Towards Label-Free 3D Segmentation of Optical Coherence Tomography Images of the Optic Nerve Head Using Deep Learning
Ophthalmic Engineering and Innovation Laboratory, Department of Biomedical Engineering, Faculty of Engineering, National University of Singapore（新加坡国立大学工程学院生物医学工程系眼科工程与创新实验室）；Singapore Eye Research Institute, Singapore National Eye Centre（新加坡国立眼科中心新加坡眼科研究所）；Rajan Eye Care Hospital（拉詹眼科护理医院）
Sripad Krishna Devalla, Tan Hung Pham, Satish Kumar Panda, Liang Zhang, Giridhar Subramanian, Anirudh Swaminathan, Chin Zhi Yun, Mohan Rajan, Sujatha Mohan, Ramaswami Krishnadas, Vijayalakshmi Senthil, John Mark S. de Leon, Tin A. Tun, Ching-Yu Cheng, Leopold Schmetterer, Shamira Perera, Tin Aung, Alexandre H. Thiery, Michael J. A. Girard
Since the introduction of optical coherence tomography (OCT), it has been possible to study the complex 3D morphological changes of the optic nerve head (ONH) tissues that occur along with the progression of glaucoma. Although several deep learning (DL) techniques have been recently proposed for the automated extraction (segmentation) and quantification of these morphological changes, the device specific nature and the difficulty in preparing manual segmentations (training data) limit their clinical adoption. With several new manufacturers and next-generation OCT devices entering the market, the complexity in deploying DL algorithms clinically is only increasing. To address this, we propose a DL based 3D segmentation framework that is easily translatable across OCT devices in a label-free manner (i.e. without the need to manually re-segment data for each device). Specifically, we developed 2 sets of DL networks. The first (referred to as the enhancer) was able to enhance OCT image quality from 3 OCT devices, and harmonized image-characteristics across these devices. The second performed 3D segmentation of 6 important ONH tissue layers. We found that the use of the enhancer was critical for our segmentation network to achieve device independency. In other words, our 3D segmentation network trained on any of 3 devices successfully segmented ONH tissue layers from the other two devices with high performance (Dice coefficients > 0.92). With such an approach, we could automatically segment images from new OCT devices without ever needing manual segmentation data from such devices.
Medical University of Vienna（维也纳医科大学）；Carl Zeiss Meditec, Inc.（卡尔蔡司医疗技术公司）
The automatic detection and localization of anatomical features in retinal imaging data are relevant for many aspects. In this work, we follow a data-centric approach to optimize classifier training for optic nerve head detection and localization in optical coherence tomography en face images of the retina. We examine the effect of domain knowledge driven spatial complexity reduction on the resulting optic nerve head segmentation and localization performance. We present a machine learning approach for segmenting optic nerve head in 2D en face projections of 3D widefield swept source optical co…
National University of Singapore（新加坡国立大学）；Duke-NUS, Graduate Medical School（杜克-新加坡国立大学医学院）；Singapore Eye Research Institute（新加坡眼科研究所）；Singapore National Eye Centre（新加坡全国眼科中心）；Université de la Polynésie francaise（法属波利尼西亚大学）；Moorfields Eye Hospital NHS Foundation Trust（Moorfields眼科医院NHS基金会信托）；UCL Institute of Ophthalmol（伦敦大学学院眼科研究所）
Given that the neural and connective tissues of the optic nerve head (ONH) exhibit complex morphological changes with the development and progression of glaucoma, their simultaneous isolation from optical coherence tomography (OCT) images may be of great interest for the clinical diagnosis and management of this pathology. A deep learning algorithm was designed and trained to digitally stain (i.e. highlight) 6 ONH tissue layers by capturing both the local (tissue texture) and contextual information (spatial arrangement of tissues). The overall dice coefficient (mean of all tissues) was $0.91 \…
University of Coimbra（科英布拉大学）；Erasmus MC（伊拉斯姆斯大学医学中心）；KU Leuven（鲁汶大学）；University of Porto（波尔图大学）；Centro Hospitalar e Universitário São João（圣若昂大学医院中心）；University Hospitals UZ Leuven（鲁汶大学医院）
The optic nerve head represents the intraocular section of the optic nerve (ONH), which is prone to damage by intraocular pressure. The advent of optical coherence tomography (OCT) has enabled the evaluation of novel optic nerve head parameters, namely the depth and curvature of the lamina cribrosa (LC). Together with the Bruch's membrane opening minimum-rim-width, these seem to be promising optic nerve head parameters for diagnosis and monitoring of retinal diseases such as glaucoma. Nonetheless, these optical coherence tomography derived biomarkers are mostly extracted through manual segment…
Fast and automatic algorithm to segment Brain (intracranial region) from computed tomography (CT) head images using combination of HU thresholding, identification of intracranial voxels through ray intersection with cranium, special binary erosion and connected components per slice.
