Cited by 104Retinal Imaging and AnalysisMedical Image Segmentation TechniquesAdvanced Neural Network Applications

Structured layer surface segmentation for retina OCT using fully convolutional regression networks

Open access
He, Yufan, Carass, Aaron, Liu, Yihao, Jedynak, Bruno M., Solomon, Sharon D., Saidha, Shiv, Calabresi, Peter A., Prince, Jerry L.·2021·Medical Image Analysis

Abstract

Optical coherence tomography (OCT) is a noninvasive imaging modality with micrometer resolution which has been widely used for scanning the retina. Retinal layers are important biomarkers for many diseases. Accurate automated algorithms for segmenting smooth continuous layer surfaces with correct hierarchy (topology) are important for automated retinal thickness and surface shape analysis. State-of-the-art methods typically use a two step process. Firstly, a trained classifier is used to label each pixel into either background and layers or boundaries and non-boundaries. Secondly, the desired smooth surfaces with the correct topology are extracted by graph methods (e.g., graph cut). Data driven methods like deep networks have shown great ability for the pixel classification step, but to date have not been able to extract structured smooth continuous surfaces with topological constraints in the second step. In this paper, we combine these two steps into a unified deep learning framework by directly modeling the distribution of the surface positions. Smooth, continuous, and topologically correct surfaces are obtained in a single feed forward operation. The proposed method was evaluated on two publicly available data sets of healthy controls and subjects with either multiple sclerosis or diabetic macular edema, and is shown to achieve state-of-the art performance with sub-pixel accuracy.

