.3. Feature Extraction
- •10.3.1. Blood Vessel Detection
- •10.3.2. Exudates Detection
- •10.3.3. Hemorrhages Detection
- •10.3.4. Contrast
- •10.4.1. Backpropagation Algorithm
- •10.5. Results
- •10.6. Discussion
- •10.7. Conclusion
- •References
- •11.1. Related Studies
- •11.2.1. Encryption
- •11.3. Compression Technique
- •11.3.1. Huffman Coding
- •11.4. Error Control Coding
- •11.4.1. Hamming Codes
- •11.4.2. BCH Codes
- •11.4.3. Convolutional Codes
- •11.4.4. RS Codes14
- •11.4.5. Turbo Codes14
- •11.5. Results
- •11.5.1. Using Turbo Codes for Transmission of Retinal Fundus Image
- •11.6. Discussion
- •11.7. Conclusion
- •References
- •12.1. Introduction to Laser-Thermokeratoplasty (LTKP)
- •12.2. Characteristics of LTKP
- •12.3. Pulsed Laser
- •12.4. Continuous-Wave Laser
- •12.5. Mathematical Model
- •12.5.1. Model Description
- •12.5.2. Governing Equations
- •12.5.3. Initial-Boundary Conditions
- •12.6. Numerical Scheme
- •12.6.1. Integro-Differential Equation
- •12.7. Results
- •12.7.1. Pulsed Laser
- •12.7.2. Continuous-Wave Laser
- •12.7.3. Thermal Damage Assessment
- •12.8. Discussion
- •12.9. Concluding Remarks
- •References
- •13.1. Introduction to Optical Eye Modeling
- •13.1.1. Ocular Measurements for Optical Eye Modeling
- •13.1.1.1. Curvature, dimension, thickness, or distance parameters of ocular elements
- •13.1.1.2. Three-dimensional (3D) corneal topography
- •13.1.1.3. Crystalline lens parameters
- •13.1.1.4. Refractive index
- •13.1.1.5. Wavefront aberration
- •13.1.2. Eye Modeling Using Contemporary Optical Design Software
- •13.1.3. Optical Optimization and Merit Function
- •13.2. Personalized and Population-Based Eye Modeling
- •13.2.1. Customized Eye Modeling
- •13.2.1.1. Optimization to the refractive error
- •13.2.1.2. Optimization to the wavefront measurement
- •13.2.1.3. Tolerance analysis
- •13.2.2. Population-Based Eye Modeling
- •13.2.2.1. Accommodative eye modeling
- •13.2.2.2. Ametropic eye modeling
- •13.2.2.3. Modeling with consideration of ocular growth and aging
- •13.2.2.4. Modeling for disease development
- •13.2.3. Validation of Eye Models
- •13.2.3.1. Point spread function and modulation transfer function
- •13.2.3.2. Letter chart simulation
- •13.2.3.3. Night/day vision simulation
- •13.3. Other Modeling Considerations
- •13.3.1. Stiles Crawford Effect (SCE)
- •13.3.1.2. Other retinal properties
- •13.3.1.4. Optical opacity
- •13.4. Examples of Ophthalmic Simulations
- •13.4.1. Simulation of Retinoscopy Measurements with Eye Models
- •13.4.2. Simulation of PR
- •13.5. Conclusion
- •References
- •14.1. Network Infrastructure
- •14.1.1. System Requirements
- •14.1.2. Network Architecture Design
- •14.1.4. GUI Design
- •14.1.5. Performance Evaluation of the Network
- •14.2. Image Analysis
- •14.2.1. Vascular Tree Segmentation
- •14.2.2. Quality Assessment
- •14.2.3. ON Detection
- •14.2.4. Macula Localization
- •14.2.5. Lesion Segmentation
- •14.2.7. Patient Demographics and Statistical Outcomes
- •14.2.8. Disease State Assessment
- •14.2.9. Image QA
- •Acknowledgments
- •References
- •Index
Computational Methods for Feature Detection in Optical Images
background pixels:
D(x, y) |
= |
σN(x, y) |
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. |
(2.4) |
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The SA and SM values are the standard deviation and mean intensity for location (x, y) in neighborhood N, which is deemed part of the background. This method has also been recently implemented using a nonuniform sampling grid.5 The sampling points are chosen at nonuniform locations in the r and θ directions, with point density increasing with r.
