Deep Learning Methods for Retinal Blood Vessel Segmentation: Evaluation on Images with Retinopathy of Prematurity

Automatic blood vessel segmentation from retinal images plays an important role in the diagnosis of many systemic and eye diseases, including retinopathy of prematurity. Current state-of-the-art research in blood vessel segmentation from retinal images is based on convolutional neural networks. The solutions proposed so far are trained and tested on images from a few available retinal blood vessel segmentation datasets, which might limit their performance when given an image with retinopathy of prematurity signs. In this paper, we evaluate the performance of three high-performing convolutional neural networks for retinal blood vessel segmentation in the context of blood vessel segmentation on retinopathy of prematurity retinal images. The main motive behind the study is to test if existing public datasets suffice to develop a high-performing predictor that could assist an ophthalmologist in retinopathy of prematurity diagnosis. To do so, we create a dataset consisting solely of retinopathy of prematurity images with retinal blood vessel annotations manually labeled by two observers, where one is the ophthalmologist experienced in retinopathy of prematurity treatment. Experimental results show that all three solutions have difficulties in detecting the retinal blood vessels of infants due to a lower contrast compared to images from public datasets as demonstrated by a significant drop in classification sensitivity. All three solutions segment alongside retinal also choroidal blood vessels which are not used to diagnose retinopathy of prematurity, but instead represent noise and are confused with retinal blood vessels. By visual and numerical observations, we observe that existing solutions for retinal blood vessel segmentation need improvement toward more detailed datasets or deeper models in order to assist the ophthalmologist in retinopathy of prematurity diagnosis.