Retinal arteriovenous (AV) nicking is one of the prominent and significant microvascular abnormalities. It is characterized by the decrease in the venular caliber at both sides of an artery-vein crossing. Recent research suggests that retinal AV nicking is a strong predictor of eye diseases such as branch retinal vein occlusion and cardiovascular diseases such as stroke. In this study, we present a novel method for objective and quantitative AV nicking assessment. From the input retinal image, the vascular network is first extracted using the multiscale line detection method. The crossover point detection method is then performed to localize all AV crossing locations. At each detected crossover point, the four vessel segments, two associated with the artery and two associated with the vein, are identified and two venular segments are then recognized through the artery-vein classification method. The vessel widths along the two venular segments are measured and analyzed to compute the AV nicking severity of that crossover. The proposed method was validated on 47 high-resolution retinal images obtained from two population-based studies. The experimental results indicate a strong correlation between the computed AV nicking values and the expert grading with a Spearman correlation coefficient of 0.70. Sensitivity was 77% and specificity was 92% (Kappa κ = 0.70) when comparing AV nicking detected using the proposed method to that detected using a manual grading method, performed by trained photographic graders.
Retinal arteriovenous (AV) nicking is a precursor for hypertension, stroke and other cardiovascular diseases. In this paper, an effective method is proposed for the analysis of retinal venular widths to automatically classify the severity level of AV nicking. We use combination of intensity and edge information of the vein to compute its widths. The widths at various sections of the vein near the crossover point are then utilized to train a random forest classifier to classify the severity of AV nicking. We analyzed 47 color retinal images obtained from two population based studies for quantitative evaluation of the proposed method. We compare the detection accuracy of our method with a recently published four class AV nicking classification method. Our proposed method shows 64.51% classification accuracy in-contrast to the reported classification accuracy of 49.46% by the state of the art method.
Retinal arteriovenous nicking (AV nicking) is the phenomenon where the venule is compressed or decreases in its caliber at both sides of an arteriovenous crossing. Recent research suggests that retinal AVN is associated with hypertension and cardiovascular diseases such as stroke. In this article, we propose a computer method for assessing the severity level of AV nicking of an artery-vein (AV) crossing in color retinal images. The vascular network is first extracted using a method based on multi-scale line detection. A trimming process is then performed to isolate the main vessels from unnecessary structures such as small branches or imaging artefact. Individual segments of each vessel are then identified and the vein is recognized through an artery-vein identification process. A vessel width measurement method is devised to measure the venular caliber along its two segments. The vessel width measurements of each venular segment is then analyzed and assessed separately and the final AVN index of a crossover is computed as the most severity of its two segments. The proposed technique was validated on 69 AV crossover points of varying AV nicking levels extracted from retinal images of the Singapore Malay Eye Study (SiMES). The results show that the computed AVN values are highly correlated with the manual grading with a Spearman correlation coefficient of 0.70. This has demonstrated the accuracy of the proposed method and the feasibility to develop a computer method for automatic AV nicking detection. The quantitative measurements provided by the system may help to establish a more reliable link between AV nicking and known systemic and eye diseases, which deserves further examination and exploration.
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