We present a pseudo-real-time retinal layer segmentation for high-resolution Sensorless Adaptive Optics-Optical Coherence Tomography (SAO-OCT). Our pseudo-real-time segmentation method is based on Dijkstra's algorithm that uses the intensity of pixels and the vertical gradient of the image to find the minimum cost in a geometric graph formulation within a limited search region. It segments six retinal layer boundaries in an iterative process according to their order of prominence. The segmentation time is strongly correlated to the number of retinal layers to be segmented. Our program permits en face images to be extracted during data acquisition to guide the depth specific focus control and depth dependent aberration correction for high-resolution SAO-OCT systems. The average processing times for our entire pipeline for segmenting six layers in a retinal B-scan of 496x400 pixels and 240x400 pixels are around 25.60 ms and 13.76 ms, respectively. When reducing the number of layers segmented to only two layers, the time required for a 240x400 pixel image is 8.26 ms.
We present a cascade deep neural network to segment retinal vessels in volumetric optical coherence tomography (OCT). Two types of knowledge are infused into the network for confining the searching regions. (1) Histology. The retinal vessels locate between the inner limiting membrane and the inner nuclear layer of human retina. (2) Imaging. The red blood cells inside the vessels scatter the OCT probe light forward and form projection shadows on the retinal pigment epithelium (RPE) layer, which is avascular thus perfect for localizing the retinal vessel in transverse plane. Qualitative and quan…
Optical coherence tomography offers astounding opportunities to image the complex structure of living tissue, but lacks functional information. We present dynamic full-field optical coherence tomography to image living human induced pluripotent stem cell-derived retinal organoids non-invasively. Colored images with an endogenous contrast linked to organelle motility are generated, with sub-micrometer spatial resolution and millisecond temporal resolution, opening an avenue to identify specific cell types in living tissue via their function.
Shanghai Jiao Tong University（上海交通大学）；EPFL（洛桑联邦理工学院）；Shanghai General Hospital（上海市第一人民医院）
Projection map (PM) from optical coherence tomography (OCT) B-scan is an important tool to diagnose retinal diseases, which typically requires retinal layer segmentation. In this study, we present a novel end-to-end framework to predict PMs from B-scans. Instead of segmenting retinal layers explicitly, we represent them implicitly as predicted coordinates. By pixel interpolation on uniformly sampled coordinates between retinal layers, the corresponding PMs could be easily obtained with pooling. Notably, all the operators are differentiable; therefore, this Differentiable Projection Module (DPM…
Center for Cognitive Skill Enhancement（认知技能提升中心）；Independent University Bangladesh（孟加拉国独立大学）；University of Nevada, Reno（内华达大学雷诺分校）
Diagnosing different retinal diseases from Spectral Domain Optical Coherence Tomography (SD-OCT) images is a challenging task. Different automated approaches such as image processing, machine learning and deep learning algorithms have been used for early detection and diagnosis of retinal diseases. Unfortunately, these are prone to error and computational inefficiency, which requires further intervention from human experts. In this paper, we propose a novel convolution neural network architecture to successfully distinguish between different degeneration of retinal layers and their underlying …
Optical tomographic cross-sectional images of biological samples were made possible by interferometric imaging techniques such as Optical Coherence Tomography (OCT). Owing to its unprecedented view of the sample, OCT has become a gold standard, namely for human retinal imaging in the clinical environment. In this Letter, we present Optical Incoherence Tomography (OIT): a completely digital method extending the possibility to generate tomographic retinal cross-sections to non-interferometric imaging systems such as en-face AO-ophthalmoscopes. We demonstrate that OIT can be applied to different …
Casey Eye Institute, Oregon Health & Science University（俄勒冈健康与科学大学凯西眼科研究所）；School of Physics and Optoelectronic Engineering, Foshan University（佛山大学物理与光电工程学院）；Department of Biomedical Engineering, Oregon Health & Science University（俄勒冈健康与科学大学生物医学工程系）
