Automatic retinal image analysis is emerging as an important screening tool for early detection of eye diseases. Glaucoma is one of the most common causes of blindness. The manual examination of optic disk (OD) is a standard procedure used for detecting glaucoma. In this paper, we present an automatic OD parameterization technique based on segmented OD and cup regions obtained from monocular retinal images. A novel OD segmentation method is proposed which integrates the local image information around each point of interest in multidimensional feature space to provide robustness against variations found in and around the OD region. We also propose a novel cup segmentation method which is based on anatomical evidence such as vessel bends at the cup boundary, considered relevant by glaucoma experts. Bends in a vessel are robustly detected using a region of support concept, which automatically selects the right scale for analysis. A multi-stage strategy is employed to derive a reliable subset of vessel bends called r-bends followed by a local spline fitting to derive the desired cup boundary. The method has been evaluated on 138 images comprising 33 normal and 105 glaucomatous images against three glaucoma experts. The obtained segmentation results show consistency in handling various geometric and photometric variations found across the dataset. The estimation error of the method for vertical cup-to-disk diameter ratio is 0.09/0.08 (mean/standard deviation) while for cup-to-disk area ratio it is 0.12/0.10. Overall, the obtained qualitative and quantitative results show effectiveness in both segmentation and subsequent OD parameterization for glaucoma assessment.

Optic nerve head (ONH) segmentation problem has been of interest for automated glaucoma assessment. Although various segmentation methods have been proposed in the recent past, it is difficult to evaluate and compare the performance of individual methods due to a lack of a benchmark dataset. The problem of segmentation involves segmentation of optic disk and cup region within ONH region. Available datasets do not incorporate challenges present in this problem. In this data paper, we present a comprehensive dataset of retinal images which include both normal and glaucomatous eyes and manual segmentations from multiple human experts. Both area and boundary-based evaluation measures are presented to evaluate a method on various aspects relevant to the problem of glaucoma assessment.

The shape deformation within the optic disk (OD) is an important indicator for the detection of glaucoma. In this paper, relevant disk parameters are estimated using the OD and cup boundaries. A deformable model guided by regional statistics is used to detect the OD boundary. A cup boundary detection scheme is presented based on the appearance of pallor in Lab colour space and the expected cup symmetry. The proposed scheme is tested on 170 images comprising 40 normal and 130 glaucomatous images. The proposed method gives a mean error 0.030 for normal and 0.121 for glaucomatous images in the estimation of cup-to-disk ratio which compares well with reported figures in literature.

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Accurate segmentation of the cup region from retinal images is needed to derive relevant measurements for glaucoma assessment. A novel, depth discontinuity (in the retinal surface)-based approach to estimate the cup boundary is proposed in this paper. The proposed approach shifts focus from the cup region used by existing approaches to cup boundary. The given set of images, acquired sequentially, are related via a relative motion model and the depth discontinuity at the cup boundary is determined from cues such as motion boundary and partial occlusion. The information encoded by these cues is used to approximate the cup boundary with a set of best-fitting circles. The final boundary is found by considering points on these circles at different sectors using a confidence measure. Four different kinds of data sets ranging from synthetic to real image pairs, covering different multiview scenarios, have been used to evaluate the proposed method. The proposed method was found to yield an error reduction of 16% for cup-to-disk vertical diameter ratio (CDR) and 13% for cup-to-disk area ratio (CAR) estimation, over an existing monocular image-based cup segmentation method. The error reduction increased to 33% in CDR and 18% in CAR with the addition of a third view (image) which indicates the potential of the proposed approach.