ODFormer: Semantic Fundus Image Segmentation Using Transformer for Optic Nerve Head Detection
This work addresses the lack of benchmarks and generalizability in ONH detection for ophthalmology, though it is incremental as it builds on existing transformer architectures.
The authors tackled the problem of optic nerve head detection in fundus images by developing ODFormer, a transformer-based network with novel components, and publishing a multi-camera dataset, achieving state-of-the-art performance and improved generalizability across diverse datasets.
Optic nerve head (ONH) detection has been a crucial area of study in ophthalmology for years. However, the significant discrepancy between fundus image datasets, each generated using a single type of fundus camera, poses challenges to the generalizability of ONH detection approaches developed based on semantic segmentation networks. Despite the numerous recent advancements in general-purpose semantic segmentation methods using convolutional neural networks (CNNs) and Transformers, there is currently a lack of benchmarks for these state-of-the-art (SoTA) networks specifically trained for ONH detection. Therefore, in this article, we make contributions from three key aspects: network design, the publication of a dataset, and the establishment of a comprehensive benchmark. Our newly developed ONH detection network, referred to as ODFormer, is based upon the Swin Transformer architecture and incorporates two novel components: a multi-scale context aggregator and a lightweight bidirectional feature recalibrator. Our published large-scale dataset, known as TongjiU-DROD, provides multi-resolution fundus images for each participant, captured using two distinct types of cameras. Our established benchmark involves three datasets: DRIONS-DB, DRISHTI-GS1, and TongjiU-DROD, created by researchers from different countries and containing fundus images captured from participants of diverse races and ages. Extensive experimental results demonstrate that our proposed ODFormer outperforms other state-of-the-art (SoTA) networks in terms of performance and generalizability. Our dataset and source code are publicly available at mias.group/ODFormer.