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Boundary-Repairing Dual-Path Network for Retinal Layer Segmentation in OCT Image with Pigment Epithelial Detachment

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Abstract

Automatic retinal layer segmentation in optical coherence tomography (OCT) images is crucial for the diagnosis of ocular diseases. Currently, automatic retinal layer segmentation works well with normal OCT images. However, pigment epithelial detachment (PED) dramatically alters the retinal structure, causing blurred boundaries and partial disappearance of the Bruch’s Membrane (BM), thus posing challenges to the segmentation. To tackle these problems, we propose a novel dual-path U-shaped network for simultaneous layer segmentation and boundary regression. This network first designs a feature interaction fusion (FIF) module to strengthen the boundary shape constraints in the layer path. To address the challenge posed by partial BM disappearance and boundary-blurring, we propose a layer boundary repair (LBR) module. This module aims to use contrastive loss to enhance the confidence of blurred boundary regions and refine the segmentation of layer boundaries through the re-prediction head. In addition, we introduce a novel bilateral threshold distance map (BTDM) designed for the boundary path. The BTDM serves to emphasize information within boundary regions. This map, combined with the updated probability map, culminates in topology-guaranteed segmentation results achieved through a topology correction (TC) module. We investigated the proposed network on two severely deformed datasets (i.e., OCTA-500 and Aier-PED) and one slightly deformed dataset (i.e., DUKE). The proposed method achieves an average Dice score of 94.26% on the OCTA-500 dataset, which was 1.5% higher than BAU-Net and outperformed other methods. In the DUKE and Aier-PED datasets, the proposed method achieved average Dice scores of 91.65% and 95.75%, respectively.

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Data Availability

Two datasets used are publically available. The local one is currently not publically available.

References

  1. Coleman H R, Chan C-C, Ferris III F L, and Chew E Y, “Age-related macular degeneration,” The Lancet, 372:1835-1845, 2008

    Article  CAS  Google Scholar 

  2. Lim L S, Mitchell P, Seddon J M, Holz F G, and Wong T Y, “Age-related macular degeneration,” The Lancet, 379:1728-1738, 2012

    Article  Google Scholar 

  3. Bird A, “Pathogenesis of retinal pigment epithelial detachment in the elderly; the relevance of Bruch's membrane change,” Eye, 5:1-12, 1991

    Article  PubMed  Google Scholar 

  4. Poliner L S, Olk R J, Burgess D, and Gordon M E, “Natural history of retinal pigment epithelial detachments in age-related macular degeneration,” Ophthalmology, 93:543-551, 1986

    Article  CAS  PubMed  Google Scholar 

  5. Pauleikhoff D et al., “Pigment epithelial detachment in the elderly: clinical differentiation, natural course and pathogenetic implications,” Graefe's Archive for Clinical Experimental Ophthalmology, 240:533-538, 2002

    Article  CAS  PubMed  Google Scholar 

  6. Karampelas M, Malamos P, Petrou P, Georgalas I, Papaconstantinou D, and Brouzas D, “Retinal pigment epithelial detachment in age-related macular degeneration,” Ophthalmology, 9:739-756, 2020

    Google Scholar 

  7. Au A et al., “Comparison of anti-VEGF therapies on fibrovascular pigment epithelial detachments in age-related macular degeneration,” British Journal of Ophthalmology, 101:970-975, 2017

    Article  PubMed  Google Scholar 

  8. Friedman D S et al., “Prevalence of age-related macular degeneration in the United States,” Arch ophthalmol, 122:564-572, 2004

    Article  PubMed  Google Scholar 

  9. Chiang A, Chang L K, Yu F, and Sarraf D, “Predictors of anti-VEGF-associated retinal pigment epithelial tear using FA and OCT analysis,” Retina, 28:1265-1269, 2008

    Article  PubMed  Google Scholar 

  10. Wojtkowski M, Leitgeb R, Kowalczyk A, Bajraszewski T, and Fercher A F, “In vivo human retinal imaging by Fourier domain optical coherence tomography,” Journal of biomedical optics, 7:457-463, 2002

    Article  PubMed  Google Scholar 

  11. Duan J, Tench C, Gottlob I, Proudlock F, and Bai L, “Automated segmentation of retinal layers from optical coherence tomography images using geodesic distance,” Pattern Recognition, 72:158-175, 2017