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.1016/j.media.2020.101856

Cites

2 of 2 references verified0 citation errors · 0 not checkable

Statistics

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Cites

Flagged first, then by citations

Research works printed but not linked: 45

  1. Antony BJ, Chen M, Carass A, Jedynak BM, Al-Louzi O, Solomon SD, Saidha S, Calabresi PA, Prince JL, 2016a Voxel Based Morphometry in Optical Coherence Tomography: Validation & Core Findings, in: Proceedings of SPIE Medical Imaging (SPIE-MI 2016), San Diego, CA, February 27-March 3, 2016, p. 97880P. PMC4869867 27199503
  2. Antony BJ, Lang A, Swingle EK, Al-Louzi O, Carass A, Solomon SD, Calabresi PA, Saidha S, Prince JL, 2016b Simultaneous Segmentation of Retinal Surfaces and Microcystic Macular Edema in SDOCT Volumes, in: Proceedings of SPIE Medical Imaging (SPIE-MI 2016), San Diego, CA, February 27-March 3, 2016, p. 97841C. PMC4869874 27199502
  3. Antony BJ, Miri MS, Abràmo MD, Kwon YH, Garvin MK, 2014 Automated 3D segmentation of multiple surfaces with a shared hole: segmentation of the neural canal opening in SD-OCT volumes, in: 17th International Conference on Medical Image Computing and Computer Assisted Intervention (MICCAI 2014), Springer Berlin Heidelberg pp. 739– 746. PMC4372814 25333185
  4. Bhargava P, Lang A, Al-Louzi O, Carass A, Prince JL, Calabresi PA, Saidha S, 2015 Applying an open-source segmentation algorithm to different OCT devices in Multiple Sclerosis patients and healthy controls: Implications for clinical trials. Multiple Sclerosis International 2015. PMC4452193 26090228
  5. Carass A, Lang A, Hauser M, Calabresi PA, Ying HS, Prince JL, 2014 Multiple-object geometric deformable model for segmentation of macular OCT. Biomed. Opt. Express 5, 1062– 1074. 24761289 PMC3986003
  6. Carass A, Prince JL, 2016 An Overview of the Multi-Object Geometric Deformable Model Approach in Biomedical Imaging, in: Zhou SK (Ed.), Medical Image Recognition, Segmentation and Parsing. Academic Press, pp. 259– 279.
  7. Chiu SJ, Allingham MJ, Mettu PS, Cousins SW, Izatt JA, Farsiu S, 2015 Kernel regression based segmentation of optical coherence tomography images with diabetic macular edema. Biomed. Opt. Express 6, 1172– 1194. 25909003 PMC4399658
  8. Chiu SJ, Li XT, Nicholas P, Toth CA, Izatt JA, Farsiu S, 2010 Automatic segmentation of seven retinal layers in SDOCT images congruent with expert manual segmentation. Opt. Express 18, 19413– 19428. 20940837 PMC3408910
  9. Fang L, Cunefare D, Wang C, Guymer RH, Li S, Farsiu S, 2017 Automatic segmentation of nine retinal layer boundaries in OCT images of non-exudative AMD patients using deep learning and graph search. Biomed. Opt. Express 8, 2732– 2744. 28663902 PMC5480509
  10. Fox CW, Roberts SJ, 2012 A tutorial on variational Bayesian inference. Artificial intelligence review 38, 85– 95.
  11. Garvin MK, Abràmo MD, Kardon R, Russell SR, Wu X, Sonka M, 2008 Intraretinal layer segmentation of macular optical coherence tomography images using optimal 3-D graph search. IEEE Trans. Med. Imag 27, 1495– 1505. PMC2614384 18815101
  12. Garvin MK, Abràmo MD, Wu X, Russell SR, Burns TL, Sonka M, 2009 Automated 3-D intraretinal layer segmentation of macular spectral-domain optical coherence tomography images. IEEE Trans. Med. Imag 28, 1436– 1447. PMC2911837 19278927
  13. Girard MJ, Strouthidis NG, Ethier CR, Mari JM, 2011 Shadow removal and contrast enhancement in optical coherence tomography images of the human optic nerve head. Invest. Ophthalmol. Vis. Sci 52, 7738– 7748. 21551412
  14. He Y, Carass A, Jedynak BM, Solomon SD, Saidha S, Calabresi PA, Prince JL, 2018 Topology guaranteed segmentation of the human retina from oct using convolutional neural networks. arXiv preprint arXiv:1803.05120. · arXiv
  15. He Y, Carass A, Liu Y, Jedynak BM, Solomon SD, Calabresi PA, Prince JL, 2019a Fully convolutional boundary regression for retina OCT segmentation, in: 22nd International Conference on Medical Image Computing and Computer Assisted Intervention (MICCAI 2019), Springer Berlin Heidelberg pp. 120– 128. PMC6918831 31853524
  16. He Y, Carass A, Liu Y, Jedynak BM, Solomon SD, Saidha S, Calabresi PA, Prince JL, 2019b Deep learning based topology guaranteed surface and MME segmentation of multiple sclerosis subjects from retinal OCT. Biomed. Opt. Express 10, 5042– 5058. 31646029 PMC6788619
  17. He Y, Carass A, Solomon SD, Saidha S, Calabresi PA, Prince JL, 2019c Retinal layer parcellation of optical coherence tomography images: Data resource for multiple sclerosis and healthy controls. Data in Brief 22, 601– 604. 30671506 PMC6327073
  18. He Y, Carass A, Yun Y, Zhao C, Jedynak BM, Solomon SD, Saidha S, Calabresi PA, Prince JL, 2017 Towards Topological Correct Segmentation of Macular OCT from Cascaded FCNs, in: Fetal, Infant and Ophthalmic Medical Image Analysis. Springer, pp. 202– 209. PMC6660164 31355372
  19. Honari S, Molchanov P, Tyree S, Vincent P, Pal C, Kautz J, 2018 Improving landmark localization with semi-supervised learning, in: The IEEE Conference on Computer Vision and Pattern Recognition (CVPR), pp. 1546– 1555.
  20. Karri S, Chakraborthi D, Chatterjee J, 2016 Learning layer-specific edges for segmenting retinal layers with large deformations. Biomed. Opt. Express 7, 2888– 2901. 27446714 PMC4948638
  21. Kugelman J, Alonso-Caneiro D, Read SA, Vincent SJ, Collins MJ, 2018 Automatic segmentation of OCT retinal boundaries using recurrent neural networks and graph search. Biomed. Opt. Express 9, 5759– 5777. 30460160 PMC6238930
  22. Lang A, Carass A, Bittner AK, Ying HS, Prince JL, 2017 Improving graph-based OCT segmentation for severe pathology in Retinitis Pigmentosa patients, in: Proceedings of SPIE Medical Imaging (SPIE-MI 2017), Orlando, FL, February 11 – 16, 2017, p. 101371M. PMC5540322 28781413
  23. Lang A, Carass A, Calabresi PA, Ying HS, Prince JL, 2014 An adaptive grid for graph-based segmentation in macular cube OCT Proceedings of SPIE Medical Imaging (SPIE-MI 2014), San Diego, CA, February 15–20, 2014 9034, 90340A. PMC5070700 27773959
