Skip to main content

Advertisement

Log in

Detection of exudates from clinical fundus images using machine learning algorithms in diabetic maculopathy

  • Original Article
  • Published:
International Journal of Diabetes in Developing Countries Aims and scope Submit manuscript

Abstract

Purpose of the study

As per the estimation of the World Health Organization, around 400,000,000 people may be affected by diabetes in the year 2014. It is rapidly increasing double by the upcoming year 2030. Diabetic mellitus, also called diabetes, can cause critical issues of retinal disease such as diabetic retinopathy (DR) which causes blindness. Exudates are considered as the major sign of diabetic maculopathy (DM) which may lead to visual disturbances.

Methods

The main purpose is to develop a computer-aided technique for the detection of hard exudates to assist in the diagnosis of DR. It mainly focuses on the identification on the yellow lipids that include hard exudates. The diseased retinal image is given as an input to the classifier; it produces the output as exudates or non-exudates. In the proposed work, the classifier such as support vector machine and multilayer perceptron are used to find out the accurate prediction of exudates and non-exudates. First, the fundus images are allowed to preprocessing technique to get the filtered, contrast enhanced image. Second, the features such as blood vessel segmentation implements morphological operation for the detection of hard exudates by measuring the size of the lesion, and optic disc (OD) is measured and eliminated by comparing the parameters with the size of the lesions. Third, the segmented images are given as an input to the classifier such as SVM and MLP; it classifies and given as an output about the presence or absence of the exudates. In the proposed work, the experimental tests are carried out, and the results are verified on a different set of images.

Results

The average accuracy values obtained using SVM and MLP classifiers for 140 images from real-time databases collected from Aravind Eye Hospital, Coimbatore are 88% and 95% respectively.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8
Fig. 9
Fig. 10
Fig. 11
Fig. 12

Similar content being viewed by others

Data availability and material

NIL

Code availability

NIL.

Abbreviations

DR:

Diabetic retinopathy

DM:

Diabetic maculopathy

OD:

Optic disc

DME:

Diabetic macular edema

HE:

Hard exudates

OCT:

Optical coherence tomography

NPDR :

Non-proliferative diabetic retinopathy

PDR:

Proliferative diabetic retinopathy

ME:

Macular edema

MS:

Microaneurysms

HR:

Hemorrhages

Ex:

Exudates

HE:

Hard exudates

FOV:

Field of view

RBF:

Radial basis function

CLAHE:

Contrast limited adaptive histogram Equalization

SVM:

Support vector machine

MLP:

Multilayer perceptron

FFNN:

Feed forward neural network

References

  1. Singer DE, Natham DM, Fogel HA, Schachat AP. Screening for diabetic retinopathy. Ann Intern Med. 1992;116(8):660–71.

    Article  CAS  PubMed  Google Scholar 

  2. Akram MU, Tariq A, Khan SA, Javed MY. Automated detection of exudates and macula for grading of diabetic macular edema. Comput Methods Programs Biomed. 2014;114(2):141–52.

    Article  PubMed  Google Scholar 

  3. Zhang X, Thibault G, Decenciere E, Marcotegui B, Läy B, Danno R, Cazuguel G, Quellec G, Lamard M, Massin P, et al. Exudate detection in colorretinal images for mass screening of diabetic retinopathy. Med Image Anal. 2014;18(7):1026–43.

    Article  PubMed  Google Scholar 

  4. Jaya T, Dheeba J, Singh NA. Detection of hard exudates in colour fundus images using fuzzy support vector machine-based expert system. J Digit Imaging. 2015;28(6):761–8.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  5. Nazir Tahira, Irtaza Aun, Shabbir Zain, Javed Ali, Akram Usman, Mahmood Muhammad Tariq. Diabetic retinopathy detection through novel tetragonal local octa patterns and extreme learning machines. Artif Intell Med. 2019;99:101695. https://doi.org/10.1016/j.artmed.2019.07.003.

    Article  PubMed  Google Scholar 

  6. Tang Li, Niemeijer Meindert, Reinhardt Joseph M, Garvin Mona K, Abramoff Michael D. Splat feature classification with application to retinal hemorrhage detection in fundus images. IEEE Trans Med Imaging. 2013;32(2):364–75. https://doi.org/10.1109/TMI.2012.2227119.

    Article  PubMed  Google Scholar 

  7. Gandhi, Mahendran, Dhanasekaran R. Diagnosis of diabetic retinopathy using morphological process and SVM classifier. In: International Conference on Communications and Signal Processing (ICCSP), p. 873–877. 2013.

  8. Sangeethaa SN, Uma Maheswari P. An intelligent model for blood vessel segmentation in diagnosing DR using CNN. J Med Syst. 2018;42:175. https://doi.org/10.1007/s10916-018-1030-6.