    Article  Google Scholar 

  12. Raja H et al., “Extraction of retinal layers through convolution neural network (CNN) in an OCT image for glaucoma diagnosis,” Journal of Digital Imaging, 33:1428-1442, 2020

    Article  PubMed  PubMed Central  Google Scholar 

  13. Kafieh R, Rabbani H, Abramoff M D, and Sonka M, “Intra-retinal layer segmentation of 3D optical coherence tomography using coarse grained diffusion map,” Medical image analysis, 17:907-928, 2013

    Article  PubMed  Google Scholar 

  14. Dufour P A et al., “Graph-based multi-surface segmentation of OCT data using trained hard and soft constraints,” IEEE transactions on medical imaging, 32:531-543, 2012

    Article  PubMed  Google Scholar 

  15. Niu S, Chen Q, de Sisternes L, Rubin D L, Zhang W, and Liu Q, “Automated retinal layers segmentation in SD-OCT images using dual-gradient and spatial correlation smoothness constraint,” Computers in biology medicine, 54:116-128, 2014

    Article  PubMed  Google Scholar 

  16. Xiang D et al., “Automatic retinal layer segmentation of OCT images with central serous retinopathy,” IEEE journal of biomedical and health informatics, 23:283-295, 2018

    Article  PubMed  Google Scholar 

  17. Lang A et al., “Retinal layer segmentation of macular OCT images using boundary classification,” Biomedical optics express, 4:1133-1152, 2013

    Article  PubMed  PubMed Central  Google Scholar 

  18. Liu X et al., “Automated layer segmentation of retinal optical coherence tomography images using a deep feature enhanced structured random forests classifier,” IEEE journal of biomedical health informatics, 23:1404-1416, 2018

    Article  PubMed  Google Scholar 

  19. Aamir F, Aslam I, Arshad M, and Omer H, “Accelerated diffusion-weighted MR image reconstruction using deep neural networks,” Journal of Digital Imaging, 36:276-288, 2023

    Article  PubMed  Google Scholar 

  20. Sule O and Viriri S, “Contrast enhancement of RGB retinal fundus images for improved segmentation of blood vessels using convolutional neural networks,” Journal of Digital Imaging, 36:414-432, 2023

    Article  PubMed  Google Scholar 

  21. Fang L, Cunefare D, Wang C, Guymer R H, Li S, and Farsiu S, “Automatic segmentation of nine retinal layer boundaries in OCT images of non-exudative AMD patients using deep learning and graph search,” Biomedical optics express, 8:2732-2744, 2017

    Article  PubMed  PubMed Central  Google Scholar 

  22. Kugelman J, Alonso-Caneiro D, Read S A, Vincent S J, and Collins M J, “Automatic segmentation of OCT retinal boundaries using recurrent neural networks and graph search,” Biomedical optics express, 9:5759-5777, 2018

    Article  PubMed  PubMed Central  Google Scholar 

  23. He Y et al., “Structured layer surface segmentation for retina OCT using fully convolutional regression networks,” Medical image analysis, 68:101856, 2021

    Article  PubMed  Google Scholar 

  24. Roy A G et al., “ReLayNet: retinal layer and fluid segmentation of macular optical coherence tomography using fully convolutional networks,” Biomedical optics express, 8:3627-3642, 2017

    Article  PubMed  PubMed Central  Google Scholar 

  25. Liu X, Cao J, Wang S, Zhang Y, and Wang M, “Confidence-guided topology-preserving layer segmentation for optical coherence tomography images with focus-column module,” IEEE Transactions on Instrumentation and Measurement, 70:1-12, 2020

    Google Scholar 

  26. Ma D et al., “LF-UNet–a novel anatomical-aware dual-branch cascaded deep neural network for segmentation of retinal layers and fluid from optical coherence tomography images,” Computerized Medical Imaging Graphics, 94:101988, 2021

    Article  PubMed  Google Scholar 

  27. Waldstein S M, Wright J, Warburton J, Margaron P, Simader C, and Schmidt-Erfurth U, “Predictive value of retinal morphology for visual acuity outcomes of different ranibizumab treatment regimens for neovascular AMD,” Ophthalmology, 123:60-69, 2016

    Article  PubMed  Google Scholar 

  28. Liu X et al., “Semi-supervised automatic segmentation of layer and fluid region in retinal optical coherence tomography images using adversarial learning,” IEEE Access, 7:3046-3061, 2018

    Article  Google Scholar 

  29. Yang X et al., “Contrastive rendering with semi-supervised learning for ovary and follicle segmentation from 3D ultrasound,” Medical Image Analysis, 73:102134, 2021

    Article  PubMed  Google Scholar 

  30. Khosla P et al., “Supervised contrastive learning,” Advances in neural information processing systems, 33:18661-18673, 2020

    Google Scholar 

  31. Kirillov A, Wu Y, He K, and Girshick R, “Pointrend: Image segmentation as rendering,” in Proceedings of the IEEE/CVF conference on computer vision and pattern recognition, 2020, pp. 9799–9808.

