Cheolhong An

Bo Wen, Haochen Zhang, Dirk-Uwe G. Bartsch et al.

Topological correctness is critical for segmentation of tubular structures, which pervade in biomedical images. Existing topological segmentation loss functions are primarily based on the persistent homology of the image. They match the persistent features from the segmentation with the persistent features from the ground truth and minimize the difference between them. However, these methods suffer from an ambiguous matching problem since the matching only relies on the information in the topological space. In this work, we propose an effective and efficient Spatial-Aware Topological Loss Function that further leverages the information in the original spatial domain of the image to assist the matching of persistent features. Extensive experiments on images of various types of tubular structures show that the proposed method has superior performance in improving the topological accuracy of the segmentation compared with state-of-the-art methods. Code is available at https://github.com/JRC-VPLab/SATLoss.

An Le, Nehal Mehta, William Freeman et al.

In this study, we developed deep learning-based method to classify the type of surgery performed for epiretinal membrane (ERM) removal, either internal limiting membrane (ILM) removal or ERM-alone removal. Our model, based on the ResNet18 convolutional neural network (CNN) architecture, utilizes postoperative optical coherence tomography (OCT) center scans as inputs. We evaluated the model using both original scans and scans preprocessed with energy crop and wavelet denoising, achieving 72% accuracy on preprocessed inputs, outperforming the 66% accuracy achieved on original scans. To further improve accuracy, we integrated tunable wavelet units with two key adaptations: Orthogonal Lattice-based Wavelet Units (OrthLatt-UwU) and Perfect Reconstruction Relaxation-based Wavelet Units (PR-Relax-UwU). These units allowed the model to automatically adjust filter coefficients during training and were incorporated into downsampling, stride-two convolution, and pooling layers, enhancing its ability to distinguish between ERM-ILM removal and ERM-alone removal, with OrthLattUwU boosting accuracy to 76% and PR-Relax-UwU increasing performance to 78%. Performance comparisons showed that our AI model outperformed a trained human grader, who achieved only 50% accuracy in classifying the removal surgery types from postoperative OCT scans. These findings highlight the potential of CNN based models to improve clinical decision-making by providing more accurate and reliable classifications. To the best of our knowledge, this is the first work to employ tunable wavelets for classifying different types of ERM removal surgery.

Abdullah F. Al-Battal, Soan T. M. Duong, Van Ha Tang et al.

Multi-phase computed tomography (CT) scans use contrast agents to highlight different anatomical structures within the body to improve the probability of identifying and detecting anatomical structures of interest and abnormalities such as liver lesions. Yet, detecting these lesions remains a challenging task as these lesions vary significantly in their size, shape, texture, and contrast with respect to surrounding tissue. Therefore, radiologists need to have an extensive experience to be able to identify and detect these lesions. Segmentation-based neural networks can assist radiologists with this task. Current state-of-the-art lesion segmentation networks use the encoder-decoder design paradigm based on the UNet architecture where the multi-phase CT scan volume is fed to the network as a multi-channel input. Although this approach utilizes information from all the phases and outperform single-phase segmentation networks, we demonstrate that their performance is not optimal and can be further improved by incorporating the learning from models trained on each single-phase individually. Our approach comprises three stages. The first stage identifies the regions within the liver where there might be lesions at three different scales (4, 8, and 16 mm). The second stage includes the main segmentation model trained using all the phases as well as a segmentation model trained on each of the phases individually. The third stage uses the multi-phase CT volumes together with the predictions from each of the segmentation models to generate the final segmentation map. Overall, our approach improves relative liver lesion segmentation performance by 1.6% while reducing performance variability across subjects by 8% when compared to the current state-of-the-art models.

Bo Wen, Anna Heinke, Akshay Agnihotri et al.

We identify two major limitations in the existing studies on retinal vessel segmentation: (1) Most existing works are restricted to one modality, i.e., the Color Fundus (CF). However, multi-modality retinal images are used every day in the study of the retina and diagnosis of retinal diseases, and the study of vessel segmentation on other modalities is scarce; (2) Even though a few works extended their experiments to new modalities such as the Multi-Color Scanning Laser Ophthalmoscopy (MC), these works still require fine-tuning a separate model for the new modality. The fine-tuning will require extra training data, which is difficult to acquire. In this work, we present a novel universal vessel segmentation model (URVSM) for multi-modality retinal images. In addition to performing the study on a much wider range of image modalities, we also propose a universal model to segment the vessels in all these commonly used modalities. While being much more versatile compared with existing methods, our universal model also demonstrates comparable performance to the state-of-the-art fine-tuned methods. To the best of our knowledge, this is the first work that achieves modality-agnostic retinal vessel segmentation and the first to study retinal vessel segmentation in several novel modalities.

An D. Le, Hung Nguyen, Melanie Tran et al.

This paper presents the first study to apply tunable wavelet units (UwUs) for 3D retinal layer segmentation from Optical Coherence Tomography (OCT) volumes. To overcome the limitations of conventional max-pooling, we integrate three wavelet-based downsampling modules, OrthLattUwU, BiorthLattUwU, and LS-BiorthLattUwU, into a motion-corrected MGU-Net architecture. These modules use learnable lattice filter banks to preserve both low- and high-frequency features, enhancing spatial detail and structural consistency. Evaluated on the Jacobs Retina Center (JRC) OCT dataset, our framework shows significant improvement in accuracy and Dice score, particularly with LS-BiorthLattUwU, highlighting the benefits of tunable wavelet filters in volumetric medical image segmentation.

Yiqian Wang, Alexandra Warter, Melina Cavichini et al.

Optical Coherence Tomography (OCT) is one of the most important retinal imaging technique. However, involuntary motion artifacts still pose a major challenge in OCT imaging that compromises the quality of downstream analysis, such as retinal layer segmentation and OCT Angiography. We propose deep learning based neural networks to correct axial and coronal motion artifacts in OCT based on a single volumetric scan. The proposed method consists of two fully-convolutional neural networks that predict Z and X dimensional displacement maps sequentially in two stages. The experimental result shows that the proposed method can effectively correct motion artifacts and achieve smaller error than other methods. Specifically, the method can recover the overall curvature of the retina, and can be generalized well to various diseases and resolutions.