Samuel Gibbon

Adam Threlfall, Samuel Gibbon, James Cameron et al.

Background and Objective: Infra-red scanning laser ophthalmoscope (IRSLO) images are akin to colour fundus photographs in displaying the posterior pole and retinal vasculature fine detail. While there are many trained networks readily available for retinal vessel segmentation in colour fundus photographs, none cater to IRSLO images. Accordingly, we aimed to develop (and release as open source) a vessel segmentation algorithm tailored specifically to IRSLO images. Materials and Methods: We used 23 expertly annotated IRSLO images from the RAVIR dataset, combined with 7 additional images annotated in-house. We trained a U-Net (convolutional neural network) to label pixels as 'vessel' or 'background'. Results: On an unseen test set (4 images), our model achieved an AUC of 0.981, and an AUPRC of 0.815. Upon thresholding, it achieved a sensitivity of 0.844, a specificity of 0.983, and an F1 score of 0.857. Conclusion: We have made our automatic segmentation algorithm publicly available and easy to use. Researchers can use the generated vessel maps to compute metrics such as fractal dimension and vessel density.

Jamie Burke, Justin Engelmann, Samuel Gibbon et al.

Optical coherence tomography (OCT) and scanning laser ophthalmoscopy (SLO) of the eye has become essential to ophthalmology and the emerging field of oculomics, thus requiring a need for transparent, reproducible, and rapid analysis of this data for clinical research and the wider research community. Here, we introduce OCTolyzer, the first open-source toolkit for retinochoroidal analysis in OCT/SLO data. It features two analysis suites for OCT and SLO data, facilitating deep learning-based anatomical segmentation and feature extraction of the cross-sectional retinal and choroidal layers and en face retinal vessels. We describe OCTolyzer and evaluate the reproducibility of its OCT choroid analysis. At the population level, metrics for choroid region thickness were highly reproducible, with a mean absolute error (MAE)/Pearson correlation for macular volume choroid thickness (CT) of 6.7$μ$m/0.99, macular B-scan CT of 11.6$μ$m/0.99, and peripapillary CT of 5.0$μ$m/0.99. Macular choroid vascular index (CVI) also showed strong reproducibility, with MAE/Pearson for volume CVI yielding 0.0271/0.97 and B-scan CVI 0.0130/0.91. At the eye level, measurement noise for regional and vessel metrics was below 5% and 20% of the population's variability, respectively. Outliers were caused by poor-quality B-scans with thick choroids and invisible choroid-sclera boundary. Processing times on a laptop CPU were under three seconds for macular/peripapillary B-scans and 85 seconds for volume scans. OCTolyzer can convert OCT/SLO data into reproducible and clinically meaningful retinochoroidal features and will improve the standardisation of ocular measurements in OCT/SLO image analysis, requiring no specialised training or proprietary software to be used. OCTolyzer is freely available here: https://github.com/jaburke166/OCTolyzer.

Samuel Gibbon, Graciela Muniz-Terrera, Fabian SL Yii et al.

Purpose: To develop an automatic method of quantifying optic disc pallor in fundus photographs and determine associations with peripapillary retinal nerve fibre layer (pRNFL) thickness. Methods: We used deep learning to segment the optic disc, fovea, and vessels in fundus photographs, and measured pallor. We assessed the relationship between pallor and pRNFL thickness derived from optical coherence tomography scans in 118 participants. Separately, we used images diagnosed by clinical inspection as pale (N=45) and assessed how measurements compared to healthy controls (N=46). We also developed automatic rejection thresholds, and tested the software for robustness to camera type, image format, and resolution. Results: We developed software that automatically quantified disc pallor across several zones in fundus photographs. Pallor was associated with pRNFL thickness globally (\b{eta} = -9.81 (SE = 3.16), p < 0.05), in the temporal inferior zone (\b{eta} = -29.78 (SE = 8.32), p < 0.01), with the nasal/temporal ratio (\b{eta} = 0.88 (SE = 0.34), p < 0.05), and in the whole disc (\b{eta} = -8.22 (SE = 2.92), p < 0.05). Furthermore, pallor was significantly higher in the patient group. Lastly, we demonstrate the analysis to be robust to camera type, image format, and resolution. Conclusions: We developed software that automatically locates and quantifies disc pallor in fundus photographs and found associations between pallor measurements and pRNFL thickness. Translational relevance: We think our method will be useful for the identification, monitoring and progression of diseases characterized by disc pallor/optic atrophy, including glaucoma, compression, and potentially in neurodegenerative disorders.

