PMID- 31600644 OWN - NLM STAT- MEDLINE DCOM- 20200505 LR - 20200505 IS - 1872-7565 (Electronic) IS - 0169-2607 (Linking) VI - 182 DP - 2019 Dec TI - Geographic atrophy segmentation in SD-OCT images using synthesized fundus autofluorescence imaging. PG - 105101 LID - S0169-2607(19)30905-8 [pii] LID - 10.1016/j.cmpb.2019.105101 [doi] AB - BACKGROUND AND OBJECTIVE: Accurate assessment of geographic atrophy (GA) is critical for diagnosis and therapy of non-exudative age-related macular degeneration (AMD). Herein, we propose a novel GA segmentation framework for spectral-domain optical coherence tomography (SD-OCT) images that employs synthesized fundus autofluorescence (FAF) images. METHODS: An en-face OCT image is created via the restricted sub-volume projection of three-dimensional OCT data. A GA region-aware conditional generative adversarial network is employed to generate a plausible FAF image from the en-face OCT image. The network balances the consistency between the entire synthesize FAF image and the lesion. We use a fully convolutional deep network architecture to segment the GA region using the multimodal images, where the features of the en-face OCT and synthesized FAF images are fused on the front-end of the network. RESULTS: Experimental results for 56 SD-OCT scans with GA indicate that our synthesis algorithm can generate high-quality synthesized FAF images and that the proposed segmentation network achieves a dice similarity coefficient, an overlap ratio, and an absolute area difference of 87.2%, 77.9%, and 11.0%, respectively. CONCLUSION: We report an automatic GA segmentation method utilizing synthesized FAF images. SIGNIFICANCE: Our method is effective for multimodal segmentation of the GA region and can improve AMD treatment. CI - Copyright (c) 2019. Published by Elsevier B.V. FAU - Wu, Menglin AU - Wu M AD - School of Computer Science and Technology, Nanjing Tech University, Nanjing, China. FAU - Cai, Xinxin AU - Cai X AD - School of Computer Science and Technology, Nanjing Tech University, Nanjing, China. FAU - Chen, Qiang AU - Chen Q AD - School of Computer Science and Engineering, Nanjing University of Science and Technology, Nanjing, China. FAU - Ji, Zexuan AU - Ji Z AD - School of Computer Science and Engineering, Nanjing University of Science and Technology, Nanjing, China. FAU - Niu, Sijie AU - Niu S AD - School of Information Science and Engineering, University of Jinan, Jinan, China. FAU - Leng, Theodore AU - Leng T AD - Byers Eye Institute at Stanford, Stanford University School of Medicine, Palo Alto, CA, USA. FAU - Rubin, Daniel L AU - Rubin DL AD - Department of Radiology and Medicine (Biomedical Informatics Research) and Ophthalmology, Stanford University School of Medicine, Stanford, CA 94305, USA. FAU - Park, Hyunjin AU - Park H AD - School of Electronic and Electrical Engineering, Sungkyunkwan University, Suwon, South Korea; Center for Neuroscience Imaging Research, Institute of Basic Science, Suwon, South Korea. Electronic address: hyunjinp@skku.edu. LA - eng PT - Journal Article DEP - 20190928 PL - Ireland TA - Comput Methods Programs Biomed JT - Computer methods and programs in biomedicine JID - 8506513 SB - IM MH - Automation MH - *Fundus Oculi MH - Geographic Atrophy/*diagnostic imaging MH - Humans MH - Optical Imaging/*methods MH - Tomography, Optical Coherence/*methods OTO - NOTNLM OT - Biomedical image segmentation OT - Geographic atrophy OT - Image synthesis OT - Optical coherence tomography OT - Retinal image analysis EDAT- 2019/10/11 06:00 MHDA- 2020/05/06 06:00 CRDT- 2019/10/11 06:00 PHST- 2019/06/11 00:00 [received] PHST- 2019/09/04 00:00 [revised] PHST- 2019/09/27 00:00 [accepted] PHST- 2019/10/11 06:00 [pubmed] PHST- 2020/05/06 06:00 [medline] PHST- 2019/10/11 06:00 [entrez] AID - S0169-2607(19)30905-8 [pii] AID - 10.1016/j.cmpb.2019.105101 [doi] PST - ppublish SO - Comput Methods Programs Biomed. 2019 Dec;182:105101. doi: 10.1016/j.cmpb.2019.105101. Epub 2019 Sep 28.