Reliability of Using Retinal Vascular Fractal Dimension as a Biomarker in the Diabetic Retinopathy Detection

The retinal fractal dimension (FD) is a measure of vasculature branching pattern complexity. FD has been considered as a potential biomarker for the detection of several diseases like diabetes and hypertension. However, conflicting findings were found in the reported literature regarding the associa...

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Main Authors: Fan Huang, Behdad Dashtbozorg, Jiong Zhang, Erik Bekkers, Samaneh Abbasi-Sureshjani, Tos T. J. M. Berendschot, Bart M. ter Haar Romeny
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2016/6259047
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author Fan Huang
Behdad Dashtbozorg
Jiong Zhang
Erik Bekkers
Samaneh Abbasi-Sureshjani
Tos T. J. M. Berendschot
Bart M. ter Haar Romeny
author_facet Fan Huang
Behdad Dashtbozorg
Jiong Zhang
Erik Bekkers
Samaneh Abbasi-Sureshjani
Tos T. J. M. Berendschot
Bart M. ter Haar Romeny
author_sort Fan Huang
collection DOAJ
description The retinal fractal dimension (FD) is a measure of vasculature branching pattern complexity. FD has been considered as a potential biomarker for the detection of several diseases like diabetes and hypertension. However, conflicting findings were found in the reported literature regarding the association between this biomarker and diseases. In this paper, we examine the stability of the FD measurement with respect to (1) different vessel annotations obtained from human observers, (2) automatic segmentation methods, (3) various regions of interest, (4) accuracy of vessel segmentation methods, and (5) different imaging modalities. Our results demonstrate that the relative errors for the measurement of FD are significant and FD varies considerably according to the image quality, modality, and the technique used for measuring it. Automated and semiautomated methods for the measurement of FD are not stable enough, which makes FD a deceptive biomarker in quantitative clinical applications.
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institution Kabale University
issn 2090-004X
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publishDate 2016-01-01
publisher Wiley
record_format Article
series Journal of Ophthalmology
spelling doaj-art-feb22055146b4627917ee766e11179672025-02-03T01:28:49ZengWileyJournal of Ophthalmology2090-004X2090-00582016-01-01201610.1155/2016/62590476259047Reliability of Using Retinal Vascular Fractal Dimension as a Biomarker in the Diabetic Retinopathy DetectionFan Huang0Behdad Dashtbozorg1Jiong Zhang2Erik Bekkers3Samaneh Abbasi-Sureshjani4Tos T. J. M. Berendschot5Bart M. ter Haar Romeny6Department of Biomedical Engineering, Eindhoven University of Technology, Eindhoven, NetherlandsDepartment of Biomedical Engineering, Eindhoven University of Technology, Eindhoven, NetherlandsDepartment of Biomedical Engineering, Eindhoven University of Technology, Eindhoven, NetherlandsDepartment of Biomedical Engineering, Eindhoven University of Technology, Eindhoven, NetherlandsDepartment of Biomedical Engineering, Eindhoven University of Technology, Eindhoven, NetherlandsUniversity Eye Clinic Maastricht, Maastricht, NetherlandsDepartment of Biomedical Engineering, Eindhoven University of Technology, Eindhoven, NetherlandsThe retinal fractal dimension (FD) is a measure of vasculature branching pattern complexity. FD has been considered as a potential biomarker for the detection of several diseases like diabetes and hypertension. However, conflicting findings were found in the reported literature regarding the association between this biomarker and diseases. In this paper, we examine the stability of the FD measurement with respect to (1) different vessel annotations obtained from human observers, (2) automatic segmentation methods, (3) various regions of interest, (4) accuracy of vessel segmentation methods, and (5) different imaging modalities. Our results demonstrate that the relative errors for the measurement of FD are significant and FD varies considerably according to the image quality, modality, and the technique used for measuring it. Automated and semiautomated methods for the measurement of FD are not stable enough, which makes FD a deceptive biomarker in quantitative clinical applications.http://dx.doi.org/10.1155/2016/6259047
spellingShingle Fan Huang
Behdad Dashtbozorg
Jiong Zhang
Erik Bekkers
Samaneh Abbasi-Sureshjani
Tos T. J. M. Berendschot
Bart M. ter Haar Romeny
Reliability of Using Retinal Vascular Fractal Dimension as a Biomarker in the Diabetic Retinopathy Detection
Journal of Ophthalmology
title Reliability of Using Retinal Vascular Fractal Dimension as a Biomarker in the Diabetic Retinopathy Detection
title_full Reliability of Using Retinal Vascular Fractal Dimension as a Biomarker in the Diabetic Retinopathy Detection
title_fullStr Reliability of Using Retinal Vascular Fractal Dimension as a Biomarker in the Diabetic Retinopathy Detection
title_full_unstemmed Reliability of Using Retinal Vascular Fractal Dimension as a Biomarker in the Diabetic Retinopathy Detection
title_short Reliability of Using Retinal Vascular Fractal Dimension as a Biomarker in the Diabetic Retinopathy Detection
title_sort reliability of using retinal vascular fractal dimension as a biomarker in the diabetic retinopathy detection
url http://dx.doi.org/10.1155/2016/6259047
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