2.2.2. Image Normalization and Enhancement
Like many other fields of imaging research, most retinal images must undergo transformations of color and/or intensity channels to enhance contrast for increased discrimination for further processing stages. Several methods achieve image enhancement, ranging from simple nonlinear spatial transformations as discussed in Sec. 2.2.1 to spectral analysis in the Fourier domain.8 The typical result of image normalization and enhancement operations is a change in the distribution of the image color/intensity probability density function (PDF) to increase the area of useful pixel values without significantly degrading the image. Several such methods that have been applied to retinal image research are described in detail below.
2.2.2.1. Color channel transformations
Due to the interand intra-image variability of retinal color brought on by factors such as age, camera, skin pigmentation, and iris color, color normalization is a necessary step in retinal image studies.1 A typical retinal fundus image will produce three M × N pixel matrices contributing to the red, green, and blue (RGB) color model based on the Cartesian coordinate system (Fig. 2.4).
A more intuitive model for human interpretation, HSI (hue, saturation, and intensity), decouples the intensity from color-carrying information. Transforming retinal images from the RGB model allow for the normalization of the intensity channel without changing color value information in hue and saturation levels, which has proven effective as a preprocessing step in the localization of the several retinal features.9 To convert an RGB
45
Michael Dessauer and Sumeet Dua
Fig. 2.4. RGB color cube used in three-channel retinal fundus imaging.
image (normalized to range [0, 1]) to HSI, the following series of equations employed each pixel location8:
Hue component: H |
= |
360 − θ |
if |
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B > G |
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θ |
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if |
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B ≤ G |
with |
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= |
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[(R − G)2 + (R − B)(G − B)] 2 |
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θ |
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cos−1 |
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21 |
[(R − G) + (R |
− B)] |
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, |
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1 |
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Saturation component: S = |
1 − |
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3 |
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[min(R, G, B)], and |
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(R |
+ |
G |
+ |
B) |
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1 |
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Intensity component: I = |
(R + G |
+ B). |
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3 |
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Using these equations, converted retinal intensity (I) images can be further enhanced to provide sharp retinal feature contrast for better segmentation and classification results (Fig. 2.6).
46
Computational Methods for Feature Detection in Optical Images
Fig. 2.5. (a) Example smoothing kernel, (b) image convolution at location I (2,2).
Fig. 2.6. Preprocessing steps of converting RGB to HSI, intensity smoothing, and adaptive local contrast enhancement outputs.
2.2.2.2. Image smoothing through spatial filtering
Spatial filters are used in the preprocessing stages to reduce noise and help connect edge and object regions by combining neighborhood pixels to
47
Michael Dessauer and Sumeet Dua
transform central pixel intensity or color value. The Gaussian kernel g(x, y) is formalized as10:
g(x, y) = |
2πσ2 e− |
2σ2 |
, |
(2.5) |
|
|
1 |
|
x2+y2 |
|
|
where σ determines the width of the kernel. A smoothing mask or kernel is a matrix of coefficients (usually rectangular or circular) that is convolved with an image. The coefficients increase toward the center of the kernel to give larger weight to the pixel locations closest to the central pixel of the passing image window. An example of a smoothing filter is provided below along with the convolution summation.
G = w1 I(1,1) + w2 I(1,2) + · · · + w9 I(3,3) |
(2.6) |
3 3 |
|
|
|
= wi Ii. |
(2.7) |
i=1
Performing smoothing operations on an image will reduce sharp transitions, which can lead to loss of edge information. Experimentation with best size and distribution of smoothing coefficients is required to find the best results for a particular image. A Gaussian smoothing function has been implemented to reduce noise in Ref. [8] to ensure that subsequent contrast enhancement does not amplify noisy data (Fig. 2.6).
2.2.2.3. Local adaptive contrast enhancement
In the image processing community, “contrast” describes the amount of variation that occurs within segments of an image. Although noisy images can contain high contrast, images with high levels of contrast between anatomical regions allow for more discrimination in the segmentation stage. Locally adaptive methods can provide enhanced contrast using statistics in a local neighborhood, which use information from pixels in similar regions. We describe a locally adaptive contrast enhancement method that has been successfully implemented on retinal images.11 For an image f , consider a sub-image W of size M × M centered at about (i, j). Denote the mean and standard deviation of the intensity image within W by f W and σW(f). We will find a point transformation dependent on W , so that a local intensity distribution will spread across the intensity range. W is found to be large
48