Purpose: We proposed a deep convolutional neural network (CNN), named Retinal Fluid Segmentation Network (ReF-Net) to segment volumetric retinal fluid on optical coherence tomography (OCT) volume. Methods: 3 x 3-mm OCT scans were acquired on one eye by a 70-kHz OCT commercial AngioVue system (RTVue-XR; Optovue, Inc.) from 51 participants in a clinical diabetic retinopathy (DR) study (45 with retinal edema and 6 healthy controls). A CNN with U-Net-like architecture was constructed to detect and segment the retinal fluid. Cross-sectional OCT and angiography (OCTA) scans were used for training an…
The Pingry School（平格里学校）；Chinle Comprehensive Health Care Facility（钦利综合医疗中心）；University of Maryland, College Park（马里兰大学帕克分校）；NVIDIA（英伟达）
30 million Optical Coherence Tomography (OCT) imaging tests are issued annually to diagnose various retinal diseases, but accurate diagnosis of OCT scans requires trained eye care professionals who are still prone to making errors. With better systems for diagnosis, many cases of vision loss caused by retinal disease could be entirely avoided. In this work, we present ReLaX, a novel deep learning framework for explainable, accurate classification of retinal pathologies which achieves state-of-the-art accuracy. Furthermore, we emphasize producing both qualitative and quantitative explanations o…
Automated drusen segmentation in retinal optical coherence tomography (OCT) scans is relevant for understanding age-related macular degeneration (AMD) risk and progression. This task is usually performed by segmenting the top/bottom anatomical interfaces that define drusen, the outer boundary of the retinal pigment epithelium (OBRPE) and the Bruch's membrane (BM), respectively. In this paper we propose a novel multi-decoder architecture that tackles drusen segmentation as a multitask problem. Instead of training a multiclass model for OBRPE/BM segmentation, we use one decoder per target class …
University of Nevada, Reno（内华达大学里诺分校）；Houston Eye Associates（休斯顿眼科协会）
Ophthalmic images may contain identical-looking pathologies that can cause failure in automated techniques to distinguish different retinal degenerative diseases. Additionally, reliance on large annotated datasets and lack of knowledge distillation can restrict ML-based clinical support systems' deployment in real-world environments. To improve the robustness and transferability of knowledge, an enhanced feature-learning module is required to extract meaningful spatial representations from the retinal subspace. Such a module, if used effectively, can detect unique disease traits and differenti…
Indian Institute of Information Technology, Sri City（印度信息技术学院，斯里城）
Image to Image Translation (I2I) is a challenging computer vision problem used in numerous domains for multiple tasks. Recently, ophthalmology became one of the major fields where the application of I2I is increasing rapidly. One such application is the generation of synthetic retinal optical coherence tomographic (OCT) scans. Existing I2I methods require training of multiple models to translate images from normal scans to a specific pathology: limiting the use of these models due to their complexity. To address this issue, we propose an unsupervised multi-domain I2I network with pre-trained s…
West Virginia University（西弗吉尼亚大学）；Rockefeller Neuroscience Institute（洛克菲勒神经科学研究所）；Georgia Institute of Technology（佐治亚理工学院）；Twentieth Century Fox（二十世纪福克斯公司）；Starfleet Academy（星际舰队学院）
In this paper, we design a Generative Adversarial Network (GAN)-based solution for super-resolution and segmentation of optical coherence tomography (OCT) scans of the retinal layers. OCT has been identified as a non-invasive and inexpensive modality of imaging to discover potential biomarkers for the diagnosis and progress determination of neurodegenerative diseases, such as Alzheimer's Disease (AD). Current hypotheses presume the thickness of the retinal layers, which are analyzable within OCT scans, can be effective biomarkers. As a logical first step, this work concentrates on the challeng…
Simon Fraser University（西蒙弗雷泽大学）；Tencent YouTu Lab（腾讯优图实验室）
Optical coherence tomography (OCT) is a non-invasive imaging technology which can provide micrometer-resolution cross-sectional images of the inner structures of the eye. It is widely used for the diagnosis of ophthalmic diseases with retinal alteration, such as layer deformation and fluid accumulation. In this paper, a novel framework was proposed to segment retinal layers with fluid presence. The main contribution of this study is two folds: 1) we developed a cascaded network framework to incorporate the prior structural knowledge; 2) we proposed a novel deep neural network based on U-Net an…
