Jui-Kai Wang

Vishal Balaji Sivaraman, Muhammad Imran, Qingyue Wei et al.

We introduce RetinaRegNet, a zero-shot image registration model designed to register retinal images with minimal overlap, large deformations, and varying image quality. RetinaRegNet addresses these challenges and achieves robust and accurate registration through the following steps. First, we extract features from the moving and fixed images using latent diffusion models. We then sample feature points from the fixed image using a combination of the SIFT algorithm and random point sampling. For each sampled point, we identify its corresponding point in the moving image using a 2D correlation map, which computes the cosine similarity between the diffusion feature vectors of the point in the fixed image and all pixels in the moving image. Second, we eliminate most incorrectly detected point correspondences (outliers) by enforcing an inverse consistency constraint, ensuring that correspondences are consistent in both forward and backward directions. We further remove outliers with large distances between corresponding points using a global transformation based outlier detector. Finally, we implement a two-stage registration framework to handle large deformations. The first stage estimates a homography transformation to achieve global alignment between the images, while the second stage uses a third-order polynomial transformation to estimate local deformations. We evaluated RetinaRegNet on three retinal image registration datasets: color fundus images, fluorescein angiography images, and laser speckle flowgraphy images. Our model consistently outperformed state-of-the-art methods across all datasets. The accurate registration achieved by RetinaRegNet enables the tracking of eye disease progression, enhances surgical planning, and facilitates the evaluation of treatment efficacy. Our code is publicly available at: https://github.com/mirthAI/RetinaRegNet.

Cheng Huang, Weizheng Xie, Tsengdar J. Lee et al.

Structural changes in main retinal blood vessels serve as critical biomarkers for the onset and progression of glaucoma. Identifying these vessels is vital for vascular modeling yet highly challenging. This paper proposes X-GAN, a generative AI-powered unsupervised segmentation model designed for extracting main blood vessels from Optical Coherence Tomography Angiography (OCTA) images. The process begins with the Space Colonization Algorithm (SCA) to rapidly generate a skeleton of vessels, featuring their radii. By synergistically integrating the generative adversarial network (GAN) with biostatistical modeling of vessel radii, X-GAN enables a fast reconstruction of both 2D and 3D representations of the vessels. Based on this reconstruction, X-GAN achieves nearly 100\% segmentation accuracy without relying on labeled data or high-performance computing resources. Experimental results confirm X-GAN's superiority in evaluating main vessel segmentation compared to existing deep learning models.

Cheng Huang, Weizheng Xie, Karanjit Kooner et al.

Early and accurate detection of glaucoma is critical to prevent irreversible vision loss. However, existing methods often rely on unimodal data and lack interpretability, limiting their clinical utility. In this paper, we present GlaBoost, a multimodal gradient boosting framework that integrates structured clinical features, fundus image embeddings, and expert-curated textual descriptions for glaucoma risk prediction. GlaBoost extracts high-level visual representations from retinal fundus photographs using a pretrained convolutional encoder and encodes free-text neuroretinal rim assessments using a transformer-based language model. These heterogeneous signals, combined with manually assessed risk scores and quantitative ophthalmic indicators, are fused into a unified feature space for classification via an enhanced XGBoost model. Experiments conducted on a real-world annotated dataset demonstrate that GlaBoost significantly outperforms baseline models, achieving a validation accuracy of 98.71%. Feature importance analysis reveals clinically consistent patterns, with cup-to-disc ratio, rim pallor, and specific textual embeddings contributing most to model decisions. GlaBoost offers a transparent and scalable solution for interpretable glaucoma diagnosis and can be extended to other ophthalmic disorders.