  32. Kepp T, Ehrhardt J, Heinrich M P, Hüttmann G, and Handels H, “Topology-preserving shape-based regression of retinal layers in oct image data using convolutional neural networks,” in 2019 IEEE 16th International Symposium on Biomedical Imaging (ISBI 2019), 2019, pp. 1437–1440: IEEE.

  33. Novosel J, Vermeer K A, De Jong J H, Wang Z, and Van Vliet L J, “Joint segmentation of retinal layers and focal lesions in 3-D OCT data of topologically disrupted retinas,” IEEE transactions on medical imaging, 36:1276-1286, 2017

    Article  PubMed  Google Scholar 

  34. Chiu S J, Li X T, Nicholas P, Toth C A, Izatt J A, and Farsiu S, “Automatic segmentation of seven retinal layers in SDOCT images congruent with expert manual segmentation,” Optics express, 18:19413-19428, 2010

    Article  PubMed  PubMed Central  Google Scholar 

  35. Song Q, Bai J, Garvin M K, Sonka M, Buatti J M, and Wu X, “Optimal multiple surface segmentation with shape and context priors,” IEEE transactions on medical imaging, 32:376-386, 2012

    Article  PubMed  PubMed Central  Google Scholar 

  36. Shah A, Zhou L, Abrámoff M D, and Wu X, “Multiple surface segmentation using convolution neural nets: application to retinal layer segmentation in OCT images,” Biomedical optics express, 9:4509-4526, 2018

    Article  PubMed  PubMed Central  Google Scholar 

  37. He Y et al., “Deep learning based topology guaranteed surface and MME segmentation of multiple sclerosis subjects from retinal OCT,” Biomedical optics express, 10:5042-5058, 2019

    Article  PubMed  PubMed Central  Google Scholar 

  38. He Y, Carass A, Solomon S D, Saidha S, Calabresi P A, and Prince J L J D i b, “Retinal layer parcellation of optical coherence tomography images: Data resource for multiple sclerosis and healthy controls,” 22:601–604, 2019

  39. Long J, Shelhamer E, and Darrell T, “Fully convolutional networks for semantic segmentation,” in Proceedings of the IEEE conference on computer vision and pattern recognition, 2015, pp. 3431–3440.

  40. Ronneberger O, Fischer P, and Brox T, “U-net: Convolutional networks for biomedical image segmentation,” in Medical Image Computing and Computer-Assisted Intervention–MICCAI 2015: 18th International Conference, Munich, Germany, October 5–9, 2015, Proceedings, Part III 18, 2015, pp. 234–241: Springer.

  41. Kepp T, Andresen J, von der Burchard C, Roider J, Hüttmann G, and Handels H, “Shape-based segmentation of retinal layers and fluids in OCT image data,” in Medical Imaging 2023: Computer-Aided Diagnosis, 2023, vol. 12465, pp. 208–217: SPIE.

  42. Lu Y, Shen Y, Xing X, Ye C, and Meng M Q-H, “Boundary-enhanced semi-supervised retinal layer segmentation in optical coherence tomography images using fewer labels,” Computerized Medical Imaging Graphics, 105:102199, 2023

    Article  PubMed  Google Scholar 

  43. Ioffe S and Szegedy C, “Batch normalization: Accelerating deep network training by reducing internal covariate shift,” in International conference on machine learning, 2015, pp. 448–456: pmlr.

  44. He K, Zhang X, Ren S, and Sun J, “Delving deep into rectifiers: Surpassing human-level performance on imagenet classification,” in Proceedings of the IEEE international conference on computer vision, 2015, pp. 1026–1034.

  45. Wang B, Wei W, Qiu S, Wang S, Li D, and He H, “Boundary aware U-Net for retinal layers segmentation in optical coherence tomography images,” IEEE Journal of Biomedical and Health Informatics, 25:3029-3040, 2021

    Article  PubMed  Google Scholar 

  46. Cheng M, Zhao K, Guo X, Xu Y, and Guo J, “Joint topology-preserving and feature-refinement network for curvilinear structure segmentation,” in Proceedings of the IEEE/CVF International Conference on Computer Vision, 2021, pp. 7147–7156.

