- •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
Jen-Hong Tan et al.
identify a cornea with an accuracy of roughly 84%. This accuracy can be further improved by incorporating factors, such as the complexity of facial surface temperature due to aging and epicanthic fold, into target-tracing function.
References
1.Meola, C. and Carlomagno, G.M. Recent advances in the use of infrared thermography.
Meas Sci Technol 15:R27–R58, 2004.
2.Pavlidis, I. and Levine, J. Thermal image analysis for polygraph testing. IEEE Eng Med Biol Mag 21:56–64, 2002.
3.Cehlin, M., Moshfegh, B. and Sandberg, M. Visualization and measuring of air temperatures based on infrared thermography. Proc 7th Int Conf Air Distribution in Rooms ROOMVENT, Reading, UK, 2000.
4.Wisniewski, M., Lindow, S., and Ashworth, E. Observations of ice nucleation and propagation in plants using infrared video thermography. Plant Physiol 113:327–334, 1997.
5.Ng, E.Y.K. and Chen, Y. Segmentation of breast thermogram: improved boundary detection with modified snake algorithm. J Mech Med Biol 6:123–136, 2006.
6.Ng, E.Y.K., Tan, J.H., Ooi, E.H., Chee, C., and Acharya, U.R. Variations of ocular surface temperature with different age groups. Image Modeling of Human Eye Artech House, 2008.
7.Hooshmand, H., Hashmi, M., and Phillips, E.M. Infrared thermal imaging as a tool in pain management an 11 year study: I. Thermology International 11:53–65, 2001.
8.Hooshmand, H., Hashmi, M., and Phillips, E.M. Infrared thermal imaging as a tool in pain management an 11 year study: II clinical applications. Thermology International 11:119–129, 2007.
9.Merla, A., Romani, G.L., Tangherlini, A., Romualdo, S.D., Proietti, M., Rosato, E., Aversa,A., and Salsano, F. Penile cutaneous temperature in systemic sclerosis: a thermal imaging study. Int J Immunopathol Pharmacol 20:139–144, 2007.
10.Helmy, A., Holdmann, M., and Rizkalla, M. Application of thermography for noninvasive diagnosis of thyroid gland disease. IEEE Trans Biomed Eng 55:1168–1175, 2008.
11.Tan, J.H., Ng, E.Y.K., Rajendra, A.U., and Chee, C. Infrared thermography on ocular surface temperature: a review. Infrared Physics & Technology, 2009.
12.Efron, N.,Young, G., and Brennan, N. Ocular surface temperature. Curr Eye Res 8:901– 906, 1989.
13.Rosenbluth, R.F. and Fatt, I. Temperature measurements in the eye. Exp Eye Res 25:325– 341, 1977.
14.Purslow, C. and Wolffsohn, J.S. The relation between physical properties of the anterior eye and ocular surface temperature. Optom Vis Sci 84:197–201, 2007.
15.Morgan, P.B., Soh, M.P., Efron, N., and Tullo, A.B. Potential applications of ocular thermography. Optom Vis Sci 70:568–576, 1993.
204
Automated Localization of Eye and Cornea
16.Morgan, P.B., Soh, M.P., and Efron, N. Corneal surface temperature decrease with age.
Cont Lens Anterior Eye 22:11–13, 1999.
17.Stefanie, P.B. Thermotopography Shows ‘Enormous Promise’ for Diagnosis and Treatment of Eye Diseases.
18.Morgan, P.B., Tullo, A.B., and Efron, N. Infrared thermography of the tear film in dry eye. Eye 9:615–618, 1995.
19.Tullo, A.B., Cardona, G., Morgan, P.B., and Efron, N. Ocular and facial thermography in herpes zoster ophthalmicus and post-herpetic neuralgia. Invest Ophthalmol Vis Sci 37:S49, 1996.
20.Galassi, F., Giambene, B., Corvi, A., and Falaschi, G. Evaluation of ocular surface temperature and retrobulbar haemodynamics by infrared thermography and colour Doppler imaging in patients with glaucoma. Br J Ophthalmol 91:878–881, 2007.
21.Sodi, A.A., Giambene, B.A.D., Falaschi, G.B., Caputo, R.C., Innocenti, B.B., Corvi, A.B., and Menchini, U.A. Ocular surface temperature in central retinal vein occlusion: preliminary data. Eur J Ophthalmol 17:755–759, 2007.
22.Morgan, P.B., Smyth, J.V., Tullo, A.B., and Efron, N. Ocular temperature in carotid artery stenosis. Optom Vis Sci 72:850–854, 1999.
23.Galassi, F., Giambene, B., Corvi, A., Falaschi, G., and Menchini, U. Retrobulbar hemodynamics and corneal surface temperature in glaucoma surgery, Int Ophthalmol 28:399–405, 2008.
