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Register a new userA Deep Learning Approach to Digitally Stain Optical Coherence Tomography Images of the Optic Nerve Head
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Alexandre Thiery
Publication date
2017
fields
Informatics Engineering
and research's language is
English
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Purpose: To develop a deep learning approach to digitally-stain optical coherence tomography (OCT) images of the optic nerve head (ONH). Methods: A horizontal B-scan was acquired through the center of the ONH using OCT (Spectralis) for 1 eye of each of 100 subjects (40 normal & 60 glaucoma). All images were enhanced using adaptive compensation. A custom deep learning network was then designed and trained with the compensated images to digitally stain (i.e. highlight) 6 tissue layers of the ONH. The accuracy of our algorithm was assessed (against manual segmentations) using the Dice coefficient, sensitivity, and specificity. We further studied how compensation and the number of training images affected the performance of our algorithm. Results: For images it had not yet assessed, our algorithm was able to digitally stain the retinal nerve fiber layer + prelamina, the retinal pigment epithelium, all other retinal layers, the choroid, and the peripapillary sclera and lamina cribrosa. For all tissues, the mean dice coefficient was $0.84 pm 0.03$, the mean sensitivity $0.92 pm 0.03$, and the mean specificity $0.99 pm 0.00$. Our algorithm performed significantly better when compensated images were used for training. Increasing the number of images (from 10 to 40) to train our algorithm did not significantly improve performance, except for the RPE. Conclusion. Our deep learning algorithm can simultaneously stain neural and connective tissues in ONH images. Our approach offers a framework to automatically measure multiple key structural parameters of the ONH that may be critical to improve glaucoma management.
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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 $0.91 pm 0.05$ when assessed against manual segmentations performed by an expert observer. We offer here a robust segmentation framework that could be extended for the automated parametric study of the ONH tissues.
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 + gaussian noise) to de-noise the single-frame B-scans. The performance of the de-noising algorithm was assessed qualitatively, and quantitatively on 1,552 B-scans using the signal to noise ratio (SNR), contrast to noise ratio (CNR), and mean structural similarity index metrics (MSSIM). Results: The proposed algorithm successfully denoised unseen single-frame OCT B-scans. The denoised B-scans were qualitatively similar to their corresponding multi-frame B-scans, with enhanced visibility of the ONH tissues. The mean SNR increased from $4.02 pm 0.68$ dB (single-frame) to $8.14 pm 1.03$ dB (denoised). For all the ONH tissues, the mean CNR increased from $3.50 pm 0.56$ (single-frame) to $7.63 pm 1.81$ (denoised). The MSSIM increased from $0.13 pm 0.02$ (single frame) to $0.65 pm 0.03$ (denoised) when compared with the corresponding multi-frame B-scans. Conclusions: Our deep learning algorithm can denoise a single-frame OCT B-scan of the ONH in under 20 ms, thus offering a framework to obtain superior quality OCT B-scans with reduced scanning times and minimal patient discomfort.
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.
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 rest were put into the test dataset. Contours of the total EOM and ON in all the patients were manually delineated by experienced radiologists as the ground truth. A three-dimensional (3D) end-to-end fully convolutional neural network called semantic V-net (SV-net) was developed for our segmentation task. Intersection over Union (IoU) was measured to evaluate the accuracy of the segmentation results, and Pearson correlation analysis was used to evaluate the volumes measured from our segmentation results against those from the ground truth. Results: Our model in the test dataset achieved an overall IoU of 0.8207; the IoU was 0.7599 for the superior rectus muscle, 0.8183 for the lateral rectus muscle, 0.8481 for the medial rectus muscle, 0.8436 for the inferior rectus muscle and 0.8337 for the optic nerve. The volumes measured from our segmentation results agreed well with those from the ground truth (all R>0.98, P<0.0001). Conclusion: The qualitative and quantitative evaluations demonstrate excellent performance of our method in automatically extracting the total EOM and ON and measuring their volumes in orbital CT images. There is a great promise for clinical application to assess these anatomical structures for the diagnosis and prognosis of TAO.
Accurate isolation and quantification of intraocular dimensions in the anterior segment (AS) of the eye using optical coherence tomography (OCT) images is important in the diagnosis and treatment of many eye diseases, especially angle closure glaucoma. In this study, we developed a deep convolutional neural network (DCNN) for the localization of the scleral spur, and the segmentation of anterior segment structures (iris, corneo-sclera shell, anterior chamber). With limited training data, the DCNN was able to detect the scleral spur on unseen ASOCT images as accurately as an experienced ophthalmologist; and simultaneously isolated the anterior segment structures with a Dice coefficient of 95.7%. We then automatically extracted eight clinically relevant ASOCT parameters and proposed an automated quality check process that asserts the reliability of these parameters. When combined with an OCT machine capable of imaging multiple radial sections, the algorithms can provide a more complete objective assessment. This is an essential step toward providing a robust automated framework for reliable quantification of ASOCT scans, for applications in the diagnosis and management of angle closure glaucoma.
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