National University of Singapore（新加坡国立大学）；Singapore Eye Research Institute（新加坡眼科研究所）；Singapore National Eye Centre（新加坡国家眼科中心）；Beihang University（北京航空航天大学）；Duke-NUS Graduate Medical School（杜克-新加坡国立大学医学院）；Nanyang Technological University（南洋理工大学）
Purpose: To develop a deep learning approach to de-noise optical coherence tomography (OCT) B-scans of the optic nerve head (ONH). Methods: Volume scans consisting of 97 horizontal B-scans were acquired through the center of the ONH using a commercial OCT device (Spectralis) for both eyes of 20 subjects. For each eye, single-frame (without signal averaging), and multi-frame (75x signal averaging) volume scans were obtained. A custom deep learning network was then designed and trained with 2,328 "clean B-scans" (multi-frame B-scans), and their corresponding "noisy B-scans" (clean B-scans + gaus…
National University of Singapore（新加坡国立大学）；Singapore Eye Research Institute（新加坡眼科研究所）；Singapore National Eye Centre（新加坡国家眼科中心）；Singapore-MIT Alliance for Research and Technology（新加坡-麻省理工学院研究与技术联盟）；Yong Loo Lin School of Medicine, National University of Singapore（新加坡国立大学杨潞龄医学院）；Duke-NUS Graduate Medical School（杜克-新加坡国立大学医学院）；Nanyang Technological University Singapore（新加坡南洋理工大学）；Medical University of Vienna（维也纳医科大学）；Institute of Molecular and Clinical Ophthalmology, Basel（巴塞尔分子与临床眼科研究所）；Abyss Processing Pte Ltd（深渊处理私人有限公司）
Purpose: (1) To develop a deep learning algorithm to automatically segment structures of the optic nerve head (ONH) and macula in 3D wide-field optical coherence tomography (OCT) scans; (2) To assess whether 3D macula or ONH structures (or the combination of both) provide the best diagnostic power for glaucoma. Methods: A cross-sectional comparative study was performed which included wide-field swept-source OCT scans from 319 glaucoma subjects and 298 non-glaucoma subjects. All scans were compensated to improve deep-tissue visibility. We developed a deep learning algorithm to automatically lab…
A Gradient Mapping Guided Explainable Deep Neural Network for Extracapsular Extension Identification in 3D Head and Neck Cancer Computed Tomography Images
Department of Industrial and Systems Engineering, Mississippi State University, Mississippi State, MS, 39762, USA（工业与系统工程系，密苏里州立大学）；Department of Radiation Oncology, University of Mississippi Medical Center, Jackson, MS, 39216, USA（放射肿瘤学系，密苏里大学医学中心）
Foundation Models vs. Radiomics for Lung Computed Tomography: A Benchmark of Feature Extractors, Classification Heads, and Segmentation Choices
Division AI4Health, Carl von Ossietzky Universität Oldenburg（奥尔登堡卡尔·冯·奥西茨基大学AI4Health部门）；University Institute for Diagnostic and Interventional Radiology, Klinikum Oldenburg AöR（奥尔登堡医院大学诊断与介入放射学研究所）
Leibniz University Hanover（汉诺威莱布尼茨大学）；Hannover Medical School（汉诺威医学院）
Cochlear implants (CIs) are implantable medical devices that can restore the hearing sense of people suffering from profound hearing loss. The CI uses a set of electrode contacts placed inside the cochlea to stimulate the auditory nerve with current pulses. The exact location of these electrodes may be an important parameter to improve and predict the performance with these devices. Currently the methods used in clinics to characterize the geometry of the cochlea as well as to estimate the electrode positions are manual, error-prone and time consuming. We propose a Markov random field (MRF) mo…
LaTIM, INSERM, UMR 1101, University Brest（拉蒂姆研究所、法国国家健康与医学研究院、布雷斯特大学）
Development of robust and accurate fully automated methods for medical image segmentation is crucial in clinical practice and radiomics studies. In this work, we contributed an automated approach for Head and Neck (H&N) primary tumor segmentation in combined positron emission tomography / computed tomography (PET/CT) images in the context of the MICCAI 2020 Head and Neck Tumor segmentation challenge (HECKTOR). Our model was designed on the U-Net architecture with residual layers and supplemented with Squeeze-and-Excitation Normalization. The described method achieved competitive results in cro…
High-resolution optical imaging methods, such as confocal microscopy and full-field optical coherence tomography, capture flat optical sections of the sample. If the sample is curved, the optical field sections through several sample layers and the view of each layer is reduced. Here we present curved-field optical coherence tomography, capable of capturing optical sections of arbitrary curvature. We test the device on a challenging task of imaging the human cornea in vivo and achieve 10x larger viewing area comparing to the clinical state-of-the-art. This enables more precise cell and nerve c…
