Non-proliferative diabetic retinopathy symptoms detection and classification using neural network

J Med Eng Technol. 2017 Aug;41(6):498-505. doi: 10.1080/03091902.2017.1358772. Epub 2017 Aug 8.

Abstract

Diabetic retinopathy (DR) causes blindness in the working age for people with diabetes in most countries. The increasing number of people with diabetes worldwide suggests that DR will continue to be major contributors to vision loss. Early detection of retinopathy progress in individuals with diabetes is critical for preventing visual loss. Non-proliferative DR (NPDR) is an early stage of DR. Moreover, NPDR can be classified into mild, moderate and severe. This paper proposes a novel morphology-based algorithm for detecting retinal lesions and classifying each case. First, the proposed algorithm detects the three DR lesions, namely haemorrhages, microaneurysms and exudates. Second, we defined and extracted a set of features from detected lesions. The set of selected feature emulates what physicians looked for in classifying NPDR case. Finally, we designed an artificial neural network (ANN) classifier with three layers to classify NPDR to normal, mild, moderate and severe. Bayesian regularisation and resilient backpropagation algorithms are used to train ANN. The accuracy for the proposed classifiers based on Bayesian regularisation and resilient backpropagation algorithms are 96.6 and 89.9, respectively. The obtained results are compared with results of the recent published classifier. Our proposed classifier outperforms the best in terms of sensitivity and specificity.

Keywords: Exudate detection; haemorrhage detection; microaneurysm detection; neural network diabetic retinopathy classifier; non-proliferative diabetic retinopathy classification.

Publication types

  • Evaluation Study

MeSH terms

  • Aged
  • Decision Support Systems, Clinical
  • Diabetic Retinopathy / diagnosis*
  • Disease Progression
  • Female
  • Fluorescein Angiography / methods*
  • Humans
  • Image Interpretation, Computer-Assisted / methods*
  • Male
  • Middle Aged
  • Neural Networks, Computer*
  • Pattern Recognition, Automated / methods*
  • Reproducibility of Results
  • Sensitivity and Specificity
  • Symptom Assessment / methods*