24.Murphy, P.J., Morgan, P.B., Patel, S., and Marshall, J. Corneal surface temperature change as the mode of stimulation of the non-contact corneal aesthesiometer. Cornea 18:333–342, 1999.
25.Betney, S., Morgan, P.B., Doyle, S.J., and Efron, N. Corneal temperature changes during photorefractive keratectomy. Cornea 16:158–161, 1997.
26.Mori,A., Oguchi,Y., Okusawa,Y., Ono, M., Fujishima, H., and Tsubota, K. Use of highspeed, high-resolution thermography to evaluate the tear film layer. Am J Ophthalmol 124:729–735, 1997.
27.Chiang, H.K., Chen, C.Y., Cheng, H.Y., Chen, K.-H., and Chang, D.O. Development of infrared thermal imager for dry eye diagnosis. Proceedings of SPIE — The International Society for Optical Engineering, San Diego, CA, USA, 2006.
28.Acharya, U.R., Ng, E.Y.K., Gerk, C.Y., and Tan, J.H. Analysis of normal human eye with different age groups using infrared images. J Med Syst 33:207–213, 2008.
29.Tan, J.H., Ng, E.Y.K., and Rajendra, A.U. Automated detection of eye and cornea on infrared thermogram using snake and target tracing function coupled with genetic algorithm. Quantitative Infrared Thermography International Journal, 2009.
30.Tan, J.H., Ng, E.Y.K., and Rajendra, A.U. Automated detection of eye and cornea on infrared thermogram using snake and target tracing function coupled with genetic algorithm. Quantitative Infrared Thermography International Journal 6:21–36, 2009.
31.Tan, J.H., Ng, E.Y.K., and Rajendra,A.U. Detection of eye and cornea on IR thermogram using genetic snake algorithm. 9th International Conference on Quantitative Infrared Thermography, Krakow, Poland, pp. 143–150, 2008.
32.Kass, M., Witkin, A., and Terzopoulos, D. Snakes: active contour models. Int J Comput Vis 321–331, 1988.
33.Xu, C. and Prince, J.L. Snakes, shapes, and gradient vector flow. IEEE Trans Image Process 7:359–369, 1998.
205
Jen-Hong Tan et al.
34.Asteriadis, S., Nikolaidis, N., Hajdu, A., and Pitas, I. A novel eye-detection algorithm utilizing edge-related geometrical information. 14th European Signal Processing Conference (EUSIPCO06), Florence, Italy, 2006.
35.Feng, G.C. andYuen, P.C. Variance projection function and its application to eye detection for human face recognition. Pattern Recognit Lett 19:899–906, 1998.
36.Feng, G.C. and Yuen, P.C. Multi-cues eye detection on gray intensity image. Pattern Recognit 34:1033–1046, 2001.
37.Jee, H., Lee, K., and Pan, S. Eye and face detection using SVM. Proceedings of Intelligent Sensors, Sensor Networks and Information Processing Conference, pp. 577–580, 2004.
38.Khosravi, M.H. and Safabakhsh, R. Human eye sclera detection and tracking using a modified time-adaptive self-organizing map. Pattern Recognit 41:2571–2593, 2008.
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Chapter 6
Automatic Diagnosis
of Glaucoma Using Digital
Fundus Images
Rajendra Acharya, U. , Oliver Faust , Zhu Kuanyi , Tan Mei Xiu Irene , Boo Maggie , Sumeet Dua†, Tan Jen Hong‡ and Ng, E.Y.K.‡
Glaucoma is a progressive optic neuropathy that is caused by an increase of intraocular pressure (IOP) in eye. It mainly affects the optic disc by enlarging the cup size. If undiagnosed and not treated at an early stage, it can lead to blindness. Glaucoma is diagnosed through optical coherence tomography (OCT) and Heidelberg retinal tomography (HRT) and both methods are expensive. In this chapter, we present an improved method to diagnose glaucoma based on digital fundus images. This method makes use of digital image-processing techniques, such as preprocessing, image segmentation, and morphological operations, to detect both optic disc and blood vessels tree. Furthermore, these techniques are used to extract features such as cup- to-disc (c/d) ratio, blood vessels area, and the ratio that relates the blood vessels area in both inferior and superior sides to the blood vessel area in the nasal-temporal side. We validated these features with a Gaussian mixture model (GMM) classification system. This system was used to classify normal and glaucoma images. It identifies glaucoma with a sensitivity of 77% and a specificity of 88%.
Department of ECE, Ngee Ann Polytechnic, Singapore.
†Department of Computer Science, Louisiana Tech University, Ruston, LA 71272, USA.
‡Department of Mechanical and Aerospace Engineering Nanyang Technological University, Singapore.
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