3D Foundation Model for Generalizable Disease Detection in Head Computed Tomography
New York University, Center for Data Science（纽约大学数据科学中心）；New York University, Courant Institute of Mathematical Sciences（纽约大学Courant数学科学研究所）；NYU Grossman School of Medicine, Department of Radiology（纽约大学 Grossman 医学院放射科）；Siemens Healthineers（西门子医疗科技）；NYU Grossman School of Medicine, Department of Neurology（纽约大学 Grossman 医学院神经病学部）；NYU Grossman School of Medicine, Department of Neuroscience and Physiology（纽约大学 Grossman 医学院神经科学与生理学部）；NYU Grossman School of Medicine, Neuroscience Institute（纽约大学 Grossman 医学院神经科学研究所）
Kobe University Hospital（神户大学医院）；Research Center for Advanced Science and Technology, The University of Tokyo（东京大学先进科学技术研究中心）；Ichinomiyanishi Nishi Hospital（一宮西医院）；Osaka Red Cross Hospital（大阪红十字医院）
Background and Purpose: We aimed to develop and evaluate an automatic acute ischemic stroke-related (AIS) detection system involving a two-stage deep learning model. Methods: We included 238 cases from two different institutions. AIS-related findings were annotated on each of the 238 sets of head CT images by referring to head magnetic resonance imaging (MRI) images in which an MRI examination was performed within 24 h following the CT scan. These 238 annotated cases were divided into a training set including 189 cases and test set including 49 cases. Subsequently, a two-stage deep learning de…
This paper presents a computationally efficient method for the detection of optic nerve head in both color fundus and fluorescein angiography images. It involves a combination of Radon transformation and multi-overlapping windows within an optimization framework in order to achieve a robust detection in the presence of various structural, color, and intensity variations in such images. Three databases have been examined and it is shown that the introduced method provides high detection rates while achieving faster proceeding rates than the existing algorithms that possess comparable detection …
Singapore Eye Research Institute（新加坡眼科研究所）；National University of Singapore（新加坡国立大学）；Beihang University（北京航空航天大学）；Duke-NUS Medical School（杜克-新加坡国立大学医学院）
Speckle noise and retinal shadows within OCT B-scans occlude important edges, fine textures and deep tissues, preventing accurate and robust diagnosis by algorithms and clinicians. We developed a single process that successfully removed both noise and retinal shadows from unseen single-frame B-scans within 10.4ms. Mean average gradient magnitude (AGM) for the proposed algorithm was 57.2% higher than current state-of-the-art, while mean peak signal to noise ratio (PSNR), contrast to noise ratio (CNR), and structural similarity index metric (SSIM) increased by 11.1%, 154% and 187% respectively c…
Singapore Eye Research Institute（新加坡眼科研究所）；Singapore National Eye Centre（新加坡国家眼科中心）；National University of Singapore（新加坡国立大学）；Aravind Eye Care Systems（阿拉温德眼科护理系统）；Duke-NUS Medical School（杜克-新加坡国立大学医学院）
The optic nerve head (ONH) typically experiences complex neural- and connective-tissue structural changes with the development and progression of glaucoma, and monitoring these changes could be critical for improved diagnosis and prognosis in the glaucoma clinic. The gold-standard technique to assess structural changes of the ONH clinically is optical coherence tomography (OCT). However, OCT is limited to the measurement of a few hand-engineered parameters, such as the thickness of the retinal nerve fiber layer (RNFL), and has not yet been qualified as a stand-alone device for glaucoma diagnos…
Nowadays, glaucoma is the leading cause of blindness worldwide. We propose in this paper two different deep-learning-based approaches to address glaucoma detection just from raw circumpapillary OCT images. The first one is based on the development of convolutional neural networks (CNNs) trained from scratch. The second one lies in fine-tuning some of the most common state-of-the-art CNNs architectures. The experiments were performed on a private database composed of 93 glaucomatous and 156 normal B-scans around the optic nerve head of the retina, which were diagnosed by expert ophthalmologists…
