Early diabetic retinopathy diagnosis based on local retinal blood vessel analysis in optical coherence tomography angiography (OCTA) images

Purpose This paper introduces a new computer‐aided diagnosis (CAD) system for detecting early‐stage diabetic retinopathy (DR) using optical coherence tomography angiography (OCTA) images. Methods The proposed DR‐CAD system is based on the analysis of new local features that describe both the appeara...

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Main Author: Eladawi, Nabila (author)
Other Authors: Elmogy, Mohammed (author), Khalifa, Fahmi (author), Ghazal, Mohammed (author), Ghazi, Nicola (author), Aboelfetouh, Ahmed (author), Riad, Alaa (author), Sandhu, Harpal (author), Schaal, Schlomit (author), El-Baz, Ayman (author)
Format: article
Published: 2018
Online Access:http://hdl.handle.net/10725/10853
https://doi.org/10.1002/mp.13142
http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php
https://aapm.onlinelibrary.wiley.com/doi/full/10.1002/mp.13142
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_version_ 1864513487499165696
author Eladawi, Nabila
author2 Elmogy, Mohammed
Khalifa, Fahmi
Ghazal, Mohammed
Ghazi, Nicola
Aboelfetouh, Ahmed
Riad, Alaa
Sandhu, Harpal
Schaal, Schlomit
El-Baz, Ayman
author2_role author
author
author
author
author
author
author
author
author
author_facet Eladawi, Nabila
Elmogy, Mohammed
Khalifa, Fahmi
Ghazal, Mohammed
Ghazi, Nicola
Aboelfetouh, Ahmed
Riad, Alaa
Sandhu, Harpal
Schaal, Schlomit
El-Baz, Ayman
author_role author
dc.creator.none.fl_str_mv Eladawi, Nabila
Elmogy, Mohammed
Khalifa, Fahmi
Ghazal, Mohammed
Ghazi, Nicola
Aboelfetouh, Ahmed
Riad, Alaa
Sandhu, Harpal
Schaal, Schlomit
El-Baz, Ayman
dc.date.none.fl_str_mv 2018
2019-06-18T09:46:10Z
2019-06-18T09:46:10Z
2019-06-18
dc.identifier.none.fl_str_mv 2473-4209
http://hdl.handle.net/10725/10853
https://doi.org/10.1002/mp.13142
Eladawi, N., Elmogy, M., Khalifa, F., Ghazal, M., Ghazi, N., Aboelfetouh, A., ... & El‐Baz, A. (2018). Early diabetic retinopathy diagnosis based on local retinal blood vessel analysis in optical coherence tomography angiography (OCTA) images. Medical physics, 45(10), 4582-4599.
http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php
https://aapm.onlinelibrary.wiley.com/doi/full/10.1002/mp.13142
dc.language.none.fl_str_mv en
dc.relation.none.fl_str_mv Medical Physics
dc.rights.*.fl_str_mv info:eu-repo/semantics/openAccess
dc.title.none.fl_str_mv Early diabetic retinopathy diagnosis based on local retinal blood vessel analysis in optical coherence tomography angiography (OCTA) images
dc.type.none.fl_str_mv Article
info:eu-repo/semantics/publishedVersion
info:eu-repo/semantics/article
description Purpose This paper introduces a new computer‐aided diagnosis (CAD) system for detecting early‐stage diabetic retinopathy (DR) using optical coherence tomography angiography (OCTA) images. Methods The proposed DR‐CAD system is based on the analysis of new local features that describe both the appearance and retinal structure in OCTA images. It starts with a new segmentation approach that has the ability to extract the blood vessels from superficial and deep retinal OCTA maps. The high capability of our segmentation approach stems from using a joint Markov–Gibbs random field stochastic model integrating a 3D spatial statistical model with a first‐order appearance model of the blood vessels. Following the segmentation step, three new local features are estimated from the segmented vessels and the foveal avascular zone (FAZ): (a) vessels density, (b) blood vessel calibre, and (c) width of the FAZ. To distinguish mild DR patients from normal cases, the estimated three features are used to train and test a support vector machine (SVM) classifier with the radial basis function (RBF) kernel. Results On a cohort of 105 subjects, the presented DR‐CAD system demonstrated an overall accuracy (ACC) of 94.3%, a sensitivity of 97.9%, a specificity of 87.0%, the area under the curve (AUC) of 92.4%, and a Dice similarity coefficient (DSC) of 95.8%. This in turn demonstrates the promise of the proposed CAD system as a supplemental tool for early detection of DR. Conclusion We developed a new DR‐CAD system that is capable of diagnosing DR in its early stage. The proposed system is based on extracting three different features from the segmented OCTA images, which reflect the changes in the retinal vasculature network.
