Exudates as Landmarks Identified through FCM Clustering in Retinal Images

The aim of this work was to develop a method for the automatic identification of exudates, using an unsupervised clustering approach. The ability to classify each pixel as belonging to an eventual exudate, as a warning of disease, allows for the tracking of a patient's status through a noninvasive approach. In the field of diabetic retinopathy detection, we considered four public domain datasets (DIARETDB0/1, IDRID, and e-optha) as benchmarks. In order to refine the final results, a specialist ophthalmologist manually segmented a random selection of DIARETDB0/1 fundus images that presented exudates. An innovative pipeline of morphological procedures and fuzzy C-means clustering was integrated in order to extract exudates with a pixel-wise approach. Our methodology was optimized, and verified and the parameters were fine-tuned in order to define both suitable values and to produce a more accurate segmentation. The method was used on 100 tested images, resulting in averages of sensitivity, specificity, and accuracy equal to 83.3%, 99.2%, and 99.1%, respectively.

Automated summary

The study developed an automated method for identifying exudates, allowing for disease warning and patient tracking. By using public domain datasets as benchmarks, the method achieved high levels of sensitivity, specificity, and accuracy through pixel-wise extraction of exudates.