University of Bucharest（布加勒斯特大学）；“Carol Davila” University of Medicine and Pharmacy（“卡罗尔·达维拉”医药大学）；Colţea Hospital（科尔察医院）；University Politehnica of Bucharest（布加勒斯特理工大学）；MBZ University of Artificial Intelligence（穆罕默德·本·扎耶德人工智能大学）；Linköping University（林雪平大学）
Super-resolving medical images can help physicians in providing more accurate diagnostics. In many situations, computed tomography (CT) or magnetic resonance imaging (MRI) techniques capture several scans (modes) during a single investigation, which can jointly be used (in a multimodal fashion) to further boost the quality of super-resolution results. To this end, we propose a novel multimodal multi-head convolutional attention module to super-resolve CT and MRI scans. Our attention module uses the convolution operation to perform joint spatial-channel attention on multiple concatenated input …
Baylor University（贝勒大学）；California State University, San Bernardino（加州州立大学圣贝纳迪诺分校）；University of Haifa（海法大学）；Loma Linda University Medical Center（洛马林达大学医学中心）
Proton computed tomography (pCT) is a novel imaging modality developed for patients receiving proton radiation therapy. The purpose of this work was to investigate hull-detection algorithms used for preconditioning of the large and sparse linear system of equations that needs to be solved for pCT image reconstruction. The hull-detection algorithms investigated here included silhouette/space carving (SC), modified silhouette/space carving (MSC), and space modeling (SM). Each was compared to the cone-beam version of filtered backprojection (FBP) used for hull-detection. Data for testing these al…
Optical coherence tomography (OCT) is a powerful and noninvasive method for retinal imaging. In this paper, we introduce a fast segmentation method based on a new variant of spectral graph theory named diffusion maps. The research is performed on spectral domain (SD) OCT images depicting macular and optic nerve head appearance. The presented approach does not require edge-based image information and relies on regional image texture. Consequently, the proposed method demonstrates robustness in situations of low image contrast or poor layer-to-layer image gradients. Diffusion mapping is applied …
Cochlear implants (CIs) are neural prosthetics which are used to treat patients with hearing loss. CIs use an array of electrodes which are surgically inserted into the cochlea to stimulate the auditory nerve endings. After surgery, CIs need to be programmed. Studies have shown that the spatial relationship between the intra-cochlear anatomy and electrodes derived from medical images can guide CI programming and lead to significant improvement in hearing outcomes. However, clinical head CT images are usually obtained from scanners of different brands with different protocols. The field of view…
Technical University of Munich（慕尼黑工业大学）；Heritage Institute of Technology（印度传统理工学院）
Automatic evaluation of the retinal fundus image is emerging as one of the most important tools for early detection and treatment of progressive eye diseases like Glaucoma. Glaucoma results to a progressive degeneration of vision and is characterized by the deformation of the shape of optic cup and the degeneration of the blood vessels resulting in the formation of a notch along the neuroretinal rim. In this paper, we propose a deep learning-based pipeline for automatic segmentation of optic disc (OD) and optic cup (OC) regions from Digital Fundus Images (DFIs), thereby extracting distinct fea…
Singapore Eye Research Institute（新加坡眼科研究所）；Singapore National Eye Centre（新加坡国家眼科中心）；Singapore-MIT Alliance for Research and Technology（新加坡-麻省理工学院研究与技术联盟）；Yong Loo Lin School of Medicine, National University of Singapore（新加坡国立大学杨潞龄医学院）；Duke-NUS Graduate Medical School（杜克-新加坡国立大学研究生医学院）；National University of Singapore（新加坡国立大学）；Massachusetts Institute of Technology（麻省理工学院）；Institute for Molecular and Clinical Ophthalmology, Basel（巴塞尔分子与临床眼科研究所）；Abyss Processing Pte Ltd（深渊处理私人有限公司）
$\mathbf{Purpose}$: To use artificial intelligence (AI) to: (1) exploit biomechanical knowledge of the optic nerve head (ONH) from a relatively large population; (2) assess ONH robustness from a single optical coherence tomography (OCT) scan of the ONH; (3) identify what critical three-dimensional (3D) structural features make a given ONH robust. $\mathbf{Design}$: Retrospective cross-sectional study. $\mathbf{Methods}$: 316 subjects had their ONHs imaged with OCT before and after acute intraocular pressure (IOP) elevation through ophthalmo-dynamometry. IOP-induced lamina-cribrosa deformations…
