Diabetic retinopathy (DR) is a major cause of visual impairment, and the analysis of retinal image can assist patients to take action earlier when it is more likely to be effective. The accurate segmentation of blood vessels in the retinal image can diagnose DR directly. In this paper, a novel scheme for blood vessel segmentation based on discriminative dictionary learning (DDL) and sparse representation has been proposed. The proposed system yields a strong representation which contains the semantic concept of the image. To extract blood vessel, two separate dictionaries, for vessel and non-vessel, capable of providing reconstructive and discriminative information of the retinal image are learned. In the test step, an unseen retinal image is divided into overlapping patches and classified to vessel and non-vessel patches. Then, a voting scheme is applied to generate the binary vessel map. The proposed vessel segmentation method can achieve the accuracy of 95% and a sensitivity of 75% in the same range of specificity 97% on two public datasets. The results show that the proposed method can achieve comparable results to existing methods and decrease false positive vessels in abnormal retinal images with pathological regions. Microaneurysm (MA) is the earliest sign of DR that appears as a small red dot on the surface of the retina. Despite several attempts to develop automated MA detection systems, it is still a challenging problem. In this paper, a method for MA detection, which is similar to our vessel segmentation approach, is proposed. In our method, a candidate detection algorithm based on the Morlet wavelet is applied to identify all possible MA candidates. In the next step, two discriminative dictionaries with the ability to distinguish MA from non-MA object are learned. These dictionaries are then used to classify the detected candidate objects. The evaluations indicate that the proposed MA detection method achieves higher average sensitivity about 2-15%, compared to existing methods.
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http://dx.doi.org/10.1016/j.cmpb.2016.10.015 | DOI Listing |
J Neuroradiol
January 2025
Soochow Medical college of Soochow University, Suzhou, PR China; Center for Rehabilitation Medicine, Department of Radiology, Zhejiang Provincial People's Hospital (Affiliated People's Hospital, Hangzhou Medical College), Hangzhou, Zhejiang, PR China. Electronic address:
Background: The potential for early white matter hyperintensities(WMH) regression and associated contributory factors remains uncertain. The purpose of this study is to investigate whether WMH regress at early time of three months after minor ischemic stroke (MIS) or transient ischemic attack (TIA), while also identifying factors that may influence this outcome.
Methods: A retrospective analysis of a prospective subcohort from the CHANCE trial comprising individuals with MIS and TIA was conducted.
Acta Neurochir (Wien)
January 2025
Department of Neurosurgery, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, 226014, Uttar Pradesh, India.
Background: Reaching parenchymal segments of the lateral lenticulostriate artery (LSA) perforators, which represent the medial resection limit in insular gliomas (IG), remains a challenge. The currently described methods are indirect and sometimes, imprecise.
Methods: We report an antegrade direct skeletonization technique to identify these tiny arteries at the medial end of IGs with an illustrative case of grade 2 astrocytoma.
J Clin Med
January 2025
Department of Neurosurgery, "Carol Davila" University of Medicine and Pharmacy, 050474 Bucharest, Romania.
The management of multiple intracranial aneurysms presents significant clinical challenges, particularly when complicated by underlying conditions such as cerebral atherosclerosis. This case report highlights the successful treatment of a 66-year-old female diagnosed with three intracranial aneurysms located in the right middle cerebral artery (MCA), pericallosal artery, and M2 segment. The patient also had a history of systemic atherosclerosis and right-sided breast cancer, factors that increased the complexity of surgical intervention.
View Article and Find Full Text PDFJ Clin Med
December 2024
Department of Surgery, Kurume University School of Medicine, Fukuoka 830-0011, Japan.
Endovascular stent graft repair was developed to minimize the invasiveness of open surgery for thoracic and abdominal aortic diseases. This approach involves covering the diseased segment with a stented artificial graft. However, in thoracic endovascular aortic repair (TEVAR) for aortic arch diseases, special consideration is needed to preserve the aortic arch vessels.
View Article and Find Full Text PDFInt J Mol Sci
December 2024
Department of Vascular Surgery, RWTH Aachen University Hospital, 52074 Aachen, Germany.
Thoracoabdominal aortic aneurysms (TAAAs) are rare but serious conditions characterized by dilation of the aorta characterized by remodeling of the vessel wall, with changes in the elastin and collagen content. Individuals with Marfan syndrome have a genetic predisposition for elastic fiber fragmentation and elastin degradation and are prone to early aneurysm formation and progression. Our objective was to analyze the medial collagen characteristics through histological, polarized light microscopy, and electron microscopy methods across the thoracic and abdominal aorta in twenty-five patients undergoing open surgical repair, including nine with Marfan syndrome.
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