  24. Lang A, Carass A, Hauser M, Sotirchos ES, Calabresi PA, Ying HS, Prince JL, 2013 Retinal layer segmentation of macular OCT images using boundary classification. Biomed. Opt. Express 4, 1133– 1152. 23847738 PMC3704094
  25. Lang A, Carass A, Jedynak BM, Solomon SD, Calabresi PA, Prince JL, 2016 Intensity inhomogeneity correction of macular OCT using N3 and retinal flatspace, in: 13th International Symposium on Biomedical Imaging (ISBI 2016), pp. 197– 200. PMC5042207 27695603
  26. Lang A, Carass A, Jedynak BM, Solomon SD, Calabresi PA, Prince JL, 2018 Intensity Inhomogeneity Correction of SD-OCT Data Using Macular Flatspace. Medical Image Analysis 43, 85– 97. 29040910 PMC6311386
  27. Lang A, Carass A, Swingle EK, Al-Louzi O, Bhargava P, Saidha S, Ying HS, Calabresi PA, Prince JL, 2015 Automatic segmentation of microcystic macular edema in OCT. Biomed. Opt. Express 6, 155– 169. 25657884 PMC4317118
  28. Lee CS, Tyring AJ, Deruyter NP, Wu Y, Rokem A, Lee AY, 2017a Deep-learning based, automated segmentation of macular edema in optical coherence tomography. Biomed. Opt. Express 8, 3440– 3448. 28717579 PMC5508840
  29. Lee S, Charon N, Charlier B, Popuri K, Lebed E, Sarunic MV, Trouvé A, Beg MF, 2017b Atlas-based shape analysis and classification of retinal optical coherence tomography images using the functional shape (fshape) framework. Medical Image Analysis 35, 570– 581. 27689896
  30. Li D, Wu J, He Y, Yao X, Yuan W, Chen D, Park HC, Yu S, Prince JL, Li X, 2019 Parallel deep neural networks for endoscopic OCT image segmentation. Biomed. Opt. Express 10, 1126– 1135. 30891334 PMC6420296
  31. Li K, Wu X, Chen DZ, Sonka M, 2006 Optimal Surface Segmentation in Volumetric Images - A Graph-Theoretic Approach. IEEE Trans. Patt. Anal. Mach. Intell 28, 119– 134. PMC2646122 16402624
  32. Liu Y, Carass A, He Y, Antony BJ, Filippatou A, Saidha S, Solomon SD, Calabresi PA, Prince JL, 2019 Layer boundary evolution method for macular OCT layer segmentation. Biomed. Opt. Express 10, 1064– 1080. 30891330 PMC6420297
  33. Liu Y, Carass A, Solomon SD, Saidha S, Calabresi PA, Prince JL, 2018 Multi-layer fast level set segmentation for macular OCT, in: 15th International Symposium on Biomedical Imaging (ISBI 2018), pp. 1445– 1448. PMC6919647 31853331
  34. Novosel J, Thepass G, Lemij HG, de Boer JF, Vermeer KA, van Vliet LJ, 2015 Loosely coupled level sets for simultaneous 3D retinal layer segmentation in optical coherence tomography. Medical Image Analysis 26, 146– 158. 26401595
  35. Novosel J, Vermeer KA, de Jong JH, Wang Z, van Vliet LJ, 2017 Joint Segmentation of Retinal Layers and Focal Lesions in 3-D OCT Data of Topologically Disrupted Retinas. IEEE Trans. Med. Imag 36, 1276– 1286. 28186886
  36. Rathke F, Desana M, Schnörr C, 2017 Locally Adaptive Probabilistic Models for Global Segmentation of Pathological OCT Scans, in: 20th International Conference on Medical Image Computing and Computer Assisted Intervention (MICCAI 2017), Springer pp. 177– 184.
  37. Ravishankar H, Venkataramani R, Thiruvenkadam S, Sudhakar P, Vaidya V, 2017 Learning and incorporating shape models for semantic segmentation, in: 20th International Conference on Medical Image Computing and Computer Assisted Intervention (MICCAI 2017), Springer Berlin Heidelberg pp. 203– 211.
  38. Rothman A, Murphy O, Fitzgerald K, Button J, GordonLipkin E, Ratchford J, Newsome S, Mowry E, Sotirchos E, SycMazurek S, Nguyen J, Gonzalez Caldito N, Balcer L, Frohman E, Frohman T, Reich D, Crainiceanu C, Saidha S, Calabresi P, 2019 Retinal measurements predict 10year disability in multiple sclerosis. Annals of Clinical and Translational Neurology 6, 222– 232. 30847355 PMC6389740
  39. Roy AG, Conjeti S, Karri SPK, Sheet D, Katouzian A, Wachinger C, Navab N, 2017 Relaynet: retinal layer and fluid segmentation of macular optical coherence tomography using fully convolutional networks. Biomed. Opt. Express 8, 3627– 3642. 28856040 PMC5560830
  40. Saidha S, Sotirchos ES, Ibrahim MA, Crainiceanu CM, Gelfand JM, Sepah YJ, Ratchford JN, Oh J, Seigo MA, Newsome SD, Balcer LJ, Frohman EM, Green AJ, Nguyen QD, Calabresi PA, 2012 Microcystic macular oedema, thickness of the inner nuclear layer of the retina, and disease characteristics in multiple sclerosis: a retrospective study. Lancet Neurology 11, 963– 972. 23041237 PMC3533139
  41. Saidha S, Syc SB, Durbin MK, Eckstein C, Oakley JD, Meyer SA, Conger A, Frohman TC, Newsome S, Ratchford JN, Frohman EM, Calabresi PA, 2011a Visual dysfunction in multiple sclerosis correlates better with optical coherence tomography derived estimates of macular ganglion cell layer thickness than peripapillary retinal nerve fiber layer thickness. Mult. Scler 17, 1449– 1463. 21865411
  42. Saidha S, Syc SB, Ibrahim MA, Eckstein C, Warner CV, Farrell SK, Oakley JD, Durbin MK, Meyer SA, Balcer LJ, Frohman EM, Rosenzweig JM, Newsome SD, Ratchford JN, Nguyen QD, Calabresi PA, 2011b Primary retinal pathology in multiple sclerosis as detected by optical coherence tomography. Brain 134, 518– 533. 21252110
  43. Schlegl T, Waldstein SM, Bogunovic H, Endstraßer F, Sadeghipour A, Philip AM, Podkowinski D, Gerendas BS, Langs G, Schmidt-Erfurth U, 2018 Fully automated detection and quantification of macular fluid in OCT using deep learning. Ophthalmology 125, 549– 558. 29224926
  44. Tian J, Varga B, Tatrai E, Fanni P, Somfai GM, Smiddy WE, Cabrera Debuc D, 2016 Performance evaluation of automated segmentation software on optical coherence tomography volume data. Journal of Biophotonics 9, 478– 489. 27159849 PMC5025289
  45. Venhuizen FG, van Ginneken B, Liefers B, van Grinsven MJ, Fauser S, Hoyng C, Theelen T, Sánchez CI, 2017 Robust total retina thickness segmentation in optical coherence tomography images using convolutional neural networks. Biomed. Opt. Express 8, 3292– 3316. 28717568 PMC5508829

