Understanding and Correcting Low-quality Retinal Fundus Images for Clinical Analysis

Retinal fundus images are widely used for clinical screening and diagnosis of eye diseases. However, fundus images captured by operators with various levels of experiences have a large variation in quality. Low-quality fundus images increase the uncertainty in clinical observation and lead to a risk of misdiagnosis. Due to the special optical beam of fundus imaging and retinal structure, the natural image enhancement methods cannot be utilized directly. In this paper, we first analyze the ophthalmoscope imaging system and model the reliable degradation of major inferior-quality factors, including uneven illumination, blur, and artifacts. Then, based on the degradation model, a clinical-oriented fundus enhancement network~(cofe-Net)~is proposed to suppress the global degradation factors, and simultaneously preserve anatomical retinal structures and pathological characteristics for clinical observation and analysis. Experiments on both synthetic and real fundus images demonstrate that our algorithm effectively corrects low-quality fundus images without losing retinal details. Moreover, we also show that the fundus correction method can benefit medical image analysis applications, e.g, retinal vessel segmentation and optic disc/cup detection.