Jamie Burke, Samuel Gibbon, Justin Engelmann et al.

Purpose: The purpose of this study was to introduce SLOctolyzer: an open-source analysis toolkit for en face retinal vessels in infrared reflectance scanning laser ophthalmoscopy (SLO) images. Methods: SLOctolyzer includes two main modules: segmentation and measurement. The segmentation module uses deep learning methods to delineate retinal anatomy, and detects the fovea and optic disc, whereas the measurement module quantifies the complexity, density, tortuosity, and calibre of the segmented retinal vessels. We evaluated the segmentation module using unseen data and measured its reproducibility. Results: SLOctolyzer's segmentation module performed well against unseen internal test data (Dice for all-vessels = 0.91; arteries = 0.84; veins = 0.85; optic disc = 0.94; and fovea = 0.88). External validation against severe retinal pathology showed decreased performance (Dice for arteries = 0.72; veins = 0.75; and optic disc = 0.90). SLOctolyzer had good reproducibility (mean difference for fractal dimension = -0.001; density = -0.0003; calibre = -0.32 microns; and tortuosity density = 0.001). SLOctolyzer can process a 768 x 768 pixel macula-centred SLO image in under 20 seconds and a disc-centred SLO image in under 30 seconds using a laptop CPU. Conclusions: To our knowledge, SLOctolyzer is the first open-source tool to convert raw SLO images into reproducible and clinically meaningful retinal vascular parameters. SLO images are captured simultaneous to optical coherence tomography (OCT), and we believe SLOctolyzer will be useful for extracting retinal vascular measurements from large OCT image sets and linking them to ocular or systemic diseases. It requires no specialist knowledge or proprietary software, and allows manual correction of segmentations and re-computing of vascular metrics. SLOctolyzer is freely available at https://github.com/jaburke166/SLOctolyzer.

Ida Szubert, Omri Abend, Nathan Schneider et al.

This paper proposes a methodology for constructing such corpora of child directed speech (CDS) paired with sentential logical forms, and uses this method to create two such corpora, in English and Hebrew. The approach enforces a cross-linguistically consistent representation, building on recent advances in dependency representation and semantic parsing. Specifically, the approach involves two steps. First, we annotate the corpora using the Universal Dependencies (UD) scheme for syntactic annotation, which has been developed to apply consistently to a wide variety of domains and typologically diverse languages. Next, we further annotate these data by applying an automatic method for transducing sentential logical forms (LFs) from UD structures. The UD and LF representations have complementary strengths: UD structures are language-neutral and support consistent and reliable annotation by multiple annotators, whereas LFs are neutral as to their syntactic derivation and transparently encode semantic relations. Using this approach, we provide syntactic and semantic annotation for two corpora from CHILDES: Brown's Adam corpus (English; we annotate ~80% of its child-directed utterances), all child-directed utterances from Berman's Hagar corpus (Hebrew). We verify the quality of the UD annotation using an inter-annotator agreement study, and manually evaluate the transduced meaning representations. We then demonstrate the utility of the compiled corpora through (1) a longitudinal corpus study of the prevalence of different syntactic and semantic phenomena in the CDS, and (2) applying an existing computational model of language acquisition to the two corpora and briefly comparing the results across languages.