Purpose: To assess whether a generative adversarial network (GAN) could synthesize realistic optical coherence tomography (OCT) images that satisfactorily serve as the educational images for retinal specialists and the training datasets for the classification of various retinal disorders using deep learning (DL). Methods: The GANs architecture was adopted to synthesis high-resolution OCT images training on a publicly available OCT dataset including urgent referrals (choroidal neovascularization and diabetic macular edema) and non-urgent referrals (normal and drusen). 400 real and synthetic OCT…
Nanjing University of Science and Technology（南京理工大学）
Optical coherence tomography angiography (OCTA) is a novel imaging modality that has been widely utilized in ophthalmology and neuroscience studies to observe retinal vessels and microvascular systems. However, publicly available OCTA datasets remain scarce. In this paper, we introduce the largest and most comprehensive OCTA dataset dubbed OCTA-500, which contains OCTA imaging under two fields of view (FOVs) from 500 subjects. The dataset provides rich images and annotations including two modalities (OCT/OCTA volumes), six types of projections, four types of text labels (age / gender / eye / d…
University of Nevada, Reno（内华达大学雷诺分校）；Houston Eye Associates（休斯顿眼科协会）
Noisy data and the similarity in the ocular appearances caused by different ophthalmic pathologies pose significant challenges for an automated expert system to accurately detect retinal diseases. In addition, the lack of knowledge transferability and the need for unreasonably large datasets limit clinical application of current machine learning systems. To increase robustness, a better understanding of how the retinal subspace deformations lead to various levels of disease severity needs to be utilized for prioritizing disease-specific model details. In this paper we propose the use of diseas…
OCTDL: Optical Coherence Tomography Dataset for Image-Based Deep Learning Methods
Friedrich-Alexander-Universität Erlangen-Nürnberg（弗里德里希-亚历山大-埃尔朗根-纽伦堡大学）；Ural Federal University Named after the First President of Russia B. N. Yeltsin（俄罗斯首任总统B.N.叶利钦命名的乌拉尔联邦大学）；Ophthalmosurgery Clinic "Professorskaya Plus"（“Professorskaya Plus”眼科诊所）；Ural State Medical University（乌拉尔国立医科大学）
Synthetic optical coherence tomography angiographs for detailed retinal vessel segmentation without human annotations
Technical University of Munich（慕尼黑工业大学）；Imperial College London（帝国理工学院）；Helmholtz Zentrum Muenchen（亥姆霍兹慕尼黑中心）；University of Innsbruck（因斯布鲁克大学）；University of Oxford（牛津大学）；Moorfields Eye Hospital NHS Foundation Trust（摩尔菲尔德眼科医院国民保健服务基金会信托）；Boehringer Ingelheim Limited（勃林格殷格翰有限公司）；University College London（伦敦大学学院）；Cairo University（开罗大学）；Watany Eye Hospital（瓦塔尼眼科医院）；Heidelberg Engineering GmbH（海德堡工程有限公司）；University of Zurich（苏黎世大学）
Simon Fraser University（西蒙弗雷泽大学）；Wake Forest University School of Medicine（维克森林大学医学院）；Wake Forest School of Medicine（维克森林大学医学院）；University of Nottingham（诺丁汉大学）；Tencent Jarvis Lab（腾讯Jarvis实验室）；Memorial University of Newfoundland（纽芬兰纪念大学）；University of British Columbia（不列颠哥伦比亚大学）；The University of British Columbia（不列颠哥伦比亚大学）；University College London（伦敦大学学院）
Optical Coherence Tomography(OCT) is a non-invasive technique capturing cross-sectional area of the retina in micro-meter resolutions. It has been widely used as a auxiliary imaging reference to detect eye-related pathology and predict longitudinal progression of the disease characteristics. Retina layer segmentation is one of the crucial feature extraction techniques, where the variations of retinal layer thicknesses and the retinal layer deformation due to the presence of the fluid are highly correlated with multiple epidemic eye diseases like Diabetic Retinopathy(DR) and Age-related Macular…
An accurate and automated tissue segmentation algorithm for retinal optical coherence tomography (OCT) images is crucial for the diagnosis of glaucoma. However, due to the presence of the optic disc, the anatomical structure of the peripapillary region of the retina is complicated and is challenging for segmentation. To address this issue, we developed a novel graph convolutional network (GCN)-assisted two-stage framework to simultaneously label the nine retinal layers and the optic disc. Specifically, a multi-scale global reasoning module is inserted between the encoder and decoder of a U-sha…