Singapore Eye Research Institute（新加坡眼科研究所）；Singapore National Eye Centre（新加坡国家眼科中心）；Duke-NUS Graduate Medical School（杜克-新加坡国立大学研究生医学院）；Institute for Molecular and Clinical Ophthalmology（分子与临床眼科研究所）；Rigshospitalet（丹麦国家医院）；University of Copenhagen（哥本哈根大学）；Yong Loo Lin School of Medicine（杨潞龄医学院）；National University of Singapore（新加坡国立大学）；Save Sight Institute（拯救视力研究所）；The University of Sydney（悉尼大学）
Purpose: (1) To develop a deep learning algorithm to identify major tissue structures of the optic nerve head (ONH) in 3D optical coherence tomography (OCT) scans; (2) to exploit such information to robustly differentiate among healthy, optic disc drusen (ODD), and papilledema ONHs. It was a cross-sectional comparative study with confirmed ODD (105 eyes), papilledema due to high intracranial pressure (51 eyes), and healthy controls (100 eyes). 3D scans of the ONHs were acquired using OCT, then processed to improve deep-tissue visibility. At first, a deep learning algorithm was developed using …
IBM Research Australia（IBM澳大利亚研究院）；NYU Langone Eye Center（纽约大学朗格尼眼科中心）；New York University School of Medicine（纽约大学医学院）
Optical coherence tomography (OCT) based measurements of retinal layer thickness, such as the retinal nerve fibre layer (RNFL) and the ganglion cell with inner plexiform layer (GCIPL) are commonly used for the diagnosis and monitoring of glaucoma. Previously, machine learning techniques have utilized segmentation-based imaging features such as the peripapillary RNFL thickness and the cup-to-disc ratio. Here, we propose a deep learning technique that classifies eyes as healthy or glaucomatous directly from raw, unsegmented OCT volumes of the optic nerve head (ONH) using a 3D Convolutional Neura…
Mass General Brigham（麻省总医院布里格姆医疗系统）；Harvard Medical School（哈佛医学院）；Maastricht University（马斯特里赫特大学）；Dana-Farber Cancer Institute（丹娜法伯癌症研究院）；Technical University of Munich（慕尼黑工业大学）；German Heart Center（德国心脏中心）
University Medical Center Groningen（格罗宁根大学医学中心）；University of Groningen（格罗宁根大学）；Department of Oral and Maxillofacial Surgery（口腔颌面外科）；Medical Imaging Center (MIC)（医学影像中心）；D Lab（3D实验室）
Recently, accurate mandible segmentation in CT scans based on deep learning methods has attracted much attention. However, there still exist two major challenges, namely, metal artifacts among mandibles and large variations in shape or size among individuals. To address these two challenges, we propose a recurrent segmentation convolutional neural network (RSegCNN) that embeds segmentation convolutional neural network (SegCNN) into the recurrent neural network (RNN) for robust and accurate segmentation of the mandible. Such a design of the system takes into account the similarity and continuit…
Mass General Brigham, Harvard Medical School（哈佛医学院麻省总医院布里格姆医疗系统）；Harvard-MIT Division of Health Sciences & Technology（哈佛-麻省理工学院健康科学与技术部）；Maastricht University（马斯特里赫特大学）
Purpose: Identifying intravenous (IV) contrast use within CT scans is a key component of data curation for model development and testing. Currently, IV contrast is poorly documented in imaging metadata and necessitates manual correction and annotation by clinician experts, presenting a major barrier to imaging analyses and algorithm deployment. We sought to develop and validate a convolutional neural network (CNN)-based deep learning (DL) platform to identify IV contrast within CT scans. Methods: For model development and evaluation, we used independent datasets of CT scans of head, neck (HN) …
JIS College of Engineering（JIS工程学院）；Kalyani Govt. Engineering College（卡利亚尼政府工程学院）
Segmentation of blood vessels in retinal images provides early diagnosis of diseases like glaucoma, diabetic retinopathy and macular degeneration. Among these diseases occurrence of Glaucoma is most frequent and has serious ocular consequences that can even lead to blindness, if it is not detected early. The clinical criteria for the diagnosis of glaucoma include intraocular pressure measurement, optic nerve head evaluation, retinal nerve fiber layer and visual field defects. This form of blood vessel segmentation helps in early detection for ophthalmic diseases, and potentially reduces the ri…
