Faculty Publications

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Automated identification of diabetic retinopathy stages using digital fundus images
(2008) Nayak, J.; Subbanna Bhat, P.S.; Acharya, R.; Lim, C.M.; Kagathi, M.
Diabetic retinopathy (DR) is caused by damage to the small blood vessels of the retina in the posterior part of the eye of the diabetic patient. The main stages of diabetic retinopathy are non-proliferate diabetes retinopathy (NPDR) and proliferate diabetes retinopathy (PDR). The retinal fundus photographs are widely used in the diagnosis and treatment of various eye diseases in clinics. It is also one of the main resources for mass screening of diabetic retinopathy. In this work, we have proposed a computer-based approach for the detection of diabetic retinopathy stage using fundus images. Image preprocessing, morphological processing techniques and texture analysis methods are applied on the fundus images to detect the features such as area of hard exudates, area of the blood vessels and the contrast. Our protocol uses total of 140 subjects consisting of two stages of DR and normal. Our extracted features are statistically significant (p<0.0001) with distinct mean±SD as shown in Table 1. These features are then used as an input to the artificial neural network (ANN) for an automatic classification. The detection results are validated by comparing it with expert ophthalmologists. We demonstrated a classification accuracy of 93%, sensitivity of 90% and specificity of 100%. © 2007 Springer Science+Business Media, LLC.
Automatic identification of diabetic maculopathy stages using fundus images
(2009) Nayak, J.; Subbanna Bhat, P.S.; Acharya, R.
Diabetes mellitus is a major cause of visual impairment and blindness. Twenty years after the onset of diabetes, almost all patients with type 1 diabetes and over 60% of patients with type 2 diabetes will have some degree of retinopathy. Prolonged diabetes retinopathy leads to maculopathy, which impairs the normal vision depending on the severity of damage of the macula. This paper presents a computer-based intelligent system for the identification of clinically significant maculopathy, non-clinically significant maculopathy and normal fundus eye images. Features are extracted from these raw fundus images which are then fed to the classifier. Our protocol uses feed-forward architecture in an artificial neural network classifier for classification of different stages. Three different kinds of eye disease conditions were tested in 350 subjects. We demonstrated a sensitivity of more than 95% for these classifiers with a specificity of 100%, and results are very promising. Our systems are ready to run clinically on large amounts of datasets. © 2009 Informa Healthcare USA, Inc.
Efficient storage and transmission of digital fundus images with patient information using reversible watermarking technique and error control codes
(2009) Nayak, J.; Subbanna Bhat, P.S.; Acharya, R.; Kumar, M.
Handling of patient records is increasing overhead costs for most of the hospitals in this digital age. In most hospitals and health care centers, the patient text information and corresponding medical images are stored separately as different files. There is a possibility of mishandling the text file containing patient history. We are proposing a novel method for the compact storage and transmission of patient information with the medical images. In this technique, we are using a reversible watermarking technique to hide the patient information within the retinal fundus image. There is a possibility that these medical images, which carry patient information, can get corrupted by the noise during the storage or transmission. The safe recovery of patient information is important in this situation. So, to recover the maximum amount of text information in the noisy environment, the encrypted patient information is coded with error control coding (ECC) techniques. The performance of three types of ECC for various levels of salt & pepper (S & P) noise is tabulated for a specific example. The proposed system is more reliable even in a noisy environment and saves memory. © 2008 Springer Science+Business Media, LLC.
Towards the systematic development of medical networking technology
(2011) Faust, O.; Shetty, R.; Vinitha Sree, S.V.; Acharya, S.; Acharya, R.; Ng, E.Y.K.; Poo, C.K.; Suri, J.
Currently, there is a disparity in the availability of doctors between urban and rural areas of developing countries. Most experienced doctors and specialists, as well as advanced diagnostic technologies, are available in urban areas. People living in rural areas have less or sometimes even no access to affordable healthcare facilities. Increasing the number of doctors and charitable medical hospitals or deploying advanced medical technologies in these areas might not be economically feasible, especially in developing countries. We need to mobilize science and technology to master this complex, large scale problem in an objective, logical, and professional way. This can only be achieved with a collaborative effort where a team of experts works on both technical and non-technical aspects of this health care divide. In this paper we use a systems engineering framework to discuss hospital networks which might be solution for the problem. We argue that with the advancement in communication and networking technologies, economically middle class people and even some rural poor have access to internet and mobile communication systems. Thus, Hospital Digital Networking Technologies (HDNT), such as telemedicine, can be developed to utilize internet, mobile and satellite communication systems to connect primitive rural healthcare centers to well advanced modern urban setups and thereby provide better consultation and diagnostic care to the needy people. This paper describes requirements and limitations of the HDNTs. It also presents the features of telemedicine, the implementation issues and the application of wireless technologies in the field of medical networking. © 2009 Springer Science+Business Media, LLC.

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