1,197 research outputs found
Three-Dimensional Spectral-Domain Optical Coherence Tomography Data Analysis for Glaucoma Detection
Purpose: To develop a new three-dimensional (3D) spectral-domain optical coherence tomography (SD-OCT) data analysis method using a machine learning technique based on variable-size super pixel segmentation that efficiently utilizes full 3D dataset to improve the discrimination between early glaucomatous and healthy eyes. Methods: 192 eyes of 96 subjects (44 healthy, 59 glaucoma suspect and 89 glaucomatous eyes) were scanned with SD-OCT. Each SD-OCT cube dataset was first converted into 2D feature map based on retinal nerve fiber layer (RNFL) segmentation and then divided into various number of super pixels. Unlike the conventional super pixel having a fixed number of points, this newly developed variable-size super pixel is defined as a cluster of homogeneous adjacent pixels with variable size, shape and number. Features of super pixel map were extracted and used as inputs to machine classifier (LogitBoost adaptive boosting) to automatically identify diseased eyes. For discriminating performance assessment, area under the curve (AUC) of the receiver operating characteristics of the machine classifier outputs were compared with the conventional circumpapillary RNFL (cpRNFL) thickness measurements. Results: The super pixel analysis showed statistically significantly higher AUC than the cpRNFL (0.855 vs. 0.707, respectively, p = 0.031, Jackknife test) when glaucoma suspects were discriminated from healthy, while no significant difference was found when confirmed glaucoma eyes were discriminated from healthy eyes. Conclusions: A novel 3D OCT analysis technique performed at least as well as the cpRNFL in glaucoma discrimination and even better at glaucoma suspect discrimination. This new method has the potential to improve early detection of glaucomatous damage. © 2013 Xu et al
3D Automatic Segmentation Method for Retinal Optical Coherence Tomography Volume Data Using Boundary Surface Enhancement
With the introduction of spectral-domain optical coherence tomography
(SDOCT), much larger image datasets are routinely acquired compared to what was
possible using the previous generation of time-domain OCT. Thus, there is a
critical need for the development of 3D segmentation methods for processing
these data. We present here a novel 3D automatic segmentation method for
retinal OCT volume data. Briefly, to segment a boundary surface, two OCT volume
datasets are obtained by using a 3D smoothing filter and a 3D differential
filter. Their linear combination is then calculated to generate new volume data
with an enhanced boundary surface, where pixel intensity, boundary position
information, and intensity changes on both sides of the boundary surface are
used simultaneously. Next, preliminary discrete boundary points are detected
from the A-Scans of the volume data. Finally, surface smoothness constraints
and a dynamic threshold are applied to obtain a smoothed boundary surface by
correcting a small number of error points. Our method can extract retinal layer
boundary surfaces sequentially with a decreasing search region of volume data.
We performed automatic segmentation on eight human OCT volume datasets acquired
from a commercial Spectralis OCT system, where each volume of data consisted of
97 OCT images with a resolution of 496 512; experimental results show that this
method can accurately segment seven layer boundary surfaces in normal as well
as some abnormal eyes.Comment: 27 pages, 19 figure
Structural Change Can Be Detected in Advanced-Glaucoma Eyes.
PurposeTo compare spectral-domain optical coherence tomography (SD-OCT) standard structural measures and a new three-dimensional (3D) volume optic nerve head (ONH) change detection method for detecting change over time in severely advanced-glaucoma (open-angle glaucoma [OAG]) patients.MethodsThirty-five eyes of 35 patients with very advanced glaucoma (defined as a visual field mean deviation < -21 dB) and 46 eyes of 30 healthy subjects to estimate aging changes were included. Circumpapillary retinal fiber layer thickness (cpRNFL), minimum rim width (MRW), and macular retinal ganglion cell-inner plexiform layer (GCIPL) thicknesses were measured using the San Diego Automated Layer Segmentation Algorithm (SALSA). Progression was defined as structural loss faster than 95th percentile of healthy eyes. Three-dimensional volume ONH change was estimated using the Bayesian-kernel detection scheme (BKDS), which does not require extensive retinal layer segmentation.ResultsThe number of progressing glaucoma eyes identified was highest for 3D volume BKDS (13, 37%), followed by GCPIL (11, 31%), cpRNFL (4, 11%), and MRW (2, 6%). In advanced-OAG eyes, only the mean rate of GCIPL change reached statistical significance, -0.18 μm/y (P = 0.02); the mean rates of cpRNFL and MRW change were not statistically different from zero. In healthy eyes, the mean rates of cpRNFL, MRW, and GCIPL change were significantly different from zero. (all P < 0.001).ConclusionsGanglion cell-inner plexiform layer and 3D volume BKDS show promise for identifying change in severely advanced glaucoma. These results suggest that structural change can be detected in very advanced disease. Longer follow-up is needed to determine whether changes identified are false positives or true progression
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