Segmentation of Retinal Low-Cost Optical Coherence Tomography Images using Deep Learning
Institute of Medical Informatics, University of Lübeck（吕贝克大学医学信息学研究所）；University of Lübeck（吕贝克大学）；Graduate School for Computing in Medicine and Life Sciences, University of Lübeck（医学与生命科学计算研究生学院，吕贝克大学）；Medical Laser Center Lübeck（吕贝克医疗激光中心）；Department of Ophthalmology, University of Kiel（基尔大学眼科部门）；Institute of Biomedical Optics, University of Lübeck（吕贝克大学生物医学光学研究所）
We have developed a multimodal photoacoustic remote sensing (PARS) microscope combined with swept source optical coherence tomography for in vivo, non-contact retinal imaging. Building on the proven strength of multiwavelength PARS imaging, the system is applied for estimating retinal oxygen saturation in the rat retina. The capability of the technology is demonstrated by imaging both microanatomy and the microvasculature of the retina in vivo. To our knowledge this is the first time a non-contact photoacoustic imaging technique is employed for in vivo oxygen saturation measurement in the reti…
Robust Detection of Retinal Neovascularization in Widefield Optical Coherence Tomography
Casey Eye Institute, Oregon Health & Science University（俄勒冈健康与科学大学凯西眼科研究所）；Department of Biomedical Engineering, Oregon Health & Science University（俄勒冈健康与科学大学生物医学工程系）；Department of Ophthalmology, Mackay Memorial Hospital（马偕纪念医院眼科）；Department of Ophthalmology, Aichi Medical University（爱知医科大学眼科）
Patch-Based and Non-Patch-Based inputs Comparison into Deep Neural Models: Application for the Segmentation of Retinal Diseases on Optical Coherence Tomography Volumes
Laboratoire LIMOS, CNRS UMR 6158（利摩日大学实验室，法国国家科研中心UMR 6158联合研究单位）；Université Clermont-Auvergne（克莱蒙奥弗涅大学）；AL Mansour University College（曼苏尔大学学院）
OCTCube-M: A 3D multimodal optical coherence tomography foundation model for retinal and systemic diseases with cross-cohort and cross-device validation
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…
National Taiwan University（台湾大学）；Chang Gung Memorial Hospital（长庚纪念医院）；Chang Gung University（长庚大学）
Automated vascular segmentation on optical coherence tomography angiography (OCTA) is important for the quantitative analyses of retinal microvasculature in neuroretinal and systemic diseases. Despite recent improvements, artifacts continue to pose challenges in segmentation. Our study focused on removing the speckle noise artifact from OCTA images when performing segmentation. Speckle noise is common in OCTA and is particularly prominent over large non-perfusion areas. It may interfere with the proper assessment of retinal vasculature. In this study, we proposed a novel Supervision Vessel Seg…
The highest three-dimensional (3D) resolution possible in in-vivo retinal imaging is achieved by combining optical coherence tomography (OCT) and adaptive optics (AO). However, this combination brings important limitations, such as small field-of-view and complex, cumbersome systems, preventing so far the translation of this technology from the research lab to clinics. In this Letter, we introduce an approach that avoids these limitations by using a multi-actuator adaptive lens just in front of the eye, in a technique we call the adaptive-glasses wavefront sensorless approach. We implemented t…
The presence of drusen is the main hallmark of early/intermediate age-related macular degeneration (AMD). Therefore, automated drusen segmentation is an important step in image-guided management of AMD. There are two common approaches to drusen segmentation. In the first, the drusen are segmented directly as a binary classification task. In the second approach, the surrounding retinal layers (outer boundary retinal pigment epithelium (OBRPE) and Bruch's membrane (BM)) are segmented and the remaining space between these two layers is extracted as drusen. In this work, we extend the standard U-N…
University of Calgary（卡尔加里大学）；Istanbul Medipol University（伊斯坦布尔梅迪波尔大学）
