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Diabetic Retinopathy01:27

Diabetic Retinopathy

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DefinitionDiabetic retinopathy is a microvascular complication of diabetes affecting the retinal blood vessels.Risk FactorsDiabetic retinopathy is present in almost all individuals with type 1 diabetes and more than 60% of those with type 2 diabetes after two decades of disease.The risk increases with poor glycemic control, hypertension, dyslipidemia, smoking, pregnancy, and puberty.Although cataracts and glaucoma are also more frequent in people with diabetes, retinopathy remains the leading...
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Early Diabetic Retinopathy Detection from OCT Images Using Multifractal Analysis and Multi-Layer Perceptron

Ahlem Aziz1, Necmi Serkan Tezel1, Seydi Kaçmaz2

  • 1Electrical and Electronics Engineering Department, Karabuk University, 78050 Karabuk, Türkiye.

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|July 12, 2025
PubMed
Summary

Early diabetic retinopathy (DR) detection is improved using multifractal analysis of Optical Coherence Tomography (OCT) images. Machine learning, particularly Multi-Layer Perceptron, achieved 98.02% accuracy for automated DR screening.

Keywords:
Diabetic RetinopathyMulti-Layer Perceptron (MLP)Optical Coherence Tomography (OCT)computer-aided diagnosisearly detectionmachine learningmultifractal analysisretinal imaging

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Area of Science:

  • Ophthalmology
  • Medical Imaging
  • Computational Biology

Background:

  • Diabetic retinopathy (DR) is a leading cause of preventable blindness globally.
  • Early detection and management are crucial to prevent irreversible vision loss.
  • Automated, non-invasive screening tools are vital for modern ophthalmology.

Purpose of the Study:

  • To develop a novel framework for early diabetic retinopathy detection.
  • To utilize multifractal analysis of Optical Coherence Tomography (OCT) images for DR screening.
  • To evaluate machine learning algorithms for classifying DR based on OCT data.

Main Methods:

  • A novel framework employing multifractal analysis of OCT images was developed.
  • Multifractal features were extracted using a box-counting approach.
  • Several machine learning algorithms were evaluated for classification performance.

Main Results:

  • The Multi-Layer Perceptron (MLP) algorithm demonstrated the highest predictive accuracy at 98.02%.
  • MLP achieved excellent performance metrics: 98.24% precision, 97.80% recall, and 98.01% F1-score.
  • The study successfully quantified structural irregularities in retinal tissue associated with DR.

Conclusions:

  • Combining OCT imaging, multifractal geometry, and deep learning offers a robust approach for DR screening.
  • The proposed method shows significant potential for improving early diagnosis and patient outcomes in diabetic eye care.
  • This automated system can aid clinical decision-making and enhance the scalability of DR screening programs.