    Article  CAS  PubMed  Google Scholar 

  9. Deepak KS, Sivaswamy J. Automatic assessment of macular edema from color retinal images. IEEE Tran Med Imaging. 2012;31(3):766–76.

    Article  Google Scholar 

  10. Ranamuka NG, Meegama RGN. Detection of hard exudates from diabetic retinopathy images using fuzzy logic, image processing. IET. 2013;7(2):121–30.

    Google Scholar 

  11. Chowdhury AR, Banerjee S. Detection of cotton wool spots from retinal images using fuzzy C means. Int J Comput Appl (0975- 8887). 2015;113(11):14–7.

    Google Scholar 

  12. Garca M, Valverde C, Lpez MI, Poza J, Hornero R. Comparison of logistic regression and neural network classifiers in the detection of hard exudates in retinal images, 35th Annual International Conference on Engineering in Medicine and Biology Society (EMBC), pp. 5891–5894. 2013.

  13. Zubair M, Yamin A, Khan S. Automated detection of optic disc for the analysis of retina using color fundus image, IEEE International Conference on Imaging Systems and Techniques. 2013;239–242

  14. Irshad S, Akram M, Salman M, Yasin U. Automated detection of cotton wool spots for the diagnosis of hypertensive retinopathy, 7th Cairo International Biomedical Engineering Conference, December 11–13, 2014.

  15. Wan S, Liang Y, Zhang Y. Deep convolutional neural networks for diabetic retinopathy detection by image classification. Comput Electr Eng. 2018;72:274–82.

    Article  Google Scholar 

  16. Salamat Nadeem, SaadMissen Malik M, Rashid A. Diabetic retinopathy techniques in retinal images: a review”. Artif Intell Med. 2019;97:168–88.

    Article  PubMed  Google Scholar 

  17. Zhang Wei, Zhong Jie, Yang Shijun, Gao Zhentao, Junjie Hu, Chen Yuanyuan, Yi Zhang. Automated identification and grading system of diabetic retinopathy using deep neural networks”. Knowledge-Based Syst. 2019;175:12–25.

    Article  Google Scholar 

  18. Galshetwar GM, Waghmare LM, Gonde AB, Murala S. Edgy salient local binary patterns in inter-plane relationship for image retrieval in diabetic retinopathy. Proc Comput Sci. 2017;115:440–7.

    Article  Google Scholar 

  19. Farokhian F, Yang C, Demirel H, Shuicai Wu, Beheshti I. Automatic parameters selection of Gabor filters with the imperialism competitive algorithm with application to retinal vessel segmentation. Biocybern Biomed Eng. 2017;37(1):246–54.

    Article  Google Scholar 

  20. Annunziata R, Garzelli A, Ballerini L, Mecocci A, Trucco E. Leveraging multiscale hessian-based enhancement with a novel exudate inpainting technique for retinal vessel segmentation. IEEE J Biomed Health Inform. 2016;20(4):1129–38.

    Article  PubMed  Google Scholar 

  21. Xu X, Lee K, Zhang L, Sonka M, Abramoff MD. Stratified sampling voxel classification for segmentation of intraretinal and subretinal fluid in longitudinal clinical OCT data. IEEE Trans Med Imaging. 2015;34(7):1616–23.

    Article  PubMed Central  Google Scholar 

  22. Peto T, Tadros C. Screening for diabetic retinopathy and diabetic macular edema in the United Kingdom. Curr Diab Rep. 2012;12(4):338–45.

    Article  PubMed  Google Scholar 

  23. Jia Y, Shelhamer E, Donahue J, Karayev S, Long J, Girshick R, Guadarrama S, Darrell T. Caffe: convolutional architecture for fast feature embedding. arXiv preprint arXiv:1408.5093, 2014.

  24. Li H, Chutatape O. Automated feature extraction in color retinal images by a model-based approach. IEEE Trans Biomed Eng. 2004;51(2):246–54.

    Article  PubMed  Google Scholar 

  25. Osareh A, Mirmehdi M, Thomas B, et al. Comparison of colour spaces for optic disc localisation in retinal images. In: 16th International Conference on Pattern Recognition 2002:743–6.

Download references

Author information

Authors and Affiliations

Authors

Contributions

NIL.

Corresponding author

Correspondence to S. N. Sangeethaa.

Ethics declarations

Competing interests

The authors declare no competing interests.

Additional information

Publisher's note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Sangeethaa, S.N., Jothimani, S. Detection of exudates from clinical fundus images using machine learning algorithms in diabetic maculopathy. Int J Diabetes Dev Ctries 43, 25–35 (2023). https://doi.org/10.1007/s13410-021-01039-y

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s13410-021-01039-y

Keywords

Navigation