Importance of Mathematical Processing of the Retinal Image in Diabetic Retinopathy
Kolář P.*, Štarha P.***, Hájek D.**, Vlková E.*, Druckmüller M.***
Oční klinika FN, Brno-Bohunice*, přednosta prof. MUDr. Eva Vlková, CSc. **Ústav patologické fyziologie Masarykovy univerzity, Brno, přednostaprof. MUDr. Jiří Vácha, DrSc.***Ústav matematiky Fakulty strojního inženýrství Vysokého učení technického v Brně,ředitel ústavu prof. RNDr. Alexander Ženíšek, DrSc. |
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Summary:
The authors test whether for evaluation of the severity of diabetic retinopathy it
is possible to use the method of computer assisted mathematical processing of the
retinal image. This method is based on the identification of vascular endings in
the visualized part of the retina. It is assumed that with the severity of the finding
the number of vascular endings increases in conjunction with the process of
neogenesis.
For assessment of the number of vascular endings the authors use the Adaptive
Contrast Control (ACC) method. By a special procedure the vascular endings are
identified and their number is assessed in the investigated area of the retina. The
method makes it possible to assess in addition to the number of vascular endings
also the total length of the vessels, their volume, surface, area they cover and the The authors examined 19 patients (38 eyes) with a quite normal finding on the
retina. The mean age of the group was 37.3 years. Moreover they examined 10
patients (20eyes) with middle advanced and advanced non-proliferative diabetic
retinopathy and 10 patients (20 eyes) with risk proliferative diabetic retinopathy.
In every patient a standard digital photograph of the fundus of both eyes size "tif"
was made and each picture was subjected to mathematical analysis. The group of
patients was divided into three sub-groups (patients with a normal finding,
a non-proliferative finding and a finding of proliferative diabetic retinopathy).
In the conclusion the authors provide evidence that with increasing severity of
the finding on the retina also the number of vascular endings increases.
Key words:
diabetic retinopathy, mathematical processing of the retinal image,
Adaptive Contrast Control (ACC), number of vascular endings
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