Three-Dimensional Segmentation of Fluid-Associated Abnormalities in Retinal OCT: Probability Constrained Graph-Search-Graph-Cut

• Published in: IEEE transactions on medical imaging Vol. 31; no. 8; pp. 1521 - 1531
• Main Authors: Xinjian Chen, Niemeijer, M., Li Zhang, Kyungmoo Lee, Abramoff, M. D., Sonka, M.
• Format: Journal Article
• Language: English
• Published: United States IEEE 01.08.2012
• Subjects: Age-related macular degeneration; Algorithms; Exudates and Transudates; Fluids; graph cut; graph search; Humans; Image segmentation; Imaging, Three-Dimensional - methods; Macular Degeneration - pathology; Reproducibility of Results; Retina; Retina - pathology; retinal layer segmentation; Surface fitting; symptomatic exudate- associated derangement (SEAD); Three dimensional displays; Tomography, Optical Coherence - methods; Training
• ISSN: 0278-0062; 1558-254X; 1558-254X
• DOI: 10.1109/TMI.2012.2191302

An automated method is reported for segmenting 3-D fluid-associated abnormalities in the retina, so-called symptomatic exudate-associated derangements (SEAD), from 3-D OCT retinal images of subjects suffering from exudative age-related macular degeneration. In the first stage of a two-stage approach, retinal layers are segmented, candidate SEAD regions identified, and the retinal OCT image is flattened using a candidate-SEAD aware approach. In the second stage, a probability constrained combined graph search-graph cut method refines the candidate SEADs by integrating the candidate volumes into the graph cut cost function as probability constraints. The proposed method was evaluated on 15 spectral domain OCT images from 15 subjects undergoing intravitreal anti-VEGF injection treatment. Leave-one-out evaluation resulted in a true positive volume fraction (TPVF), false positive volume fraction (FPVF) and relative volume difference ratio (RVDR) of 86.5%, 1.7%, and 12.8%, respectively. The new graph cut-graph search method significantly outperformed both the traditional graph cut and traditional graph search approaches (p <; 0.01, p <; 0.04) and has the potential to improve clinical management of patients with choroidal neovascularization due to exudative age-related macular degeneration.