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Deep-learning-based automatic computer-aided diagnosis system for diabetic retinopathy

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Abstract

The high-pace rise in advanced computing and imaging systems has given rise to a new research dimension called computer-aided diagnosis (CAD) system for various biomedical purposes. CAD-based diabetic retinopathy (DR) can be of paramount significance to enable early disease detection and diagnosis decision. Considering the robustness of deep neural networks (DNNs) to solve highly intricate classification problems, in this paper, AlexNet DNN, which functions on the basis of convolutional neural network (CNN), has been applied to enable an optimal DR CAD solution. The DR model applies a multilevel optimization measure that incorporates pre-processing, adaptive-learning-based Gaussian mixture model (GMM)-based concept region segmentation, connected component-analysis-based region of interest (ROI) localization, AlexNet DNN-based highly dimensional feature extraction, principle component analysis (PCA)- and linear discriminant analysis (LDA)-based feature selection, and support-vector-machine-based classification to ensure optimal five-class DR classification. The simulation results with standard KAGGLE fundus datasets reveal that the proposed AlexNet DNN-based DR exhibits a better performance with LDA feature selection, where it exhibits a DR classification accuracy of 97.93% with FC7 features, whereas with PCA, it shows 95.26% accuracy. Comparative analysis with spatial invariant feature transform (SIFT) technique (accuracy—94.40%) based DR feature extraction also confirms that AlexNet DNN-based DR outperforms SIFT-based DR.

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References

  1. Early Treatment Diabetic Retinopathy Study Research Group. Grading diabetic retinopathy from stereoscopic color fundus photographs—an extension of the modified Airlie House classification. ETDRS report number 10. Ophthalmol. 1991; 98:786–806.

  2. Philip S, Fleming AD, Goatman KA, Fonseca S, Mcnamee P, Scotland GS. The efficacy of automated disease/no disease grading for diabetic retinopathy in a systematic screening programme. Br J Ophthalmol. 2007;91(11):1512–7.

    Article  Google Scholar 

  3. Fleming AD, Philip S, Goatman KA, Prescott GJ, Sharp PF, Olson JA. The evidence for automated grading in diabetic retinopathy screening. Curr Diabetes Rev. 2011;7:246–52.

    Article  Google Scholar 

  4. Mookiah MRK, Acharya UR, Chua CK, Lim CM, Ng E, Laude A. Computer-aided diagnosis of diabetic retinopathy: a review. Comput Biol Med. 2013;43(12):2136–55.

    Article  Google Scholar 

  5. Fukushima K. Neocognitron: a self-organizing neural network model for a mechanism of pattern recognition una_ected by shift in position. Biol Cybern. 1980;36(4):193–202.

    Article  MathSciNet  MATH  Google Scholar 

  6. Cun YL, Boser B, Denker JS, Howard RE, Habbard W, Jackel LD. Advances in neural information processing systems 2. Citeseer. ISBN 1-55860-100-7; 1990. pp. 396–404.

  7. Srivastava N, Hinton G, Krizhevsky A, Sutskever I, Salakhutdinov R. Dropout: a simple way to prevent neural networks from overfitting. J Mach Learn Res. 2014;15(1):1929–58.

    MathSciNet  MATH  Google Scholar 

  8. Nair V, Hinton GE. Rectified linear units improve restricted boltzmann machines. In: Proceedings of the 27th international conference on machine learning (ICML-10). 2010. pp. 807–814.

  9. Ioffe S, Szegedy C. Batch normalization: accelerating deep network training by reducing internal covariate shift. 2015; URL: arXiv:1502.03167.

  10. He K, Zhang X, Ren S, Sun J. Deep residual learning for image recognition. 2015; URL: arXiv:1512.03385.

  11. Prasad DK, Vibha L, Venugopal KR. Early detection of diabetic retinopathy from digital retinal fundus images. In: 2015 IEEE recent advances in intelligent computational systems (RAICS), Trivandrum; 2015. pp. 240–5.

  12. Bhatkar AP, Kharat GU. Detection of diabetic retinopathy in retinal images using MLP classifier. In: 2015 IEEE international symposium on nanoelectronic and information systems, Indore; 2015. pp. 331–5.

