PMID- 33501673 OWN - NLM STAT- MEDLINE DCOM- 20210514 LR - 20210514 IS - 2473-4209 (Electronic) IS - 0094-2405 (Linking) VI - 48 IP - 4 DP - 2021 Apr TI - Choroidal neovascularization fusion visualization for spectral-domain optical coherence tomography and optical coherence tomography angiography images. PG - 1731-1738 LID - 10.1002/mp.14737 [doi] AB - PURPOSE: The spectral-domain optical coherence tomography (SD-OCT) images and OCT angiography (OCTA) images can provide complementary information for choroidal neovascularization (CNV) visualization. We expected to simultaneously display multifaceted characteristics of CNV in a single projection image. METHODS: We proposed a fusion method for CNV visualization by combining structural and angiographic images, which mainly involves four steps: (a) Generate SD-OCT and OCTA projection images from original volumetric data with retinal layer restriction. (b) For SD-OCT projection images, enhance retinal vessels and CNV. (c) For OCTA images, detect CNV region based on multimodal data and display the neovascularization in false color. (d) A maximum fusion strategy was adopted to generate the fused images. RESULTS: Experimental results with 30 cases from 30 patients demonstrate that the fused images are more effective in displaying CNV than single-modality projection images. The average information entropy and the mean gradient in the CNV regions for SD-OCT projection images, OCTA images, and the fusion images are 4.66/0.21, 5.45/0.45, and 6.8/0.58, respectively. CONCLUSIONS: The proposed method is more effective for CNV visualization than the conventional single-modality image-based method. The proposed method can combine complementary information from multimodal images and provide a satisfying visual effect. CI - (c) 2021 American Association of Physicists in Medicine. FAU - Huang, Chen AU - Huang C AD - School of Computer Science and Engineering, Nanjing University of Science and Technology, Nanjing, 210094, China. FAU - Xie, Keren AU - Xie K AD - Department of Ophthalmology, The First Affiliated Hospital with Nanjing Medical University, Nanjing, 210029, China. FAU - Zhang, Yuhan AU - Zhang Y AD - School of Computer Science and Engineering, Nanjing University of Science and Technology, Nanjing, 210094, China. FAU - Li, Mingchao AU - Li M AD - School of Computer Science and Engineering, Nanjing University of Science and Technology, Nanjing, 210094, China. FAU - Yuan, Songtao AU - Yuan S AD - Department of Ophthalmology, The First Affiliated Hospital with Nanjing Medical University, Nanjing, 210029, China. FAU - Chen, Qiang AU - Chen Q AD - School of Computer Science and Engineering, Nanjing University of Science and Technology, Nanjing, 210094, China. LA - eng GR - 61671242/National Natural Science Foundation of China (NSFC)/ GR - BE2018131/Key R&D Program of Jiangsu Science and Technology Department/ GR - 61671242/National Natural Science Foundation of China/ PT - Journal Article DEP - 20210219 PL - United States TA - Med Phys JT - Medical physics JID - 0425746 SB - IM MH - Choroid MH - *Choroidal Neovascularization/diagnostic imaging MH - Fluorescein Angiography MH - Humans MH - Retina MH - Retinal Vessels MH - Tomography, Optical Coherence OTO - NOTNLM OT - OCT angiography OT - choroidal neovascularization fusion OT - spectral-domain optical coherence tomography EDAT- 2021/01/28 06:00 MHDA- 2021/05/15 06:00 CRDT- 2021/01/27 05:56 PHST- 2020/08/28 00:00 [revised] PHST- 2020/04/02 00:00 [received] PHST- 2020/12/29 00:00 [accepted] PHST- 2021/01/28 06:00 [pubmed] PHST- 2021/05/15 06:00 [medline] PHST- 2021/01/27 05:56 [entrez] AID - 10.1002/mp.14737 [doi] PST - ppublish SO - Med Phys. 2021 Apr;48(4):1731-1738. doi: 10.1002/mp.14737. Epub 2021 Feb 19.