Retinal vascular tortuosity presents valuable potential as a clinical biomarker for many relevant vascular and systemic diseases. Our work exhibits twofold: first, the definition of a novel scale-invariant metric to measure retinal blood vessel tortuosity; and second, the generation of a local database, called SCALE-TORT, with the intention of providing a means to test the scale invariance property on real retinal vessels rather than on synthetic data. The proposed scale invariant tortuosity metric is based on the Extended Slope Chain Code which uses variable straight-line segments for describing curves. It is focused on the representation of high-definition curves, the length of the segments is a function of the slope changes of the curve. Scale invariance is an important property when several different retinal image settings or different acquisition sources are used during a particular study or in clinical practice.
Fanti, Z., Braumann, U. D., Rauscher, F. G., Ebert, T., Bribiesca, E., & Martinez-Perez, M. E. (2025). Slope Chain Code-based scale-independent tortuosity measurement on retinal vessels. Experimental eye research, 254, 110286.