  13. Elbalaoui A, Boutaounte M, Faouzi H, Fakir M, Merbouha A. Segmentation and detection of diabetic retinopathy exudates. In: 2014 international conference on multimedia computing and systems (ICMCS), Marrakech; 2014. pp. 171–8.

  14. Raman V, Then P, Sumari P. Proposed retinal abnormality detection and classification approach: computer aided detection for diabetic retinopathy by machine learning approaches. In: 2016 8th IEEE international conference on communication software and networks (ICCSN), Beijing, China; 2016. pp. 636–41.

  15. Kaur A, Kaur P. An integrated approach for Diabetic Retinopathy exudate segmentation by using Genetic Algorithm and Switching Median Filter. In: 2016 international conference on image, vision and computing (ICIVC), Portsmouth; 2016. pp. 119–23.

  16. ManojKumar SB, Manjunath R, Sheshadri HS. Feature extraction from the fundus images for the diagnosis of diabetic retinopathy. In: 2015 international conference on emerging research in electronics, computer science and technology (ICERECT), Mandya; 2015. pp. 240–5.

  17. Jahiruzzaman M, Hossain ABMA. Detection and classification of diabetic retinopathy using K-means clustering and fuzzy logic. In: 2015 18th international conference on computer and information technology (ICCIT), Dhaka; 2015. pp. 534–8.

  18. Wijesinghe A, Kodikara ND, Sandaruwan D. Autogenous diabetic retinopathy censor for ophthalmologists—AKSHI. In: 2016 IEEE international conference on control and robotics engineering (ICCRE), Singapore; 2016. pp. 1–10.

  19. Sri RM, Rajesh V. Early detection of diabetic retinopathy from retinal fundus images using eigen value analysis. In: 2015 international conference on control, instrumentation, communication and computational technologies (ICCICCT), Kumaracoil; 2015. pp. 766–9.

  20. Seoud L, Hurtut T, Chelbi J, Cheriet F, Langlois JMP. Red lesion detection using dynamic shape features for diabetic retinopathy screening. IEEE Trans Med Imaging. 2016;35(4):1116–26.

    Article  Google Scholar 

  21. Mudigonda S, Oloumi F, Katta KM, Rangayyan RM. Fractal analysis of neovascularization due to diabetic retinopathy in retinal fundus images. In: E-health and bioengineering conference (EHB), 2015, Iasi; 2015. pp. 1–4.

  22. Gandhi M, Dhanasekaran R. Investigation of severity of diabetic retinopathy by detecting exudates with respect to macula. In: 2015 international conference on communications and signal processing (ICCSP), Melmaruvathur; 2015, pp. 0724–9.

  23. Bernabeu MO, Lu Y, Lammer J, Aiello LP, Coveney PV, Sun JK. Characterization of parafoveal hemodynamics associated with diabetic retinopathy with adaptive optics scanning laser ophthalmoscopy and computational fluid dynamics. In 2015 37th annual international conference of the IEEE engineering in medicine and biology society (EMBC), Milan; 2015. pp. 8070–3.

  24. Leontidis G, Al-Diri B, Wigdahl J, Hunter A. Evaluation of geometric features as biomarkers of diabetic retinopathy for characterizing the retinal vascular changes during the progression of diabetes. In: 2015 37th annual international conference of the IEEE engineering in medicine and biology society (EMBC), Milan; 2015. pp. 5255–9.

  25. Kuri SK. Automatic diabetic retinopathy detection using OMFR with minimum cross entropy threshold. In: 2015 international conference on electrical engineering and information communication technology (ICEEICT), Dhaka; 2015. pp. 1–6.

  26. Bharali P, Medhi JP, Nirmala SR. Detection of hemorrhages in diabetic retinopathy analysis using color fundus images. In: 2015 IEEE 2nd international conference on recent trends in information systems (ReTIS), Kolkata; 2015. pp. 237–42.

  27. Lachure J, Deorankar AV, Lachure S, Gupta S, Jadhav R. Diabetic retinopathy using morphological operations and machine learning. In: 2015 IEEE international advance computing conference (IACC), Banglore; 2015. pp. 617–22.

  28. Alver S, Ay S, Tetik YE. A novel approach for the detection of diabetic retinopathy disease. In: 2015 23rd signal processing and communications applications conference (SIU), Malatya; 2015. pp. 1401–4.

