Abstract

The necessity for advanced diagnostic techniques in ophthalmology has become increasingly evident, particularly for conditions such as glaucoma and diabetic retinopathy, which necessitate precise retinal image analysis. Current methodologies, while effective to a degree, fall short in terms of accuracy, efficiency, and adaptability, especially in semantic segmentation and disease classification tasks. These limitations underscore the need for more sophisticated and reliable approaches to retinal image analysis. In response, this work introduces a comprehensive framework leveraging Fully Convolutional Neural Networks (FCNNs) for optic disc segmentation and Cup-to-Disc Ratio (CDR) estimation. The selection of FCNNs is predicated on their demonstrated proficiency in semantic segmentation, ability to discern spatial dependencies, and capacity to learn intricate structures within fundus images without relying on manually engineered features. This approach aims to surpass existing segmentation accuracy benchmarks, targeting over 95% Intersection over Union (IoU) while reducing the mean absolute error in CDR estimation to below 10%. To address the challenges of data variability and quality, the framework incorporates Contrast Limited Adaptive Histogram Equalization (CLAHE) for synthetic data generation, enhancing local contrast while preserving image integrity levels. This method is expected to improve contrast in augmented images by 30%, simultaneously enhancing image quality metrics. Furthermore, the introduction of an overlapping sliding window technique with adaptive patch sizes ensures meticulous coverage and analysis of fundus images, significantly elevating lesion detection sensitivity and reducing false positives. Lastly, the framework employs an innovative multi-disease classification strategy utilizing ensemble learning and stacking of CNN architectures. This synergistic approach amalgamates multiple base models to diminish overfitting risks and enhance generalization capabilities, aiming for a classification accuracy surpassing 95% in binary assessments and 85% for specific retinal diseases. The proposed model not only addresses the current gaps in retinal image analysis but also sets a new standard for precision, reliability, and efficiency in diagnosing and managing ocular diseases, marking a significant step forward in the application of artificial intelligence in ophthalmology.

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