Automated Segmentation and Analysis of Cone Photoreceptors in Multimodal Adaptive Optics Imaging

Accurate detection and segmentation of cone cells in the retina are essential for diagnosing and managing retinal diseases. In this study, we used advanced imaging techniques, including confocal and non-confocal split detector images from adaptive optics scanning light ophthalmoscopy (AOSLO), to analyze photoreceptors for improved accuracy. Precise segmentation is crucial for understanding each cone cell's shape, area, and distribution. It helps to estimate the surrounding areas occupied by rods, which allows the calculation of the density of cone photoreceptors in the area of interest. In turn, density is critical for evaluating overall retinal health and functionality. We explored two U-Net-based segmentation models: StarDist for confocal and Cellpose for calculated modalities. Analyzing cone cells in images from two modalities and achieving consistent results demonstrates the study's reliability and potential for clinical application.

Generalist Segmentation Algorithm for Photoreceptors Analysis in Adaptive Optics Imaging

Analyzing the cone photoreceptor pattern in images obtained from the living human retina using quantitative methods can be crucial for the early detection and management of various eye conditions. Confocal adaptive optics scanning light ophthalmoscope (AOSLO) imaging enables visualization of the cones from reflections of waveguiding cone photoreceptors. While there have been significant improvements in automated algorithms for segmenting cones in confocal AOSLO images, the process of labelling data remains labor-intensive and manual. This paper introduces a method based on deep learning (DL) for detecting and segmenting cones in AOSLO images. The models were trained on a semi-automatically labelled dataset of 20 AOSLO batches of images of 18 participants for 0$^{\circ}$, 1$^{\circ}$, and 2$^{\circ}$ from the foveal center. F1 scores were 0.968, 0.958, and 0.954 for 0$^{\circ}$, 1$^{\circ}$, and 2$^{\circ}$, respectively, which is better than previously reported DL approaches. Our method minimizes the need for labelled data by only necessitating a fraction of labelled cones, which is especially beneficial in the field of ophthalmology, where labelled data can often be limited.