A MACHINE LEARNING-BASED APPROACH FOR THE DETECTION AND SEGMENTATION OF RETINAL VESSELS IN OPHTHALMIC DISEASE ANALYSIS

Main Article Content

Shahid Ameer
Muhammad Tanveer Ahmad Khan
Shah Fahad
Ayesha Mumtaz
Hafiza Sana Fatima
Toseef Ul Rahman
Syed Sami Ahmad Bukhari
Aiza Sajjad
Syed Ahmad Hassan
Sumaira Aziz

Keywords

Retinal vessel segmentation, deep learning, CNN, U-Net, ophthalmic disease, telemedicine

Abstract

The research proposes an advanced deep learning infrastructure which develops two unique neural architectures named PLS-Net (Pool-less Semantic Network) and PLRS-Net (Pool-less Residual Semantic Network) using Convolutional Neural Networks (CNNs) while being motivated by U-Net’s encoder-decoder methodology. The research utilized CHASE_DB1 dataset to improve retinal blood vessels detection and segmentation through two deep learning models called PLS-Net and PLRS-Net. This database consists of 28 fundus images from pediatric patients which dual experts annotated for ground truth reliability. The framework implements a detailed preprocessing flow that includes pixel resizing to 256 × 256 pixels through bilinear interpolation followed by pixel normalization to [0, 1] range and the application of real-time data augmentation through multiple transforms (0–90° rotations and flips combined with ±20% brightness changes). This preprocessing method effectively quadruples each dataset size. The satisfactory outcomes from performance assessment demonstrated that PLRS-Net delivered industry-leading results exceeding U-Net (96.72% accuracy) and Attention U-Net (97.85% accuracy) benchmarks. Its performance showed 99.70% accuracy, a 0.997 sensitivity rate, 0.998 specificity rate and 0.997 Dice coefficient and 0.9972 Intersection over Union (IoU). The comparison against current leading methods shows our models win while two primary obstacles remain; boundaries of vessels near optic discs get incorrectly identified due to similar intensities and our system could overfit the limited dataset. These research results establish the framework as an essential tool for telemedicine because it provides pathways to increase diagnostic access in underserved regions which have an extremely low ratio of ophthalmologists to patients as demonstrated by the Pakistan scenario. This research advances the field of retinal vessel segmentation through the combination of lightweight pool-less designs with residual learning and creates groundwork for extensive AI-driven eye care solutions worldwide.


 

