Title
Automatic Segmentation and Visualization of Choroid in OCT with Knowledge Infused Deep Learning
Abstract
The choroid provides oxygen and nourishment to the outer retina thus is related to the pathology of various ocular diseases. Optical coherence tomography (OCT) is advantageous in visualizing and quantifying the choroid in vivo. However, its application in the study of the choroid is still limited for two reasons. (1) The lower boundary of the choroid (choroid-sclera interface) in OCT is fuzzy, which makes the automatic segmentation difficult and inaccurate. (2) The visualization of the choroid is hindered by the vessel shadows from the superficial layers of the inner retina. In this paper, we propose to incorporate medical and imaging prior knowledge with deep learning to address these two problems. We propose a biomarker-infused global-to-local network (Bio-Net) for the choroid segmentation, which not only regularizes the segmentation via predicted choroid thickness, but also leverages a global-to-local segmentation strategy to provide global structure information and suppress overfitting. For eliminating the retinal vessel shadows, we propose a deep-learning pipeline, which firstly locate the shadows using their projection on the retinal pigment epithelium layer, then the contents of the choroidal vasculature at the shadow locations are predicted with an edge-to-texture generative adversarial inpainting network. The results show our method outperforms the existing methods on both tasks. We further apply the proposed method in a clinical prospective study for understanding the pathology of glaucoma, which demonstrates its capacity in detecting the structure and vascular changes of the choroid related to the elevation of intra-ocular pressure.
Year
DOI
Venue
2020
10.1109/JBHI.2020.3023144
IEEE Journal of Biomedical and Health Informatics
Keywords
DocType
Volume
Adolescent,Adult,Choroid,Deep Learning,Glaucoma,Humans,Image Interpretation, Computer-Assisted,Image Processing, Computer-Assisted,Prospective Studies,Tomography, Optical Coherence,Young Adult
Journal
24
Issue
ISSN
Citations 
12
2168-2194
1
PageRank 
References 
Authors
0.35
0
9
Name
Order
Citations
PageRank
Huihong Zhang110.35
Jianlong Yang2184.01
Kang Zhou3247.82
Fei Li410.35
Yan Hu5189.84
Yitian Zhao624633.15
Ce Zheng710.69
Xiulan Zhang8214.68
Jiang Liu933534.30