eu_rights_str_mv openAccess
format article
id LAURepo_cf8fa7bb0d1cc27c1d5c88df9bc110cc
identifier_str_mv 2473-4209
Eladawi, N., Elmogy, M., Khalifa, F., Ghazal, M., Ghazi, N., Aboelfetouh, A., ... & El‐Baz, A. (2018). Early diabetic retinopathy diagnosis based on local retinal blood vessel analysis in optical coherence tomography angiography (OCTA) images. Medical physics, 45(10), 4582-4599.
language_invalid_str_mv en
network_acronym_str LAURepo
network_name_str Lebanese American University repository
oai_identifier_str oai:laur.lau.edu.lb:10725/10853
publishDate 2018
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repository.name.fl_str_mv
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spelling Early diabetic retinopathy diagnosis based on local retinal blood vessel analysis in optical coherence tomography angiography (OCTA) imagesEladawi, NabilaElmogy, MohammedKhalifa, FahmiGhazal, MohammedGhazi, NicolaAboelfetouh, AhmedRiad, AlaaSandhu, HarpalSchaal, SchlomitEl-Baz, AymanPurpose This paper introduces a new computer‐aided diagnosis (CAD) system for detecting early‐stage diabetic retinopathy (DR) using optical coherence tomography angiography (OCTA) images. Methods The proposed DR‐CAD system is based on the analysis of new local features that describe both the appearance and retinal structure in OCTA images. It starts with a new segmentation approach that has the ability to extract the blood vessels from superficial and deep retinal OCTA maps. The high capability of our segmentation approach stems from using a joint Markov–Gibbs random field stochastic model integrating a 3D spatial statistical model with a first‐order appearance model of the blood vessels. Following the segmentation step, three new local features are estimated from the segmented vessels and the foveal avascular zone (FAZ): (a) vessels density, (b) blood vessel calibre, and (c) width of the FAZ. To distinguish mild DR patients from normal cases, the estimated three features are used to train and test a support vector machine (SVM) classifier with the radial basis function (RBF) kernel. Results On a cohort of 105 subjects, the presented DR‐CAD system demonstrated an overall accuracy (ACC) of 94.3%, a sensitivity of 97.9%, a specificity of 87.0%, the area under the curve (AUC) of 92.4%, and a Dice similarity coefficient (DSC) of 95.8%. This in turn demonstrates the promise of the proposed CAD system as a supplemental tool for early detection of DR. Conclusion We developed a new DR‐CAD system that is capable of diagnosing DR in its early stage. The proposed system is based on extracting three different features from the segmented OCTA images, which reflect the changes in the retinal vasculature network.PublishedN/A2019-06-18T09:46:10Z2019-06-18T09:46:10Z20182019-06-18Articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article2473-4209http://hdl.handle.net/10725/10853https://doi.org/10.1002/mp.13142Eladawi, N., Elmogy, M., Khalifa, F., Ghazal, M., Ghazi, N., Aboelfetouh, A., ... & El‐Baz, A. (2018). Early diabetic retinopathy diagnosis based on local retinal blood vessel analysis in optical coherence tomography angiography (OCTA) images. Medical physics, 45(10), 4582-4599.http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.phphttps://aapm.onlinelibrary.wiley.com/doi/full/10.1002/mp.13142enMedical Physicsinfo:eu-repo/semantics/openAccessoai:laur.lau.edu.lb:10725/108532021-03-19T10:45:17Z
spellingShingle Early diabetic retinopathy diagnosis based on local retinal blood vessel analysis in optical coherence tomography angiography (OCTA) images
Eladawi, Nabila
status_str publishedVersion
title Early diabetic retinopathy diagnosis based on local retinal blood vessel analysis in optical coherence tomography angiography (OCTA) images
title_full Early diabetic retinopathy diagnosis based on local retinal blood vessel analysis in optical coherence tomography angiography (OCTA) images
title_fullStr Early diabetic retinopathy diagnosis based on local retinal blood vessel analysis in optical coherence tomography angiography (OCTA) images
title_full_unstemmed Early diabetic retinopathy diagnosis based on local retinal blood vessel analysis in optical coherence tomography angiography (OCTA) images
title_short Early diabetic retinopathy diagnosis based on local retinal blood vessel analysis in optical coherence tomography angiography (OCTA) images
title_sort Early diabetic retinopathy diagnosis based on local retinal blood vessel analysis in optical coherence tomography angiography (OCTA) images
url http://hdl.handle.net/10725/10853
https://doi.org/10.1002/mp.13142
http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php
https://aapm.onlinelibrary.wiley.com/doi/full/10.1002/mp.13142