Assessing fairness in performance evaluation of publicly available retinal blood vessel segmentation algorithms

In the literature, various algorithms have been proposed for automatically extracting blood vessels from retinal images. In general, they are developed and evaluated using several publicly available datasets such as the DRIVE and STARE datasets. For performance evaluation, several metrics such as Sensitivity, Specificity, and Accuracy have been widely used. However, not all methods in the literature have been fairly evaluated and compared among their counterparts. In particular, for some publicly available algorithms, the performance is measured only for the area inside the field of view (FOV) of each retinal image while the rest use the complete image for the performance evaluation. Therefore, performing a comparison of the performance of methods in the latter group with those in the former group may lead to a misleading justification. This study aims to assess fairness in the performance evaluation of various publicly available retinal blood vessel segmentation algorithms. The conducted study allows getting several meaningful results: (i) a guideline to assess fairness in performance evaluation of retinal vessel segmentation algorithms, (ii) a more proper performance comparison of retinal vessel segmentation algorithms in the literature, and (iii) a suggestion regarding the use of performance evaluation metrics that will not lead to misleading comparison and justification.