  47. Ma J et al., “How distance transform maps boost segmentation CNNs: an empirical study,” in Medical Imaging with Deep Learning, 2020, pp. 479–492: PMLR.

  48. Wang Y et al., “Deep distance transform for tubular structure segmentation in ct scans,” in Proceedings of the IEEE/CVF Conference on Computer Vision and Pattern Recognition, 2020, pp. 3833–3842.

  49. Park J J, Florence P, Straub J, Newcombe R, and Lovegrove S, “Deepsdf: Learning continuous signed distance functions for shape representation,” in Proceedings of the IEEE/CVF conference on computer vision and pattern recognition, 2019, pp. 165–174.

  50. Li M et al., “Image projection network: 3D to 2D image segmentation in OCTA images,” IEEE Transactions on Medical Imaging, 39:3343-3354, 2020

    Article  PubMed  Google Scholar 

  51. Chiu S J, Allingham M J, Mettu P S, Cousins S W, Izatt J A, and Farsiu S, “Kernel regression based segmentation of optical coherence tomography images with diabetic macular edema,” Biomedical optics express, 6:1172-1194, 2015

    Article  PubMed  PubMed Central  Google Scholar 

  52. Li M et al., “Ipn-v2 and octa-500: Methodology and dataset for retinal image segmentation,” arXiv preprint arXiv:.07261, 2020

  53. Li J et al., “Multi-scale GCN-assisted two-stage network for joint segmentation of retinal layers and discs in peripapillary OCT images,” Biomedical Optics Express, 12:2204-2220, 2021

    Article  PubMed  PubMed Central  Google Scholar 

  54. Kingma D P and Ba J, “Adam: A method for stochastic optimization,” arXiv preprint arXiv:.07261, 2014

  55. Zhang Y et al., “Robust layer segmentation against complex retinal abnormalities for en face OCTA generation,” in Medical Image Computing and Computer Assisted Intervention–MICCAI 2020: 23rd International Conference, Lima, Peru, October 4–8, 2020, Proceedings, Part V 23, 2020, pp. 647–655: Springer.

  56. Zhou Z, Rahman Siddiquee M M, Tajbakhsh N, and Liang J, “Unet++: A nested u-net architecture for medical image segmentation,” in Deep Learning in Medical Image Analysis and Multimodal Learning for Clinical Decision Support: 4th International Workshop, DLMIA 2018, and 8th International Workshop, ML-CDS 2018, Held in Conjunction with MICCAI 2018, Granada, Spain, September 20, 2018, Proceedings 4, 2018, pp. 3–11: Springer.

  57. Apostolopoulos S, De Zanet S, Ciller C, Wolf S, and Sznitman R, “Pathological OCT retinal layer segmentation using branch residual U-shape networks,” in Medical Image Computing and Computer Assisted Intervention− MICCAI 2017: 20th International Conference, Quebec City, QC, Canada, September 11–13, 2017, Proceedings, Part III 20, 2017, pp. 294–301: Springer.

  58. Fazekas B et al., “SD-LayerNet: Semi-supervised retinal layer segmentation in OCT using disentangled representation with anatomical priors,” in International Conference on Medical Image Computing and Computer-Assisted Intervention, 2022, pp. 320–329: Springer.

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Funding

This work was supported in part by the National Natural Science Foundation of China under Grant 62176190.

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Contributions

Xiaoming Liu, Jinshan Tang, and Xiao Li contributed to the study conception and design. Material preparation, data collection, and analysis were performed by Ying Zhang, Man Wang, and Xiao Li. The first draft of the manuscript was written by Xiao Li, Xiaoming Liu revised the manuscript, and all authors reviewed and edited previous versions of the manuscript. All authors read and approved the final manuscript.

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Correspondence to Xiaoming Liu.

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This study was performed in line with the principles of the Declaration of Helsinki. Approval was waived by the Ethics Committee with the retrospective and anonymous investigation.

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Liu, X., Li, X., Zhang, Y. et al. Boundary-Repairing Dual-Path Network for Retinal Layer Segmentation in OCT Image with Pigment Epithelial Detachment. J Digit Imaging. Inform. med. (2024). https://doi.org/10.1007/s10278-024-01093-y

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