Accurate segmentation of the optic disc from a retinal image is vital to extracting retinal features that may be highly correlated with retinal conditions such as glaucoma. In this paper, we propose a deep-learning based approach capable of segmenting the optic disc given a high-precision retinal fundus image. Our approach utilizes a UNET-based model with a VGG16 encoder trained on the ImageNet dataset. This study can be distinguished from other studies in the customization made for the VGG16 model, the diversity of the datasets adopted, the duration of disc segmentation, the loss function uti…
Friedrich-Alexander-Universität Erlangen-Nürnberg（埃尔朗根-纽伦堡弗里德里希-亚历山大大学）；Massachusetts Institute of Technology（麻省理工学院）；Tufts School of Medicine（塔夫茨医学院）
Optical coherence tomography angiography (OCTA) is a novel and clinically promising imaging modality to image retinal and sub-retinal vasculature. Based on repeated optical coherence tomography (OCT) scans, intensity changes are observed over time and used to compute OCTA image data. OCTA data are prone to noise and artifacts caused by variations in flow speed and patient movement. We propose a novel iterative maximum a posteriori signal recovery algorithm in order to generate OCTA volumes with reduced noise and increased image quality. This algorithm is based on previous work on probabilistic…
In medical imaging, there are clinically relevant segmentation tasks where the output mask is a projection to a subset of input image dimensions. In this work, we propose a novel convolutional neural network architecture that can effectively learn to produce a lower-dimensional segmentation mask than the input image. The network restores encoded representation only in a subset of input spatial dimensions and keeps the representation unchanged in the others. The newly proposed projective skip-connections allow linking the encoder and decoder in a UNet-like structure. We evaluated the proposed m…
Pattern Recognition Lab, FAU Erlangen-Nürnberg（埃尔朗根-纽伦堡大学模式识别实验室）；Department of Ophthalmology, Universitätsklinikum Erlangen（埃尔朗根大学医院眼科）
Ophthalmological imaging utilizes different imaging systems, such as color fundus, infrared, fluorescein angiography, optical coherence tomography (OCT) or OCT angiography. Multiple images with different modalities or acquisition times are often analyzed for the diagnosis of retinal diseases. Automatically aligning the vessel structures in the images by means of multi-modal registration can support the ophthalmologists in their work. Our method uses a convolutional neural network to extract features of the vessel structure in multi-modal retinal images. We jointly train a keypoint detection an…
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
Chromatic dispersion is a common problem to degrade the system resolution in optical coherence tomography (OCT). This study is to develop a deep learning network for automated dispersion compensation (ADC-Net) in OCT. The ADC-Net is based on a redesigned UNet architecture which employs an encoder-decoder pipeline. The input section encompasses partially compensated OCT B-scans with individual retinal layers optimized. Corresponding output is a fully compensated OCT B-scans with all retinal layers optimized. Two numeric parameters, i.e., peak signal to noise ratio (PSNR) and structural similari…
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 …
Many eye diseases like Diabetic Macular Edema (DME), Age-related Macular Degeneration (AMD), and Glaucoma manifest in the retina, can cause irreversible blindness or severely impair the central version. The Optical Coherence Tomography (OCT), a 3D scan of the retina with high qualitative information about the retinal morphology, can be used to diagnose and monitor changes in the retinal anatomy. Many Deep Learning (DL) methods have shared the success of developing an automated tool to monitor pathological changes in the retina. However, the success of these methods depend mainly on large datas…
Generative artificial intelligence in ophthalmology: multimodal retinal images for the diagnosis of Alzheimer's disease with convolutional neural networks
University of Nevada, Reno（内华达大学雷诺分校）；Houston Eye Associates（休斯顿眼科协会）
In Fluorescein Angiography (FA), an exogenous dye is injected in the bloodstream to image the vascular structure of the retina. The injected dye can cause adverse reactions such as nausea, vomiting, anaphylactic shock, and even death. In contrast, color fundus imaging is a non-invasive technique used for photographing the retina but does not have sufficient fidelity for capturing its vascular structure. The only non-invasive method for capturing retinal vasculature is optical coherence tomography-angiography (OCTA). However, OCTA equipment is quite expensive, and stable imaging is limited to s…
