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2  Automated image quality assessment algorithms  145




                     Three of the assessment algorithms (color, contrast and illumination) utilized
                  the approach of histogram backprojection [51], which assessed how pixels in an
                  image were similar to the distribution of pixels in a histogram model. With respect
                  to the assessment of color, for each image class of “bright” or “dark” or “normal” a
                  specific colourmap was constructed from training images. Each colourmap was used
                  to perform color indexing of the retinal image to be assessed for quality, resulting in
                  three color measures which were combined to form a feature vector. Classification
                  techniques were applied to determine the image class of “bright”, “dark” or “normal”.
                     The assessment of contrast was also related to the indexing approach and applied
                  a histogram backpropagation to derive an indexed image, which was used to achieve
                  a contrast quality score. The assessment of illumination assessed homogeneity in
                  illumination across the retinal image and a histogram backprojection of the retinal
                  image using an illumination colourmap. The assessment of focus used a combination
                  of a Sobel operator and multi-focus-level analysis. The final classification into an
                  image quality assessment binary decision integrated the previous measures computed
                  from the image that represented image color, focus, contrast and illumination quality.
                  An overview of the method can be seen in Fig. 2.
                     The final classifier was evaluated with a dataset composed of 848 “ungradable”
                  and 1184 “gradable” retinal images taken from a proprietary dataset and the
                  Messidor dataset respectively. The best overall results were obtained by a Feed-



                                                Retinal Image


                                                  Image
                                               Pre-Processing
                                Pre-processed Retinal Image  Pre-processed Retinal Image
                     Colour Assessment  Focus Assessment  Contrast Assessment  Illumination Assessment
                        Algorithm        Algorithm       Algorithm        Algorithm


                                          Focus Measures  Contrast Measures
                               Colour Measures                 Illumination Measures
                                               Quality Classifier




                                                Overall Retinal
                                                Image Quality


                  FIG. 2
                  Retinal image quality assessment algorithm flowchart.
                  From J.M. Pires Dias, C.M. Oliveira, L.A. da Silva Cruz, Retinal image quality assessment using generic image
                                                       quality indicators, Inf. Fusion 19 (2014) 73–90.
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