Abstract

Diabetic retinopathy (DR) and glaucoma are common eye diseases that affect a blood vessel in the retina and are two of the leading causes of vision loss around the world. Glaucoma is a common eye condition where the optic nerve that connects the eye to the brain becomes damaged, whereas DR is a complication of diabetes caused by high blood sugar levels damaging the back of the eye. In order to produce an accurate and early diagnosis, an extremely high number of retinal images needs to be processed. Given the required computational complexity of image processing algorithms and the need for high-performance architectures, this paper proposes and demonstrates the use of fully parallel field programmable gate arrays (FPGAs) to overcome the burden of real-time computing in conventional software architectures. The experimental results achieved through software implementation were validated on an FPGA device. The results showed a remarkable improvement in terms of computational speed and power consumption. This paper presents various preprocessing methods to analyse fundus images, which can serve as a diagnostic tool for detection of glaucoma and diabetic retinopathy. In the proposed adaptive thresholding-based preprocessing method, features were selected by calculating the area of the segmented optic disk, which was further classified using a feedforward neural network (NN). The analysis was carried out using feature extraction through existing methodologies such as adaptive thresholding, histogram and wavelet transform. Results obtained through these methods were quantified to obtain optimum performance in terms of classification accuracy. The proposed hardware implementation outperforms existing methods and offers a significant improvement in terms of computational speed and power consumption.

Highlights

  • Healthcare engineering plays an important role in improving the quality of human life

  • Out of the three preprocessing techniques implemented for the classification of glaucoma, diabetic retinopathy (DR) and healthy images, the datasets formulated using the method with adaptive thresholding gave the best overall accuracy

  • The hardware design was physically downloaded onto the field programmable gate arrays (FPGAs) device, whereas the output pin from the board was connected to an LED on a breadboard

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Summary

Introduction

Healthcare engineering plays an important role in improving the quality of human life. Glaucoma and diabetic retinopathy (DR) are two of the serious and widespread eye-related diseases. It was reported that by 2030, people with diabetes will be 82 million in developing countries and 48 million in developed countries. If untreated, DR, which exists in diabetic patients, could lead to blindness in elderly people all over the world, whereas glaucoma, a chronic disease that affects the optic nerve, is the second major cause of blindness leading to loss in the visual field that eventually leads to permanent blindness [2,3]. The symptoms of DR, including floating spots in the vision, blurred vision and sudden loss of vision, could appear. In DR, the blood vessels in the retina are eventually affected, and vision is lost. The main signs of DR are microaneurysms (MAs), hard exudates, haemorrhage, cotton–wool spots, macular oedema, venous loops and venous beading [4], as shown in

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