Automatic characterization of classic choroidal neovascularization by using AdaBoost for supervised learning.

PURPOSE: To provide a computer-aided visualization tool for accurate diagnosis and quantification of choroidal neovascularization (CNV) on the basis of fluorescence leakage characteristics. METHODS: All image frames of a fluorescein angiography (FA) sequence are first aligned and mapped to a global space. To automatically determine the severity of each pixel in the global space and hence the extent of CNV, the system matches the intensity variation of each set of spatially corresponding pixels across the sequence with the targeted leakage pattern, learned from a sampled population graded by a retina specialist. The learning strategy, known as the AdaBoost algorithm, has 12 classifiers for 12 features that summarize the variation in fluorescence intensity over time. Given a new sequence, the severity map image is generated using the contribution scores of the 12 classifiers. Initialized with points of low and high severity, regions of CNV are delineated using the random walk algorithm. RESULTS: A dataset of 33 FA sequences of classic CNV showed the average accuracy of CNV delineation to be 83.26%. In addition, the 30- to 60-second interval provided the most reliable information for differentiating CNV from the background. Using eight sequences of multiple visits of four patients for evaluation of the postphotodynamic therapy (PDT), the statistics derived from the segmented regions correlate closely with the clinical observed changes. CONCLUSIONS: The clinician can easily visualize the temporal characteristics of CNV fluorescence leakage using the severity map, which is a two-dimensional summary of a complete FA sequence. The computer-aided tool allows objective evaluation and computation of statistical data from the automatic delineation for surgical assessment.

The edge-driven dual-bootstrap iterative closest point algorithm for registration of multimodal fluorescein angiogram sequence.

Motivated by the need for multimodal image registration in ophthalmology, this paper introduces an algorithm which is tailored to jointly align in a common reference space all the images in a complete fluorescein angiogram (FA) sequence, which contains both red-free (RF) and FA images. Our work is inspired by Generalized Dual-Bootstrap Iterative Closest Point (GDB-ICP), which rank-orders Lowe keypoint matches and refines the transformation, going from local and low-order to global and higher-order model, computed from each keypoint match in succession. Albeit GDB-ICP has been shown to be robust in registering images taken under different lighting conditions, the performance is not satisfactory for image pairs with substantial, nonlinear intensity differences. Our algorithm, named Edge-Driven DB-ICP, targeting the least reliable component of GDB-ICP, modifies generation of keypoint matches for initialization by extracting the Lowe keypoints from the gradient magnitude image and enriching the keypoint descriptor with global-shape context using the edge points. Our dataset consists of 60 randomly-selected pathological sequences, each on average having up to two RF and 13 FA images. Edge-Driven DB-ICP successfully registered 92.4% of all pairs, and 81.1% multimodal pairs, whereas GDB-ICP registered 80.1% and 40.1%, respectively. For the joint registration of all images in a sequence, Edge-Driven DB-ICP succeeded in 59 sequences, which is a 23% improvement over GDB-ICP.