Cited by

Sorted by citations

Authors
He, Y., Carass, A., Liu, Y., Jedynak, B. M., Solomon, S. D., Saidha, S., Calabresi, P. A., & Prince, J. L.
Affiliations
  • Johns Hopkins University (US)
  • Portland State University (US)
Corresponding author
He, Yufan
Venue
Medical Image Analysis
Publisher
Elsevier BV
Published
2021-02
Volume
68
Pages
101856
ISSN
1361-8415 (ISSN-L)
OpenAlex
W3092762369
Cited by
104
References
2
Citations by year
2026: 5 · 2025: 25 · 2024: 25 · 2023: 26 · 2022: 17 · 2021: 6
FWCI
5.83
Type
journal article
Language
en
Open access
Locations
  • Medical Image Analysis (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
  • PDXScholar (Portland State University) (submittedVersion)
Funders
  • National Institute of Neurological Disorders and Stroke
  • National Eye Institute
Topics
  • Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Retinal Imaging and Analysis
  • Physical Sciences › Computer Science › Computer Vision and Pattern Recognition › Medical Image Segmentation Techniques
  • Physical Sciences › Computer Science › Computer Vision and Pattern Recognition › Advanced Neural Network Applications
Keywords
retinal layer segmentation, optical coherence tomography, retinal thickness, multiple sclerosis, diabetic macular edema, automated retinal analysis, sub-pixel accuracy
MeSH terms
Algorithms, Diabetic Retinopathy, Humans, Macular Edema, Retina, Tomography, Optical Coherence

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review