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 …
School of Advanced Technologies in Medicine（医学先进技术学院）；Isfahan University of Medical Sciences（伊斯法罕医科大学）
Age-related Macular Degeneration (AMD) and Diabetic Macular Edema (DME) are the major causes of vision loss in developed countries. Alteration of retinal layer structure and appearance of exudate are the most significant signs of these diseases. With the aim of automatic classification of DME, AMD and normal subjects from Optical Coherence Tomography (OCT) images, we proposed a classification algorithm. The two important issues intended in this approach are, not utilizing retinal layer segmentation which by itself is a challenging task and attempting to identify diseases in their early stages,…
Optical coherence tomography (OCT) scanning is useful in detecting various retinal diseases. However, there are not enough ophthalmologists who can diagnose retinal OCT images in much of the world. To provide OCT screening inexpensively and extensively, an automated diagnosis system is indispensable. Although many machine learning techniques have been presented for assisting ophthalmologists in diagnosing retinal OCT images, there is no technique that can diagnose independently without relying on an ophthalmologist, i.e., there is no technique that does not overlook any anomaly, including unle…
Technical University of Munich（慕尼黑工业大学）；Imperial College London（帝国理工学院）；University of Zurich（苏黎世大学）
Optical coherence tomography angiography (OCTA) can non-invasively image the eye's circulatory system. In order to reliably characterize the retinal vasculature, there is a need to automatically extract quantitative metrics from these images. The calculation of such biomarkers requires a precise semantic segmentation of the blood vessels. However, deep-learning-based methods for segmentation mostly rely on supervised training with voxel-level annotations, which are costly to obtain. In this work, we present a pipeline to synthesize large amounts of realistic OCTA images with intrinsically matc…
Cixi Institute of Biomedical Engineering, Ningbo Institute of Materials Technology and Engineering, Chinese Academy of Sciences（中国科学院宁波材料技术与工程研究所慈溪生物医学工程研究所）；the Second Affiliated Hospital of Zhejiang University（浙江大学医学院附属第二医院）；Ningbo First Hospital（宁波市第一医院）；Edge Hill University（边山大学）；Ningbo University of Technology（宁波工程学院）
Automated detection of retinal structures, such as retinal vessels (RV), the foveal avascular zone (FAZ), and retinal vascular junctions (RVJ), are of great importance for understanding diseases of the eye and clinical decision-making. In this paper, we propose a novel Voting-based Adaptive Feature Fusion multi-task network (VAFF-Net) for joint segmentation, detection, and classification of RV, FAZ, and RVJ in optical coherence tomography angiography (OCTA). A task-specific voting gate module is proposed to adaptively extract and fuse different features for specific tasks at two levels: featur…
Medical image segmentation is an important task for computer aided diagnosis. Pixelwise manual annotations of large datasets require high expertise and is time consuming. Conventional data augmentations have limited benefit by not fully representing the underlying distribution of the training set, thus affecting model robustness when tested on images captured from different sources. Prior work leverages synthetic images for data augmentation ignoring the interleaved geometric relationship between different anatomical labels. We propose improvements over previous GAN-based medical image synthes…
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…
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…
With the FDA approval of Artificial Intelligence (AI) for point-of-care clinical diagnoses, model generalizability is of the utmost importance as clinical decision-making must be domain-agnostic. A method of tackling the problem is to increase the dataset to include images from a multitude of domains; while this technique is ideal, the security requirements of medical data is a major limitation. Additionally, researchers with developed tools benefit from the addition of open-sourced data, but are limited by the difference in domains. Herewith, we investigated the implementation of a Cycle-Cons…
Optical Coherence Tomography Angiography-OCTA dataset for the study of Diabetic Retinopathy
