Abstract

Segmentation of anatomical structures in corneal images is crucial for the diagnosis and study of anterior segment diseases. However, manual segmentation is a time-consuming and subjective process. This paper presents an automatic approach for segmenting corneal layer boundaries in Spectral Domain Optical Coherence Tomography images using graph theory and dynamic programming. Our approach is robust to the low-SNR and different artifact types that can appear in clinical corneal images. We show that our method segments three corneal layer boundaries in normal adult eyes more accurately compared to an expert grader than a second grader—even in the presence of significant imaging outliers.

Highlights

  • In corneal Spectral domain optical coherence tomography (SDOCT) images, there are two main types of artifacts that often interfere with accurate automatic segmentation

  • Each volume consisted of 50 radial by a selected number of neighboring vertical columns (A-scans) in the lateral (B-scan), 1000 A-scans each, and 1024 axial pixels per A-scan

  • In this work, we presented an automatic method for accurate segmentation of three clinically important corneal layer boundaries on SDOCT images of normal eyes

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Summary

Introduction

Spectral domain optical coherence tomography (SDOCT) has become an important diagnostic imaging modality in clinical ophthalmology [1,2,3,4] for the examination of both the retina [1,2,17,18,19,20,21,28] and cornea [2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,25,26,27,29]. The large volume of data generated from imaging in settings such as busy clinics or large-scale clinical trials makes manual segmentation both impractical and costly for the analysis of corneal SDOCT images To address this issue, several different approaches for segmenting corneal layer boundaries have been proposed with varying levels of success. The hybrid graph theory and dynamic programming retinal segmentation approach introduced by Chiu et al has been shown to be especially flexible for handling different sources of artifacts [21]. This robust segmentation method is capable of handling varying degrees of SNR and artifacts in corneal images.

Review: layer segmentation using hybrid graph theory and dynamic programming
Methods: segmentation of three corneal layer boundaries
Artifact removal
Reduction of the horizontal artifact
Pilot air-epithelium layer boundary estimation
Extrapolation into low-SNR regions
Detection of low-SNR regions
Interpolation and extrapolation into low-SNR regions
Augmented segmentation of the air-epithelium interface
Segmentation of the endothelium-aqueous interface
Reduction of search region for endothelium-aqueous interface
Segmentation of the epithelium-Bowman’s layer interface
Automated versus manual segmentation study
Other segmentation results
Conclusion
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