Objectives: Precise segmentation of total extraocular muscles (EOM) and optic nerve (ON) is essential to assess anatomical development and progression of thyroid-associated ophthalmopathy (TAO). We aim to develop a semantic segmentation method based on deep learning to extract the total EOM and ON from orbital CT images in patients with suspected TAO. Materials and Methods: A total of 7,879 images obtained from 97 subjects who underwent orbit CT scans due to suspected TAO were enrolled in this study. Eighty-eight patients were randomly selected into the training/validation dataset, and the res…
The University of Tokyo Hospital（东京大学医院）；Chiba University（千叶大学）
From birth to death, we all experience surprisingly ubiquitous changes over time due to aging. If we can predict aging in the digital domain, that is, the digital twin of the human body, we would be able to detect lesions in their very early stages, thereby enhancing the quality of life and extending the life span. We observed that none of the previously developed digital twins of the adult human body explicitly trained longitudinal conversion rules between volumetric medical images with deep generative models, potentially resulting in poor prediction performance of, for example, ventricular v…
Singapore Eye Research Institute（新加坡眼科研究所）；Singapore National Eye Centre（新加坡全国眼科中心）；Singapore-MIT Alliance for Research and Technology（新加坡-麻省理工学院研究与技术联盟）；Yong Loo Lin School of Medicine, National University of Singapore（新加坡国立大学杨潞龄医学院）；National University of Singapore（新加坡国立大学）；Duke-NUS Graduate Medical School（杜克-新加坡国立大学医学院）；Vilnius University（维尔纽斯大学）；Vilnius University Hospital Santaros Klinikos（维尔纽斯大学圣罗克利什科斯医院）；Massachusetts Institute of Technology（麻省理工学院）；Institute for Molecular and Clinical Ophthalmology（分子与临床眼科研究所）
Purpose: The optic nerve head (ONH) undergoes complex and deep 3D morphological changes during the development and progression of glaucoma. Optical coherence tomography (OCT) is the current gold standard to visualize and quantify these changes, however the resulting 3D deep-tissue information has not yet been fully exploited for the diagnosis and prognosis of glaucoma. To this end, we aimed: (1) To compare the performance of two relatively recent geometric deep learning techniques in diagnosing glaucoma from a single OCT scan of the ONH; and (2) To identify the 3D structural features of the ON…
ODFormer: Semantic Fundus Image Segmentation Using Transformer for Optic Nerve Head Detection
College of Electronics & Information Engineering, Tongji University（同济大学电子与信息工程学院）；Shanghai Institute of Intelligent Science and Technology, Tongji University（同济大学上海智能科学与技术研究院）；School of Life Science, Shanghai University（上海大学生命科学学院）；Tongji Hospital, School of Medicine, Tongji University（同济大学医学院附属同济医院）
Various morphological and functional parameters of peripheral nerves and their vascular supply are indicative of pathological changes due to injury or disease. Based on recent improvements in optoacoustic image quality, we explore the ability of multispectral optoacoustic tomography, in tandem with ultrasound imaging (OPUS), to investigate the vascular environment and morphology of peripheral nerves in vivo in a pilot study on healthy volunteers. We showcase the unique ability of optoacoustic imaging to visualize the vasa nervorum by observing intraneurial vessels in healthy nerves in vivo for…
Computer vision and image processing techniques provide important assistance to physicians and relieve their workload in different tasks. In particular, identifying objects of interest such as lesions and anatomical structures from the image is a challenging and iterative process that can be done by using computer vision and image processing approaches in a successful manner. Optic Nerve Head (ONH) detection is a crucial step in retinal image analysis algorithms. The goal of ONH detection is to find and detect other retinal landmarks and lesions and their corresponding diameters, to use as a l…
St. Michael’s Hospital（圣迈克尔医院）；University of Toronto（多伦多大学）
Machine learning (ML) holds great promise in transforming healthcare. While published studies have shown the utility of ML models in interpreting medical imaging examinations, these are often evaluated under laboratory settings. The importance of real world evaluation is best illustrated by case studies that have documented successes and failures in the translation of these models into clinical environments. A key prerequisite for the clinical adoption of these technologies is demonstrating generalizable ML model performance under real world circumstances. The purpose of this study was to demo…
