


Volume 20 No 10 (2022)
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Differentiation and Identification of Retinopathy of Prematurity Stages using DnCNN Algorithm
K R N Aswini , Dr S Vijayaraghavan
Abstract
Retinopathy of Prematurity is one of the major ocular abnormalities affecting preterm infants or
babies born with low birth weight. Other systemic complications also may add on to the
abnormalities causing visual impairment. However, effective and earlier diagnosis is a major step in
preventing the devastating complications. There are many socio-economic factors involved in the
prevention of artificial blindness. One such is the availability of expertise which is linked with the
imaging and diagnostic facility. Ultrasonic B Scan is commonly used to diagnose RoP. It is easily
available and economical too. But it is not always suitable to identify every stage of RoP because of
the overlapping of low frequency and high frequency signal components. The earlier stages of RoP
appear with low clarity and severe stages of RoP appear with increased noise and echoes. Alongside,
the physical errors do add up and the percentage of error increases. This may misguide the
Ophthalmologist in the interpretation of images with clinical correlation. Hence, need for an
improved algorithm to differentiate and identify the stages of RoP and enhance the quality of B Scan
images. The conventional frequency domain algorithms like DWT, SWT may not be potential in
achieving the targeted outcomes. Here, in this paper, we propose DnCNN based algorithm in order
to sub-classify the retinal images, enhance the pixel quality, improve the edge detection, remove the
noise components and increase the overall visibility and understanding of retinal layers, tissues and
nerve fibres on the posterior end of the eye. The errors during the B Scan image acquisition are also
considered to be nullified in order to improve the accuracy of interpretation of output images. On
observation and clinical correlation of the result, the quality image is enhanced about 95% compared
to the input RoP images. The internal structures, distribution of blood vessels, curvature, and region
of abnormality are identified with improved quality and finer edges
Keywords
Retinopathy of Prematurity, Ultrasonic B Scan Images, DnCNN, Image Denoising, Segmentation, Image Enhancement
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