A computerised system is presented for the automatic quantification of bloo
d vessel topography in retinal images. This system utilises digital image p
rocessing techniques to provide more reliable and comprehensive information
for the retinal vascular network. It applies strategies and algorithms for
measuring vascular trees and includes methods for locating the centre of a
bifurcation, detecting vessel branches, estimating vessel diameter, and ca
lculating angular geometry at a bifurcation. The performance of the system
is studied by comparison with manual measurements and by comparing measurem
ents between red-free images and fluorescein images. In general an acceptab
le degree of accuracy and precision was seen for all measurements, although
the system had difficulty dealing with very noisy images and small or espe
cially tortuous blood vessels. (C) 2000 Elsevier Science Ireland Ltd. All r
ights reserved.