Detection and segmentation of retinal lesions in RetCam 3 images based on active contours driven by statistical local features

Abstract

Clinical retinal image analysis is an import aspect of clinical diagnosis in ophthalmology. Retinopathy of Prematurity (ROP) represents one of the most severe retinal disorders in prematurely born infants. One of the ROP clinical signs is the presence of retinal lesions endangering the vision system. Unfortunately, the stage and progress of these findings is often only subjectively estimated. A procedure such as this is undoubtedly linked to subjective inaccuracies depending on the experience of the ophthalmologist. In our study, a fully autonomous segmentation algorithm to model retinal lesions found using RetCam 3 is proposed. The proposed method used a combination of retinal image preprocessing and active contours for retinal lesion segmentation. Based on this procedure, a binary model of retinal lesions that allowed retinal lesions to be classified from a retinal image background was obtained. Another important aspect of the model was feature extraction. These features reliably and automatically described the development stage of an individual lesion. A complex procedure such as this has significant implications for ophthalmic clinical practice in substituting manual clinical procedures and improving the accuracy of routine clinical decisions.