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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.
Diagnostics (Basel, Switzerland)
|July 12, 2025
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.
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.