Abstract 246 | pdf Downloads 72

References

[1] Flaxman SR, Bourne RR, Resnikoff S, Ackland P, Braithwaite T, Cicinelli MV, Das A, Jonas JB, Keeffe J, Kempen JH, Leasher J. Global causes of blindness and distance vision impairment 1990–2020: a systematic review and meta-analysis. The Lancet Global Health. 2017 Dec 1;5(12):e1221-34.
[2] Fatima M, Azam M, Tanvir F, Saleem F, Bilal A, Q, Ullah S, Bibi M.K. Khan. ‘Physiological, Psychological, and Developmental Impacts of Cortisol Production: Sex-and Age-Related Differences in Cortisol Levels and the Diurnal Rhythm of Hormone Secretion’. International Energy Agency, 2021
[3] Khojasteh P, Aliahmad B, Kumar DK. Fundus images analysis using deep features for detection of exudates, hemorrhages and microaneurysms. BMC ophthalmology. 2018 Dec;18:1-3.
[4] Fraz MM, Remagnino P, Hoppe A, Uyyanonvara B, Rudnicka AR, Owen CG, Barman SA. Blood vessel segmentation methodologies in retinal images–a survey. Computer methods and programs in biomedicine. 2012 Oct 1;108(1):407-33.
[5] Cai L, Gao J, Zhao D. A review of the application of deep learning in medical image classification and segmentation. Annals of translational medicine. 2020 Jun;8(11):713.
[6] Zhang Y, Chung AC. Deep supervision with additional labels for retinal vessel segmentation task. InMedical Image Computing and Computer Assisted Intervention–MICCAI 2018: 21st International Conference, Granada, Spain, September 16-20, 2018, Proceedings, Part II 11 2018 (pp. 83-91). Springer International Publishing.
[7] Sattar RZ, Bilal A, Bashir S, Iftikhar A, Yaqoob I. Embryotoxicity of fluconazole on developing chick embryos. The Journal of Basic and Applied Zoology. 2024 Apr 15;85(1):8.
[8] Ronneberger O, Fischer P, Brox T. U-net: Convolutional networks for biomedical image segmentation. InMedical image computing and computer-assisted intervention–MICCAI 2015: 18th international conference, Munich, Germany, October 5-9, 2015, proceedings, part III 18 2015 (pp. 234-241). Springer international publishing.
[9] Chen Y, Zhang W, Lin H, Zheng C, Zhou T, Feng L, Yi Z, Liu L. A survey of loss function of medical image segmentation algorithms. Sheng wu yi xue Gong Cheng xue za zhi= Journal of Biomedical Engineering= Shengwu Yixue Gongchengxue Zazhi. 2023 Apr 1;40(2):392-400.
[10] Owen CG, Rudnicka AR, Mullen R, Barman SA, Monekosso D, Whincup PH, Ng J, Paterson C. Measuring retinal vessel tortuosity in 10-year-old children: validation of the computer-assisted image analysis of the retina (CAIAR) program. Investigative ophthalmology & visual science. 2009 May 1;50(5):2004-10.
[11] George E, Jameel S, Attrill S, Tetali S, Watson E, Yadav L, Sood S, Srinivasan V, Murthy GV, John O, Grills N. Telehealth as a Strategy for Health Equity: A Scoping Review of Telehealth in India During and Following the COVID-19 Pandemic for People with Disabilities. Telemedicine and e-Health. 2024 Jun 1;30(6):e1667-76.
[12] Arsalan M, Haider A, Lee YW, Park KR. Detecting retinal vasculature as a key biomarker for deep Learning-based intelligent screening and analysis of diabetic and hypertensive retinopathy. Expert Systems with Applications. 2022 Aug 15;200:117009.
[13] Zhang X, Ma L, Sun D, Yi M, Wang Z. Artificial intelligence in telemedicine: A global perspective visualization analysis. Telemedicine and e-Health. 2024 Jul 1;30(7):e1909-22.
[14] Liu Z. Retinal vessel segmentation based on fully convolutional networks. arXiv preprint arXiv:1911.09915. 2019 Nov 22.
[15] Jawad M, Tanvir F, Khan S, Saqib UN, Ishaq R, Shahin F, Bilal A, Ahmad S, Laiq M, Usman M, Rizwan M, Anees A, Ditta SA, Yaqub A. Epidemiological insights into cutaneous leishmaniasis surveillance in tribal district Bajaur, Pakistan. J Popul Ther Clin Pharmacol. 2024;31(8):684-699. https://doi.org/10.53555/jptcp.v31i8.7440.
[16] Goh TY, Basah SN, Yazid H, Safar MJ, Saad FS. Performance analysis of image thresholding: Otsu technique. Measurement. 2018 Jan 1;114:298-307.
[17] Al-Rawi M, Qutaishat M, Arrar M. An improved matched filter for blood vessel detection of digital retinal images. Computers in biology and medicine. 2007 Feb 1;37(2):262-7.
[18] Soomro TA, Afifi AJ, Zheng L, Soomro S, Gao J, Hellwich O, Paul M. Deep learning models for retinal blood vessels segmentation: a review. IEEE Access. 2019 Jun 3;7:71696-717.
[19] Wang B, Qiu S, He H. Dual encoding u-net for retinal vessel segmentation. InMedical Image Computing and Computer Assisted Intervention–MICCAI 2019: 22nd International Conference, Shenzhen, China, October 13–17, 2019, Proceedings, Part I 22 2019 (pp. 84-92). Springer International Publishing.
[20] Guo C, Szemenyei M, Yi Y, Wang W, Chen B, Fan C. Sa-unet: Spatial attention u-net for retinal vessel segmentation. In2020 25th international conference on pattern recognition (ICPR) 2021 Jan 10 (pp. 1236-1242). IEEE.
[21] Khaldi A, Khaldi B, Bezziane MB, Hebbache K, Guediri S, Hasan S. SE-Half-UNeT: accurate and low-cost retinal vessel segmentation from fundus images. In2024 6th International Conference on Pattern Analysis and Intelligent Systems (PAIS) 2024 Apr 24 (pp. 1-8). IEEE.
[22] Dey N, Roy AB, Pal M, Das A. FCM based blood vessel segmentation method for retinal images. arXiv preprint arXiv:1209.1181. 2012 Sep 6.
[23] Kropp M, Golubnitschaja O, Mazurakova A, Koklesova L, Sargheini N, Vo TT, de Clerck E, Polivka Jr J, Potuznik P, Polivka J, Stetkarova I. Diabetic retinopathy as the leading cause of blindness and early predictor of cascading complications—risks and mitigation. Epma Journal. 2023 Mar;14(1):21-42.
[24] Wagner SK, Fu DJ, Faes L, Liu X, Huemer J, Khalid H, Ferraz D, Korot E, Kelly C, Balaskas K, Denniston AK. Insights into systemic disease through retinal imaging-based oculomics. Translational vision science & technology. 2020 Jan 28;9(2):6-.
[25] Schmidt-Erfurth U, Riedl S, Michl M, Bogunović H. Artificial Intelligence in retinal vascular imaging. Retinal Vascular Disease. 2020:133-45.
[26] Lin A, Su B, Ning Y, Zhang L, He Y. Convolutional Neural Networks in Medical Imaging: A Review. InInternational Conference on Swarm Intelligence 2024 Aug 21 (pp. 419-430). Singapore: Springer Nature Singapore.
[27] Noor A, Bilal A, Ali U. Towards personalized cancer care: A report of CRISPR-Cas9 applications in targeted therapies and precision medicine. Journal of Health and Rehabilitation Research. 2024 Jun 15;4(2):1375-80.
[28] Maqbool S, Ali U, Rizwan M, Bilal A, Saqib UN, Hussain M, Asif I. Unraveling the Molecular Mechanisms of XRCC1 Gene SNPs in Thyroid Cancer Pathogenesis. History of Medicine. 2024;10(2):592-623.
[29] Zhang J, Wu F, Chang W, Kong D. Techniques and algorithms for hepatic vessel skeletonization in medical images: A survey. Entropy. 2022 Mar 28;24(4):465.
[30] Azad R, Aghdam EK, Rauland A, Jia Y, Avval AH, Bozorgpour A, Karimijafarbigloo S, Cohen JP, Adeli E, Merhof D. Medical image segmentation review: The success of u-net. IEEE Transactions on Pattern Analysis and Machine Intelligence. 2024 Aug 21.
[31] Umm-e-Asma FS, Shah MA, Abbas KJ, Ramzan H, Asif I, Nija DE, Younas E, Bilal AExploring The Relationship Between Psychological Stressors And Myocardial Infarctions In Humans Using Statistical Techniques. AJBR [Internet]. 2024 Apr. 24 [cited 2025 May 24];27(1):247-54

Most read articles by the same author(s)