National University of Singapore（新加坡国立大学）；Singapore Eye Research Institute（新加坡眼科研究所）；Singapore National Eye Centre（新加坡全国眼科中心）；Duke-NUS Graduate Medical School（杜克-新加坡国立大学研究生院）；Nanyang Technological University（南洋理工大学）；Medical University of Vienna（维也纳医科大学）
Purpose: To remove retinal shadows from optical coherence tomography (OCT) images of the optic nerve head(ONH). Methods:2328 OCT images acquired through the center of the ONH using a Spectralis OCT machine for both eyes of 13 subjects were used to train a generative adversarial network (GAN) using a custom loss function. Image quality was assessed qualitatively (for artifacts) and quantitatively using the intralayer contrast: a measure of shadow visibility ranging from 0 (shadow-free) to 1 (strong shadow) and compared to compensated images. This was computed in the Retinal Nerve Fiber Layer (R…
IBM Research Australia（IBM澳大利亚研究院）；New York University School of Medicine（纽约大学医学院）
Visual field tests (VFT) are pivotal for glaucoma diagnosis and conducted regularly to monitor disease progression. Here we address the question to what degree aggregate VFT measurements such as Visual Field Index (VFI) and Mean Deviation (MD) can be inferred from Optical Coherence Tomography (OCT) scans of the Optic Nerve Head (ONH) or the macula. Accurate inference of VFT measurements from OCT could reduce examination time and cost. We propose a novel 3D Convolutional Neural Network (CNN) for this task and compare its accuracy with classical machine learning (ML) algorithms trained on common…
Discriminating retinal microvascular and neuronal differences related to migraines: Deep Learning based Crossectional Study
Monash University（莫纳什大学）；University of New South Wales（新南威尔士大学）；School of Optometry & Vision Science（视光与视觉科学学院）；School of Computer Science and Engineering（计算机科学与工程学院）
Universal and Extensible Language-Vision Models for Organ Segmentation and Tumor Detection from Abdominal Computed Tomography
City University of Hong Kong（香港城市大学）；Johns Hopkins University（约翰斯·霍普金斯大学）；University of California, San Francisco（加州大学旧金山分校）；University of Illinois Urbana-Champaign（伊利诺伊大学厄巴纳-香槟分校）；Chinese University of Hong Kong（香港中文大学）；NVIDIA（英伟达）
3D Structural Phenotype of the Optic Nerve Head at the Intersection of Glaucoma and Myopia -- A Key to Improving Glaucoma Diagnosis in Myopic Populations
Singapore Eye Research Institute（新加坡眼科研究所）；Singapore National Eye Centre（新加坡国家眼科中心）；Singapore-MIT Alliance for Research and Technology（新加坡-麻省理工研究与技术联盟）；Duke-NUS Graduate Medical School（杜克-新加坡国立大学医学院）；Yong Loo Lin School of Medicine, National University of Singapore（新加坡国立大学杨潞龄医学院）；Emory University School of Medicine（埃默里大学医学院）；National University of Singapore（新加坡国立大学）；Georgia Institute of Technology（佐治亚理工学院）；Emory Empathetic AI for Health Institute（埃默里大学共情健康人工智能研究所）；Emory Eye Center（埃默里眼科中心）；Emory School of Medicine（埃默里医学院）；Emory Clinic（埃默里诊所）；Abyss Processing Pte Ltd（Abyss Processing私人有限公司）
Detection and Localization of Subdural Hematoma Using Deep Learning on Computed Tomography
Operations Research Center, Massachusetts Institute of Technology（麻省理工学院运营研究中心）；Boston University（波士顿大学）；Massachusetts Institute of Technology（麻省理工学院）；University of Connecticut School of Medicine（康奈尔大学医学学院）；Hartford HealthCare（哈特福德医疗集团）；Sloan School of Management, Massachusetts Institute of Technology（麻省理工学院斯隆管理学院）
UltraEar: a multicentric, large-scale database combining ultra-high-resolution computed tomography and clinical data for ear diseases
Beijing Friendship Hospital, Capital Medical University（首都医科大学附属北京友谊医院）；Beijing Key Laboratory of Computational Intelligence and Intelligent System, Beijing University of Technology（北京工业大学计算智能与智能系统北京市重点实验室）；Yanjing Medical College, Capital Medical University（首都医科大学燕京医学院）
本文介绍多中心UltraEar数据库的构建，整合11家医院0.1 mm U-HRCT影像、报告与临床数据，并提供标准化标注、分割和隐私保护流程，以支持耳科AI研究、教学与协作。
Incorporating data-specific domain knowledge in deep networks explicitly can provide important cues beneficial for lesion detection and can mitigate the need for diverse heterogeneous datasets for learning robust detectors. In this paper, we exploit the domain information present in computed tomography (CT) scans and propose a robust universal lesion detection (ULD) network that can detect lesions across all organs of the body by training on a single dataset, DeepLesion. We analyze CT-slices of varying intensities, generated using heuristically determined Hounsfield Unit(HU) windows that indiv…
