Comparison of image registration methods for composing spectral retinal images

Spectral retinal images have signficant potential for improving the early detection and visualization of subtle changes due to eye diseases and many systemic diseases. High resolution in both the spatial and the spectral domain can be achieved by capturing a set of narrowband channel images from which the spectral images are composed. With imaging techniques where the eye movement between the acquisition of the images is unavoidable, image registration is required. In this paper, the applicability of the state-of-the-art image registration methods for the composition of spectral retinal images is studied. The registration methods are quantitatively compared using synthetic channel image data of an eye phantom and semisynthetic set of retinal channel images subjected to known transformations. The experiments show that Generalized dual-bootstrap iterative closest point method outperforms the other evaluated methods in registration accuracy and the number of successful registrations

Registration of retinal images by a MAS-ICP approach - a preliminary study

Diabetic retinopathy has been revealed as the most common cause of blindness among people of working age. For monitoring the pathology image registration algorithms applied to retinal images is very useful. In this work, a novel vessel-based retinal image registration approach is proposed. The segmentation of the vasculature is performed by a multi-agent system model. All these information is then used in a Robust Point Matching Iterative Closest Point algorithm improved by a Region Bootstrap approach. With this preliminary study, the novelty of integrating all these algorithms for image registration preceded by a multi-agents system for image edges detection seems to be efficient for temporal retinal image registration. Consequently, a system developed on basis of this approach could help in screening programs for the diabetic retinopathy prevention.C. P. thanks the Fundacao para a Ciencia e Tecnologia (FCT), Portugal for the Ph.D. Grant SFRH/BD/ 61829/2009

Retinal Fundus Image Registration via Vascular Structure Graph Matching

Motivated by the observation that a retinal fundus image may contain some unique geometric structures within its vascular trees which can be utilized for feature matching, in this paper, we proposed a graph-based registration framework called GM-ICP to align pairwise retinal images. First, the retinal vessels are automatically detected and represented as vascular structure graphs. A graph matching is then performed to find global correspondences between vascular bifurcations. Finally, a revised ICP algorithm incorporating with quadratic transformation model is used at fine level to register vessel shape models. In order to eliminate the incorrect matches from global correspondence set obtained via graph matching, we proposed a structure-based sample consensus (STRUCT-SAC) algorithm. The advantages of our approach are threefold: (1) global optimum solution can be achieved with graph matching; (2) our method is invariant to linear geometric transformations; and (3) heavy local feature descriptors are not required. The effectiveness of our method is demonstrated by the experiments with 48 pairs retinal images collected from clinical patients

Smartphone-based, rapid, wide-field fundus photography for diagnosis of pediatric retinal diseases

PurposeAn important, unmet clinical need is for cost-effective, reliable, easy-to-use, and portable retinal photography to evaluate preventable causes of vision loss in children. This study presents the feasibility of a novel smartphone-based retinal imaging device tailored to imaging the pediatric fundus.MethodsSeveral modifications for children were made to our previous device, including a child-friendly 3D printed housing of animals, attention-grabbing targets, enhanced image stitching, and video-recording capabilities. Retinal photographs were obtained in children undergoing routine dilated eye examination. Experienced masked retina-specialist graders determined photograph quality and made diagnoses based on the images, which were compared to the treating clinician's diagnosis.ResultsDilated fundus photographs were acquired in 43 patients with a mean age of 6.7 years. The diagnoses included retinoblastoma, Coats' disease, commotio retinae, and optic nerve hypoplasia, among others. Mean time to acquire five standard photographs totaling 90-degree field of vision was 2.3 ± 1.1 minutes. Patients rated their experience of image acquisition favorably, with a Likert score of 4.6 ± 0.8 out of 5. There was 96% agreement between image-based diagnosis and the treating clinician's diagnosis.ConclusionsWe report a handheld smartphone-based device with modifications tailored for wide-field fundus photography in pediatric patients that can rapidly acquire fundus photos while being well-tolerated.Translational relevanceAdvances in handheld smartphone-based fundus photography devices decrease the technical barrier for image acquisition in children and may potentially increase access to ophthalmic care in communities with limited resources

Fiducial-free Alignment Verification Techniques for Intracranial Radiosurgery

The current process of intracranial radiosurgery treatment uses implanted titanium fiducials in the skull to assist in alignment of the patient. These fiducials add an element of physical and emotional stress to the patient, and scheduling the implantation procedures adds a delay of a few extra days before the radiosurgery procedure can begin. During the radiosurgery treatment, each proton beam is manually aligned by the therapist/physician with X-ray images and the fiducials that are visible on these images. This method of alignment can be time-intensive and requires personnel who are specifically trained in patient alignment. We propose a new method using image registration to automate this process in an effort to eliminate the need for surgical implantation of fiducials prior to treatment as well as to improve the accuracy and efficiency of alignment during treatment. Image registration is a technique used to align a moving image with respect to its known fixed image. Several methods of image registration are used for comparison: an enhanced correlation coefficient maximization algorithm, a mutual information maximization algorithm, and an extended phase correlation algorithm. Accuracy, robustness, and performance are emphasized in the comparison of these algorithms. Due to patient privacy, test images from MATLAB will be shown in this paper. This research was conducted under the clinical supervision of Dr. Andrew Wroe and Dr. Reinhard Schulte of the Loma Linda University Medical Center (LLUMC)

The Relationship of the Clinical Disc Margin and Bruch's Membrane Opening in Normal and Glaucoma Subjects.

PurposeWe tested the hypotheses that the mismatch between the clinical disc margin (CDM) and Bruch's membrane opening (BMO) is a function of BMO area (BMOA) and is affected by the presence of glaucoma.MethodsA total of 45 normal eyes (45 subjects) and 53 glaucomatous eyes (53 patients) were enrolled and underwent radial optic nerve head (ONH) imaging with spectral domain optical coherence tomography. The inner tip of the Bruch's membrane (BM) and the clinical disc margin were marked on radial scans and optic disc photographs, and were coregistered with custom software. The main outcome measure was the difference between the clinical disc area (CDA) and BMOA, or CDA-BMOA mismatch, as a function of BMOA and diagnosis. Multivariate regression analyses were used to explore the influence of glaucoma and BMOA on the mismatch.ResultsGlobal CDA was larger than BMOA in both groups but the difference was statistically significant only in the normal group (1.98 ± 0.37 vs. 1.85 ± 0.45 mm2, P = 0.02 in the normal group; 1.96 ± 0.38 vs. 1.89 ± 0.56 mm2, P = 0.08 in the glaucoma group). The sectoral CDA-BMOA mismatch was smaller in superotemporal (P = 0.04) and superonasal (P = 0.05) sectors in the glaucoma group. The normalized CDA-BMOA difference decreased with increasing BMOA in both groups (P < 0.001). Presence or severity of glaucoma did not affect the CDA-BMOA difference (P > 0.14).ConclusionsClinical disc area was larger than BMOA in normal and glaucoma eyes but reached statistical significance only in the former group. The CDA-BMOA mismatch diminished with increasing BMOA but was not affected by presence of glaucoma. These findings have important clinical implications regarding clinical evaluation of the ONH

Temporal registration of vessels in retinal images

Master'sMASTER OF SCIENC