An automated framework of inner segment/outer segment defect detection for retinal SD-OCT images

The integrity of inner segment/outer segment (IS/OS) has high correlation with lower visual acuity in patients suffering from blunt trauma. An automated 3D IS/OS defect detection method based on the SD-OCT images was proposed. First, 11 surfaces were automatically segmented using the multiscale 3D graph-search approach. Second, the sub-volumes between surface 7 and 8 containing IS/OS region around the fovea (diameter of mm) were extracted and flattened based on the segmented retinal pigment epithelium layer. Third, 5 kinds of texture based features were extracted for each voxel. A KNN classifier was trained and each voxel was classified as disrupted or nondisrupted and the responding defect volume was calculated. The proposed method was trained and tested on 9 eyes from 9 trauma subjects using the leave-one-out cross validation method. The preliminary results demonstrated the feasibility and efficiency of the proposed method

GCC of normal

<p>retinal thickness of RNFL,RNFL_IPL and GCC of normal for two methods</p

oct-data

<p>oct-data</p

9-region glaucoma

<p>retinal thickness of 9-region of  glaucoma for two methods</p

Effect of optic disk-fovea distance on measurements of individual macular intraretinal layers in normal subjects

Purpose: To investigate the effect of optic disk-fovea distance (DFD) on measurements of macular intraretinal layers using spectral domain optical coherence tomography in normal subjects. Methods: One hundred and eighty-two eyes from 182 normal subjects were imaged using spectral domain optical coherence tomography. The average thicknesses of eight macular intraretinal layers were measured using an automatic segmentation algorithm. Partial correlation test and multiple regression analysis were used to determine the effect of DFD on thicknesses of intraretinal layers. Results: Disk-fovea distance correlated negatively with the overall average thickness in all the intraretinal layers (r Conclusion: Thinner measurements of macular intraretinal layers were significantly associated with greater DFD. A clinical assessment of macular intraretinal layers in the evaluation of various macular diseases should always be interpreted in the context of DFD

Profile and Determinants of Retinal Optical Intensity in Normal Eyes with Spectral Domain Optical Coherence Tomography.

PURPOSE:To investigate the profile and determinants of retinal optical intensity in normal subjects using 3D spectral domain optical coherence tomography (SD OCT). METHODS:A total of 231 eyes from 231 healthy subjects ranging in age from 18 to 80 years were included and underwent a 3D OCT scan. Forty-four eyes were randomly chosen to be scanned by two operators for reproducibility analysis. Distribution of optical intensity of each layer and regions specified by the Early Treatment of Diabetic Retinopathy Study (ETDRS) were investigated by analyzing the OCT raw data with our automatic graph-based algorithm. Univariate and multivariate analyses were performed between retinal optical intensity and sex, age, height, weight, spherical equivalent (SE), axial length, image quality, disc area and rim/disc area ratio (R/D area ratio). RESULTS:For optical intensity measurements, the intraclass correlation coefficient of each layer ranged from 0.815 to 0.941, indicating good reproducibility. Optical intensity was lowest in the central area of retinal nerve fiber layer, ganglion cell layer, inner plexiform layer, inner nuclear layer, outer plexiform layer and photoreceptor layer, except for the retinal pigment epithelium (RPE). Optical intensity was positively correlated with image quality in all retinal layers (0.5530.05). There was no relationship between retinal optical intensity and sex, height, weight, SE, axial length, disc area and R/D area ratio. CONCLUSIONS:There was a specific pattern of distribution of retinal optical intensity in different regions. The optical intensity was affected by image quality and age. Image quality can be used as a reference for normalization. The effect of age needs to be taken into consideration when using OCT for diagnosis

Comparison of Retinal Thickness Measurements between the Topcon Algorithm and a Graph-Based Algorithm in Normal and Glaucoma Eyes.

To assess the correlation and agreement between the Topcon built-in algorithm and our graph-based algorithm in measuring the total and regional macular thickness for normal and glaucoma subjects.A total of 228 normal eyes and 93 glaucomatous eyes were enrolled in our study. All patients underwent comprehensive ophthalmic examination and Topcon 3D-OCT 2000 scan. One eye was randomly selected for each subject. The thickness of each layer and the total and regional macular thickness on an Early Treatment of Diabetic Retinopathy Study (ETDRS) chart were measured using the Topcon algorithm and our three-dimensional graph-based algorithm. Correlation and agreement analyses between these two algorithms were performed.Our graph search algorithm exhibited a strong correlation with Topcon algorithm. The macular GCC thickness values for normal and glaucoma subjects ranged from 0.86 to 0.91 and from 0.78 to 0.90, and the regional macular thickness values ranged from 0.79 to 0.96 and 0.70 to 0.95, respectively. Small differences were observed between the Topcon algorithm and our graph-based algorithm. The span of 95% limits of agreement of macular GCC thickness was less than 28 μm in both normal and glaucoma subjects, respectively. These limits of total and regional macular thickness were 15.5 μm and 23.1 μm for normal subjects and 29.1 μm and 46.4 μm for glaucoma subjects, respectively.Our graph-based algorithm exhibited a high degree of agreement with the Topcon algorithm with respect to thickness measurements in normal and glaucoma subjects. Moreover, our graph-based algorithm can segment the retina into more layers than the Topcon algorithm does