  29. Rao MA, Lamani D, Bhandarkar R, Manjunath TC. Automated detection of diabetic retinopathy through image feature extraction. In: 2014 international conference on advances in electronics, computers and communications (ICAECC), Bangalore; 2014. pp. 1–6.

  30. Du N, Li Y. Automated identification of diabetic retinopathy stages using support vector machine. In: 2013 32nd Chinese control conference (CCC), Xi’an; 2013. pp. 3882–6. .

  31. Gandhi M, Dhanasekaran R. Diagnosis of diabetic retinopathy using morphological process and SVM classifier. In: 2013 international conference on communications and signal processing (ICCSP), Melmaruvathur; 2013. pp. 873–7.

  32. Adarsh P, Jeyakumari D. Multiclass SVM-based automated diagnosis of diabetic retinopathy. In: 2013 international conference on communications and signal processing (ICCSP), Melmaruvathur; 2013. pp. 206–10.

  33. Adarsh P, Jeyakumari D. Multiclass svm-based automated diagnosis of diabetic retinopathy. In: 2013 international conference on communications and signal processing (ICCSP). IEEE; 2013. pp. 206–10.

  34. Gardner G, Keating D, Williamson T, Elliott A. Automatic detection of diabetic retinopathy using an artificial neural network: a screening too. Br J Ophthalmol. 1996;80(11):940–4.

    Article  Google Scholar 

  35. Nayak J, Bhat PS, Acharya R, Lim C, Kagathi M. Automated identification of diabetic retinopathy stages using digital fundus images. J Med Syst. 2008;32(2):107–15.

    Article  Google Scholar 

  36. https://www.kaggle.com/c/diabetic-retinopathy-detection/data.

  37. http://www.it.lut.fi/project/imageret/diaretdb1/#DATA.

  38. https://archive.ics.uci.edu/ml/datasets/Diabetic+Retinopathy+Debrecen+Data+Set.

  39. http://www.rodrep.com/data-sets.html.

  40. Antal B, Hajdu A. An ensemble-based system for microaneurysm detection and diabetic retinopathy grading. IEEE Trans Biomed Eng. 2012;59(6):1720–26.

  41. Zuiderveld K. Contrast limited adaptive histogram equalization. In: Graphics gems IV, Academic Press Professional, Inc., 1994. pp. 474–85.

  42. Abdelazeem S. Microaneurysm detection using vessel removal and circular Hough transform. In: Proceedings of the nineteenth National radio science conference; 2002. pp. 421–6.

  43. Stauffer C, Grimson WEL. Adaptive background mixture models for real-time tracking. In Proceedings of IEEE conference on computer vision and pattern recognition, 1999; vol. 2, pp. 246–52.

  44. Lee DS. Effective Gaussian mixture learning for video background subtraction. IEEE Trans Pattern Anal Mach Intell. 2005;27(5):827–32.

    Article  Google Scholar 

  45. Yosinski J, Clune J, Bengio Y, Lipson H. How transferable are features in deep neural networks?. In: Advances in neural information processing systems; 2014. pp. 3320–8.

  46. Krizhevsky A, Sutskever I, Hinton GE. Imagenet classification with deep convolutional neural networks. In: Advances in neural information processing systems; 2012. pp. 1097–105.

  47. Razavian AS, Azizpour H, Sullivan J, Carlsson S. Cnn features off-the-shelf: an astounding baseline for recognition. 2014. arXiv preprint arXiv:1403.6382.

  48. Jia Y et al. Caffe: convolutional architecture for fast feature embedding. In: Proceedings of the ACM international conference on multimedia. ACM; 2014. pp. 675–8.

  49. Priya R, Aruna P. SVM and neural network based diagnosis of diabetic retinopathy. Int J Comput Appl. 2012;41(1):6–12.

  50. Singh N, Chandra R. Automated early detection of diabetic retinopathy using image analysis techniques. Int J Comput Appl. 2010;8:18–23.

    Google Scholar 

  51. Haloi M. Improved microaneurysm detection using deep neural networks. Cornel University Library; 2015.

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Correspondence to Romany F. Mansour.

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Mansour, R.F. Deep-learning-based automatic computer-aided diagnosis system for diabetic retinopathy. Biomed. Eng. Lett. 8, 41–57 (2018). https://doi.org/10.1007/s13534-017-0047-y

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