Symbiosis Institute of Technology, Symbiosis International (Deemed University)（共生国际（ deemed 大学）共生技术学院）；University of Technology Sydney（悉尼科技大学）；Natasha Eye Care（娜塔莎眼科护理中心）
Khulna University of Engineering and Technology（库尔纳工程技术大学）
In medical science, the use of computer science in disease detection and diagnosis is gaining popularity. Previously, the detection of disease used to take a significant amount of time and was less reliable. Machine learning (ML) techniques employed in recent biomedical researches are making revolutionary changes by gaining higher accuracy with more concise timing. At present, it is even possible to automatically detect diseases from the scanned images with the help of ML. In this research, we have taken such an attempt to detect retinal diseases from optical coherence tomography (OCT) X-ray i…
University of Oxford（牛津大学）；Big Data Institute, University of Oxford（牛津大学大数据研究所）；School of Engineering, Newcastle University（纽卡斯尔大学工程学院）；Neura Health Group；Newcastle Eye Centre, Royal Victoria Infirmary（纽卡斯尔皇家维多利亚医院纽卡斯尔眼科中心）；Newcastle University（纽卡斯尔大学）；Newcastle Upon Tyne, UK（泰恩河畔纽卡斯尔（英国））
Optical coherence tomography (OCT) is a commonly-used method of extracting high resolution retinal information. Moreover there is an increasing demand for the automated retinal layer segmentation which facilitates the retinal disease diagnosis. In this paper, we propose a novel multiprediction guided attention network (MPG-Net) for automated retinal layer segmentation in OCT images. The proposed method consists of two major steps to strengthen the discriminative power of a U-shape Fully convolutional network (FCN) for reliable automated segmentation. Firstly, the feature refinement module whic…
University of Isfahan（伊斯法罕大学）；Duke University（杜克大学）；Duke University Medical Center（杜克大学医学中心）
Optical coherence tomography (OCT) helps ophthalmologists assess macular edema, accumulation of fluids, and lesions at microscopic resolution. Quantification of retinal fluids is necessary for OCT-guided treatment management, which relies on a precise image segmentation step. As manual analysis of retinal fluids is a time-consuming, subjective, and error-prone task, there is increasing demand for fast and robust automatic solutions. In this study, a new convolutional neural architecture named RetiFluidNet is proposed for multi-class retinal fluid segmentation. The model benefits from hierarchi…
Inception Institute of Artificial Intelligence（人工智能起源研究所）
Retinal fundus images are widely used for the clinical screening and diagnosis of eye diseases. However, fundus images captured by operators with various levels of experience have a large variation in quality. Low-quality fundus images increase uncertainty in clinical observation and lead to the risk of misdiagnosis. However, due to the special optical beam of fundus imaging and structure of the retina, natural image enhancement methods cannot be utilized directly to address this. In this paper, we first analyze the ophthalmoscope imaging system and simulate a reliable degradation of major inf…
Visulytix Ltd（Visulytix有限公司）；King’s College Hospital NHS Foundation Trust（国王学院医院NHS基金会信托）；Cardiff University（卡迪夫大学）；Ophthalmica, Ophthalmology and Microsurgery Institute（Ophthalmica眼科与显微外科研究所）
Purpose: To evaluate Pegasus-OCT, a clinical decision support software for the identification of features of retinal disease from macula OCT scans, across heterogenous populations involving varying patient demographics, device manufacturers, acquisition sites and operators. Methods: 5,588 normal and anomalous macular OCT volumes (162,721 B-scans), acquired at independent centres in five countries, were processed using the software. Results were evaluated against ground truth provided by the dataset owners. Results: Pegasus-OCT performed with AUROCs of at least 98% for all datasets in the detec…
Laser Doppler holography is a planar blood flow imaging technique recently introduced in ophthalmology to image human retinal and choroidal blood flow non-invasively. Here we present a digital method based on the Doppler spectrum asymmetry that reveals the local direction of blood flow with respect to the optical axis in out-of-plane vessels. This directional information is overlaid on standard grayscale blood flow images to depict flow moving towards the camera in red and flow moving away from the camera in blue, as in ultrasound color Doppler imaging. We show that thanks to the strong contri…
