A Framework for Classification and Segmentation of Branch Retinal Artery Occlusion in SD-OCT

Structure-Guided Cross-Attention Network for Cross-Domain OCT Fluid Segmentation

Accurate retinal fluid segmentation on Optical Coherence Tomography (OCT) images plays an important role in diagnosing and treating various eye diseases. The art deep models have shown promising performance on OCT image segmentation given pixel-wise annotated training data. However, the learned model will achieve poor performance on OCT images that are obtained from different devices (domains) due to the domain shift issue. This problem largely limits the real-world application of OCT image segmentation since the types of devices usually are different in each hospital. In this paper, we study the task of cross-domain OCT fluid segmentation, where we are given a labeled dataset of the source device (domain) and an unlabeled dataset of the target device (domain). The goal is to learn a model that can perform well on the target domain. To solve this problem, in this paper, we propose a novel Structure-guided Cross-Attention Network (SCAN), which leverages the retinal layer structure to facilitate domain alignment. Our SCAN is inspired by the fact that the retinal layer structure is robust to domains and can reflect regions that are important to fluid segmentation. In light of this, we build our SCAN in a multi-task manner by jointly learning the retinal structure prediction and fluid segmentation. To exploit the mutual benefit between layer structure and fluid segmentation, we further introduce a cross-attention module to measure the correlation between the layer-specific feature and the fluid-specific feature encouraging the model to concentrate on highly relative regions during domain alignment. Moreover, an adaptation difficulty map is evaluated based on the retinal structure predictions from different domains, which enforces the model focus on hard regions during structure-aware adversarial learning. Extensive experiments on the three domains of the RETOUCH dataset demonstrate the effectiveness of the proposed method and show that our approach produces state-of-the-art performance on cross-domain OCT fluid segmentation.

One-pass Multi-task Networks with Cross-task Guided Attention for Brain Tumor Segmentation

Class imbalance has emerged as one of the major challenges for medical image segmentation. The model cascade (MC) strategy, a popular scheme, significantly alleviates the class imbalance issue via running a set of individual deep models for coarse-to-fine segmentation. Despite its outstanding performance, however, this method leads to undesired system complexity and also ignores the correlation among the models. To handle these flaws in the MC approach, we propose in this paper a light-weight deep model, i.e., the One-pass Multi-task Network (OM-Net) to solve class imbalance better than MC does, while requiring only one-pass computation for brain tumor segmentation. First, OM-Net integrates the separate segmentation tasks into one deep model, which consists of shared parameters to learn joint features, as well as task-specific parameters to learn discriminative features. Second, to more effectively optimize OM-Net, we take advantage of the correlation among tasks to design both an online training data transfer strategy and a curriculum learning-based training strategy. Third, we further propose sharing prediction results between tasks, which enables us to design a cross-task guided attention (CGA) module. By following the guidance of the prediction results provided by the previous task, CGA can adaptively recalibrate channel-wise feature responses based on the category-specific statistics. Finally, a simple yet effective post-processing method is introduced to refine the segmentation results of the proposed attention network. Extensive experiments are conducted to demonstrate the effectiveness of the proposed techniques. Most impressively, we achieve state-of-the-art performance on the BraTS 2015 testing set and BraTS 2017 online validation set. Using these proposed approaches, we also won joint third place in the BraTS 2018 challenge among 64 participating teams.The code will be made publicly available at https://github.com/chenhong-zhou/OM-Net.

DeSpecNet: a CNN-based method for speckle reduction in retinal optical coherence tomography images

Speckle is a major quality degrading factor in optical coherence tomography (OCT) images. In this work we propose a new deep learning network for speckle reduction in retinal OCT images, termed DeSpecNet. Unlike traditional algorithms, the model can learn from training data instead of manually selecting parameters such as noise level. The proposed deep convolutional neural network (CNN) applies strategies including residual learning, shortcut connection, batch normalization and leaky rectified linear units to achieve good despeckling performance. Application of the proposed method to the OCT images shows great improvement in both visual quality and quantitative indices. The proposed method provides good generalization ability for different types of retinal OCT images. It outperforms state-of-the-art methods in suppressing speckles and revealing subtle features while preserving edges.

A New Texture-Based Segmentation Method for Optical Coherence Tomography Images

Optical Coherence Tomography (OCT) is an imaging modality which facilitates capturing pictures from biological organs like retina. Accurate segmentation and verification of OCT images leads to the identification and treatment of harmful retinal diseases such as glaucoma. The main fact used for segmentation in this paper is that a considerable number of boundary pixels have similar features from texture point-of-view. Thus, a novel low-complexity segmentation method for OCT images is proposed paying attention to the texture feature of pixels on the boundaries. The simulation results show that the proposed method provides acceptable values for mean signed and unsigned errors compared to the result of manual segmentation.

OIPAV: an Integrated Software System for Ophthalmic Image Processing, Analysis, and Visualization

Ophthalmic medical images, such as optical coherence tomography (OCT) images and color photo of fundus, provide valuable information for clinical diagnosis and treatment of ophthalmic diseases. In this paper, we introduce a software system specially oriented to ophthalmic images processing, analysis, and visualization (OIPAV) to assist users. OIPAV is a cross-platform system built on a set of powerful and widely used toolkit libraries. Based on the plugin mechanism, the system has an extensible framework. It provides rich functionalities including data I/O, image processing, interaction, ophthalmic diseases detection, data analysis, and visualization. By using OIPAV, users can easily access to the ophthalmic image data manufactured from different imaging devices, facilitate workflows of processing ophthalmic images, and improve quantitative evaluations. With a satisfying function scalability and expandability, the software is applicable for both ophthalmic researchers and clinicians.