National Taiwan University Hospital（国立台湾大学医学院附设医院）；Deep01, Ltd.（Deep01有限公司）
Brain CT has become a standard imaging tool for emergent evaluation of brain condition, and measurement of midline shift (MLS) is one of the most important features to address for brain CT assessment. We present a simple method to estimate MLS and propose a new alternative parameter to MLS: the ratio of MLS over the maximal width of intracranial region (MLS/ICWMAX). Three neurosurgeons and our automated system were asked to measure MLS and MLS/ICWMAX in the same sets of axial CT images obtained from 41 patients admitted to ICU under neurosurgical service. A weighted midline (WML) was plotted b…
Johns Hopkins University（约翰斯·霍普金斯大学）；University of Maryland School of Medicine（马里兰大学医学院）
Modern machine learning pipelines, in particular those based on deep learning (DL) models, require large amounts of labeled data. For classification problems, the most common learning paradigm consists of presenting labeled examples during training, thus providing strong supervision on what constitutes positive and negative samples. This constitutes a major obstacle for the development of DL models in radiology--in particular for cross-sectional imaging (e.g., computed tomography [CT] scans)--where labels must come from manual annotations by expert radiologists at the image or slice-level. The…
Imperial College London（帝国理工学院）；UCLA（加州大学洛杉矶分校）；Jules Stein Eye Institute（朱尔斯·斯坦眼科研究所）；California State University（加州州立大学）；David Geffen School of Medicine（大卫·格芬医学院）；Technische Universität München（慕尼黑工业大学）
The estimation of glaucoma progression is a challenging task as the rate of disease progression varies among individuals in addition to other factors such as measurement variability and the lack of standardization in defining progression. Structural tests, such as thickness measurements of the retinal nerve fiber layer or the macula with optical coherence tomography (OCT), are able to detect anatomical changes in glaucomatous eyes. Such changes may be observed before any functional damage. In this work, we built a generative deep learning model using the conditional GAN architecture to predict…
Glaucoma is a serious ocular disorder for which the screening and diagnosis are carried out by the examination of the optic nerve head (ONH). The color fundus image (CFI) is the most common modality used for ocular screening. In CFI, the central r
Glaucoma is the leading cause of irreversible blindness in the world, affecting over 70 million people. The cumbersome Standard Automated Perimetry (SAP) test is most frequently used to detect visual loss due to glaucoma. Due to the SAP test's innate difficulty and its high test-retest variability, we propose the RetiNerveNet, a deep convolutional recursive neural network for obtaining estimates of the SAP visual field. RetiNerveNet uses information from the more objective Spectral-Domain Optical Coherence Tomography (SDOCT). RetiNerveNet attempts to trace-back the arcuate convergence of the r…
Mohamed bin Zayed University of Artificial Intelligence（穆罕默德·本·扎耶德人工智能大学）
Cancer is one of the leading causes of death worldwide, and head and neck (H&N) cancer is amongst the most prevalent types. Positron emission tomography and computed tomography are used to detect, segment and quantify the tumor region. Clinically, tumor segmentation is extensively time-consuming and prone to error. Machine learning, and deep learning in particular, can assist to automate this process, yielding results as accurate as the results of a clinician. In this paper, we investigate a vision transformer-based method to automatically delineate H&N tumor, and compare its results to leadin…
One of the important parameters for the assessment of glaucoma is optic nerve head (ONH) evaluation, which usually involves depth estimation and subsequent optic disc and cup boundary extraction. Depth is usually obtained explicitly from imaging modalities like optical coherence tomography (OCT) and is very challenging to estimate depth from a single RGB image. To this end, we propose a novel method using adversarial network to predict depth map from a single image. The proposed depth estimation technique is trained and evaluated using individual retinal images from INSPIRE-stereo dataset. We …
