Ce Zheng

Puxun Tu, Hongfei Ye, Haochen Shi et al.

Phacoemulsification cataract surgery (PCS) is a routine procedure conducted using a surgical microscope, heavily reliant on the skill of the ophthalmologist. While existing PCS guidance systems extract valuable information from surgical microscopic videos to enhance intraoperative proficiency, they suffer from non-phasespecific guidance, leading to redundant visual information. In this study, our major contribution is the development of a novel phase-specific augmented reality (AR) guidance system, which offers tailored AR information corresponding to the recognized surgical phase. Leveraging the inherent quasi-standardized nature of PCS procedures, we propose a two-stage surgical microscopic video recognition network. In the first stage, we implement a multi-task learning structure to segment the surgical limbus region and extract limbus region-focused spatial feature for each frame. In the second stage, we propose the long-short spatiotemporal aggregation transformer (LS-SAT) network to model local fine-grained and global temporal relationships, and combine the extracted spatial features to recognize the current surgical phase. Additionally, we collaborate closely with ophthalmologists to design AR visual cues by utilizing techniques such as limbus ellipse fitting and regional restricted normal cross-correlation rotation computation. We evaluated the network on publicly available and in-house datasets, with comparison results demonstrating its superior performance compared to related works. Ablation results further validated the effectiveness of the limbus region-focused spatial feature extractor and the combination of temporal features. Furthermore, the developed system was evaluated in a clinical setup, with results indicating remarkable accuracy and real-time performance. underscoring its potential for clinical applications.

Haoran Zhang, Jianlong Yang, Ce Zheng et al.

Deep learning has been successfully applied to OCT segmentation. However, for data from different manufacturers and imaging protocols, and for different regions of interest (ROIs), it requires laborious and time-consuming data annotation and training, which is undesirable in many scenarios, such as surgical navigation and multi-center clinical trials. Here we propose an annotation-efficient learning method for OCT segmentation that could significantly reduce annotation costs. Leveraging self-supervised generative learning, we train a Transformer-based model to learn the OCT imagery. Then we connect the trained Transformer-based encoder to a CNN-based decoder, to learn the dense pixel-wise prediction in OCT segmentation. These training phases use open-access data and thus incur no annotation costs, and the pre-trained model can be adapted to different data and ROIs without re-training. Based on the greedy approximation for the k-center problem, we also introduce an algorithm for the selective annotation of the target data. We verified our method on publicly-available and private OCT datasets. Compared to the widely-used U-Net model with 100% training data, our method only requires ~10% of the data for achieving the same segmentation accuracy, and it speeds the training up to ~3.5 times. Furthermore, our proposed method outperforms other potential strategies that could improve annotation efficiency. We think this emphasis on learning efficiency may help improve the intelligence and application penetration of OCT-based technologies. Our code and pre-trained model are publicly available at https://github.com/SJTU-Intelligent-Optics-Lab/Annotation-efficient-learning-for-OCT-segmentation.

Jiewei Lu, Zhun Fan, Ce Zheng et al.

Strabismus is one of the most influential ophthalmologic diseases in human's life. Timely detection of strabismus contributes to its prognosis and treatment. Telemedicine, which has great potential to alleviate the growing demand of the diagnosis of ophthalmologic diseases, is an effective method to achieve timely strabismus detection. In this paper, a tele strabismus dataset is established by the ophthalmologists. Then an end-to-end framework named as RF-CNN is proposed to achieve automated strabismus detection on the established tele strabismus dataset. RF-CNN first performs eye region segmentation on each individual image, and further classifies the segmented eye regions with deep neural networks. The experimental results on the established tele strabismus dataset demonstrates that the proposed RF-CNN can have a good performance on automated strabismus detection for telemedicine application. Code is made publicly available at: https://github.com/jieWeiLu/Strabismus-Detection-for-Telemedicine-Application.