Application of image
analysis to ophthalmology
My research activity
concentrates in the conception of new methods for automatic analysis of
retinal images and in their application to diagnosis of Diabetic
Retinopathy, a severe and
wide-spread eye-disease. Our main strategy is pointed out in the
abstract of my PhD thesis.
Diabetic Retinopathy is a
silent disease, and people suffering from it may not be aware of their
risk to become
blind or their vision to become altered. Hence, in order to allow an
optimal
treatment of the disease, it has to be detected before vision alters. A
solution
to this problem may be the screening of all diabetic patients, i.e.
regular
eye examinations (once or twice a year) for the whole risk population.
As
this produces very high costs and as there exists already a lack of
specialists
in many areas/countries, this approach can hardly be followed without
computer
assistance.
Another problem in diagnosis
of Diabetic
Retinopathy is the quantitative comparison of images taken at
successive
examinations. Automatic image registration and the evaluation of the
evolution
of single lesions are prerequisites to that.
The human eye and its main
features
This is the colour photograph of
a human eye.
The main features in the eye
are:
- The macula (dark spot in
the
middle of the image) is the centre of vision. All pathologies that
reach
this region affect vision immediately.
- The optic disc (bright
spot,
on the right of the macula) is the entrance of the vessels and the
optic
nerve. It is one of the features that is the easiest to detect. It can
serve
as a landmark in the image for raw registration algorithms and it its
detection plays an important role for lesion detection algorithms.
- Vascular tree (reddish
elongated
features) supply the blood to nourish the retina. Their detection is
essential
for image registration algorithms, because their structure does not
change from one exam to another, and their detection is also important
for the elimination
of false positives in microaneurysms and haemorrhages detection.
The most caracteristic lesions
for Diabetic Retinopathy are also present in this image:
- Microaneurysms (small
reddish
isolated points) are tiny dilations of the capillaries. They are the
first
unequivocal sign of diabetic retinopathy. Their number is also a good
indication
of the progression of the disease. So, their detection is essential for
any automatic mass screening or monitoring system.
- Hard exudates (bright
features)
are also developed in diabetic retinopathy, but are not caracteristic
to
it. However, their detection is also important, because they indicate
the
existence of an edema, which are one of the most feared complications
of
Diabetic Retinopathy.
- Hemorraghies (reddish
areas,
bigger than microaneurysms) indicate - if their number is very high -
the
existence of a local ischemia which preceeds neovascularisation, which
is
the second complication causing vision alteration.
The two objectives of our project
are the detection of the main features and of these lesions. We have
developed algorithms for the detection of the main features and of the
caracteristic lesions (see the
publication list
). The registration algorithm that plays a key role in monitoring the
disease has been developed by F.Zana
.
