Abstract

Computer-Aided diagnosis (CAD) is a widely used technique to detect and diagnose diseases like tumors, cancers, edemas, etc. Several critical retinal diseases like diabetic retinopathy (DR), hypertensive retinopathy (HR), Macular degeneration, retinitis pigmentosa (RP) are mainly analyzed based on the observation of fundus images. The raw fundus images are of inferior quality to represent the minor changes directly. To detect and analyze minor changes in retinal vasculature or to apply advanced disease detection algorithms, the fundus image should be enhanced enough to visibly present vessel touristy. The performance of deep learning models for diagnosing these critical diseases is highly dependent on accurate segmentation of images. Specifically, for retinal vessels segmentation, accurate segmentation of fundus images is highly challenging due to low vessel contrast, varying widths, branching, and the crossing of vessels. For contrast enhancement, various retinal-vessel segmentation methods apply image-contrast enhancement as a pre-processing step, which can introduce noise in an image and affect vessel detection. Recently, numerous studies applied Contrast Limited Adaptive Histogram Equalization (CLAHE) for contrast enhancement, but with the default values for the contextual region and clip limit. In this study, our aim is to improve the performance of both supervised and unsupervised machine learning models for retinal-vessel segmentation by applying modified particle swarm optimization (MPSO) for CLAHE parameter tuning, with a specific focus on optimizing the clip limit and contextual regions. We subsequently assessed the capabilities of the optimized version of CLAHE using standard evaluation metrics. We used the contrast enhanced images achieved using MPSO-based CLAHE for demonstrating its real impact on performance of deep learning model for semantic segmentation of retinal images. The achieved results proved positive impact on sensitivity of supervised machine learning models, which is highly important. By applying the proposed approach on the enhanced retinal images of the publicly available databases of {DRIVE and STARE}, we achieved a sensitivity, specificity and accuracy of {0.8315 and 0.8433}, {0.9750 and 0.9760} and {0.9620 and 0.9645}, respectively.

Highlights

  • The high blood pressure and diabetes are primary causes of well-known eye diseases, such as glaucoma and diabeticThe associate editor coordinating the review of this manuscript and approving it for publication was Felix Albu .retinopathy (DR), with diabetic retinopathy (DR) is a leading cause of blindness in young populations

  • Digital Retinal Images for Vessel Extraction (DRIVE) is a collection of retinal fundus images from the Netherlands that covers a wider age range of diabetic patients [43], and Structured Analysis of the Retina (STARE) is a collection of 40 retinal fundus images from the United States [44]

  • We described a method for enhancing the contrast of retinal images using Contrast Limited Adaptive Histogram Equalization (CLAHE) by applying the proposed modified PSO algorithm to optimize the parameters i.e. contextual regions and clip limit

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Summary

Introduction

Retinopathy (DR), with DR is a leading cause of blindness in young populations These diseases can develop advanced stages without major symptoms, whereas general symptoms include lesions in the form of microaneurysms (MAs), hard or soft exudates, intraretinal microvascular abnormalities, dot, or blot hemorrhages, and leakages. K. Aurangzeb et al.: Contrast Enhancement of Fundus Images by Employing Modified PSO unaware of these symptoms, which can often only be detected by ophthalmologists examining the retinas of the patient and grading the disease by quantifying the lesions and identifying their types and severity. Aurangzeb et al.: Contrast Enhancement of Fundus Images by Employing Modified PSO unaware of these symptoms, which can often only be detected by ophthalmologists examining the retinas of the patient and grading the disease by quantifying the lesions and identifying their types and severity These diseases represent the primary causes of vision impairment in working-age populations [1]

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