M Madheswaran and S Jerald Jeba Kumar: an Improved Medical Decision Support System to Grading the Diabetic Retinopathy Using Fundus Images

An improved Computer Aided Clinical Decision Support System has been developed for grading the retinal images using neural network and presented in this paper. Hard exudates, Cotton wool spots, large plaque hard exudates, Microaneurysms and Hemorrhages have been extracted. SVM classifiers have been used for classification. Further rule based classifiers have been used to grade the retinal images. The percentages of sensitivity, specificity have been found for both bright lesions and dark lesions. The accuracy of the proposed method is capable of detecting the bright and dark lesions sharply with an average accuracy of 98.19% and 97.51% respectively.