I. Introduction
Diabetic Retinopathy (DR) is the most common eye disease which causes blindness in the adults in the age of 20–60 years old [1]. It is a progressive eye disease that is caused by the increase of insulin in blood and can cause blindness if not detected timely [2]. So, it is necessary to detect and treat DR as early as possible to reduce the risk of blindness. Diabetic Retinopathy is diagnosed by analyzing the fundus images. Digital fundus image contains blood vessels, optic disc and macula as normal components. As the disease progresses, different lesions start appearing on surface of retina and also effect the shape of blood vessels. In the advance stage of DR, abnormal blood vessels start growing known as neovascularization [3]. These vessels appear as holes and bunches of small vessels. Therefore, an automated retinal image analysis is required to screen and grade DR images. Most of the automated methods devised for retinal image analysis rely on vessels segmentation. Automated vessel segmentation serves many purposes in computer aided diagnosis systems which tend to perform timely detection of DR. Fig. 1 shows segmented blood vessels from normal and DR retinal image. The red circles on image (c) and (d) show retinal lesions detected due to presence of the false structures. These false structures appear as false positives and computer aided diagnosis systems consider these vessels as abnormal vessel and grade image as advanced DR. Hence, this leads to misdiagnosis of diseases and can degrades the automated screening systems.
(a) Normal retinal image, (b) segmented vascular pattern of image (a), (c) DR fundus image with lesions, (d) segmented vascular pattern of image (c)