Abstract

Optical coherence tomography (OCT) of the posterior segment of the eye provides high-resolution cross-sectional images that allow visualization of individual layers of the posterior eye tissue (the retina and choroid), facilitating the diagnosis and monitoring of ocular diseases and abnormalities. The manual analysis of retinal OCT images is a time-consuming task; therefore, the development of automatic image analysis methods is important for both research and clinical applications. In recent years, deep learning methods have emerged as an alternative method to perform this segmentation task. A large number of the proposed segmentation methods in the literature focus on the use of encoder–decoder architectures, such as U-Net, while other architectural modalities have not received as much attention. In this study, the application of an instance segmentation method based on region proposal architecture, called the Mask R-CNN, is explored in depth in the context of retinal OCT image segmentation. The importance of adequate hyper-parameter selection is examined, and the performance is compared with commonly used techniques. The Mask R-CNN provides a suitable method for the segmentation of OCT images with low segmentation boundary errors and high Dice coefficients, with segmentation performance comparable with the commonly used U-Net method. The Mask R-CNN has the advantage of a simpler extraction of the boundary positions, especially avoiding the need for a time-consuming graph search method to extract boundaries, which reduces the inference time by 2.5 times compared to U-Net, while segmenting seven retinal layers.

Highlights

  • Optical coherence tomography (OCT) imaging has become the standard clinical tool to image the posterior segment of the eye, since it provides fundamental information regarding the health of the eye [1]

  • This study aims to address these limitations by applying an alternative Deep learning (DL) architecture to OCT

  • While a large number of published methods have assessed OCT segmentation based on encoder–decoder architectures (U-Net and its variations), other DL architectures have received significantly less attention

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Summary

Introduction

Received: 31 December 2021Optical coherence tomography (OCT) imaging has become the standard clinical tool to image the posterior segment of the eye (i.e., the retina and choroid), since it provides fundamental information regarding the health of the eye [1]. The detailed high-resolution images allow clinicians and researchers to visualize the individual tissue layers of the posterior eye. These images are used to diagnose and monitor ocular diseases and abnormalities. Analysis of structural changes (thickness or area metrics) is commonly used as a surrogate of health status or disease progression [2]. In order to extract these metrics, tissue boundary positions need to be first segmented. Manual labelling of these boundaries requires experts to segment the areas of interest, which is a time consuming and subjective process, potentially prone to bias and errors [3–5]

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