Connectivity-based deep learning approach for segmentation of the epithelium in in vivo human esophageal OCT images.

Optical coherence tomography (OCT) is used for diagnosis of esophageal diseases such as Barrett's esophagus. Given the large volume of OCT data acquired, automated analysis is needed. Here we propose a bilateral connectivity-based neural network for in vivo human esophageal OCT layer segmentation. Our method, connectivity-based CE-Net (Bicon-CE), defines layer segmentation as a combination of pixel connectivity modeling and pixel-wise tissue classification. Bicon-CE outperformed other widely used neural networks and reduced common topological prediction issues in tissues from healthy patients and from patients with Barrett's esophagus. This is the first end-to-end learning method developed for automatic segmentation of the epithelium in in vivo human esophageal OCT images.

[1]  Kevin E. Woods,et al.  Interobserver Agreement for the Detection of Barrett’s Esophagus with Optical Frequency Domain Imaging , 2013, Digestive Diseases and Sciences.

[3]  Meng Gan,et al.  Adversarial convolutional network for esophageal tissue segmentation on OCT images. , 2020, Biomedical optics express.

[4]  P. Testoni,et al.  Optical coherence tomography in detection of dysplasia and cancer of the gastrointestinal tract and bilio-pancreatic ductal system. , 2008, World journal of gastroenterology.

[5]  Sina Farsiu,et al.  Deep longitudinal transfer learning-based automatic segmentation of photoreceptor ellipsoid zone defects on optical coherence tomography images of macular telangiectasia type 2 , 2018, Biomedical optics express.

[6]  J. Fujimoto,et al.  In vivo endoscopic optical biopsy with optical coherence tomography. , 1997, Science.

[7]  R. Haggitt,et al.  Barrett's esophagus, dysplasia, and adenocarcinoma. , 1994, Human pathology.

[8]  Meng Gan,et al.  Tissue self-attention network for the segmentation of optical coherence tomography images on the esophagus. , 2021, Biomedical optics express.

[9]  B. Reid,et al.  Endoscopic biopsy can detect high-grade dysplasia or early adenocarcinoma in Barrett's esophagus without grossly recognizable neoplastic lesions. , 1988, Gastroenterology.

[10]  Sina Farsiu,et al.  BiconNet: An Edge-preserved Connectivity-based Approach for Salient Object Detection , 2021, Pattern Recognit..

[11]  Shenghua Gao,et al.  CE-Net: Context Encoder Network for 2D Medical Image Segmentation , 2019, IEEE Transactions on Medical Imaging.

[12]  Joseph A. Izatt,et al.  Automatic segmentation of seven retinal layers in SDOCT images congruent with expert manual segmentation , 2010, Optics express.

[13]  Cong Wang,et al.  Robust layer segmentation of esophageal OCT images based on graph search using edge-enhanced weights , 2018, Biomedical optics express.

[14]  J. G. van den Tweel,et al.  Barrett's esophagus: development of dysplasia and adenocarcinoma. , 1989, Gastroenterology.

[15]  Nima Tajbakhsh,et al.  UNet++: Redesigning Skip Connections to Exploit Multiscale Features in Image Segmentation , 2020, IEEE Transactions on Medical Imaging.

[16]  Konstantinos Kamnitsas,et al.  Anatomically Constrained Neural Networks (ACNNs): Application to Cardiac Image Enhancement and Segmentation , 2017, IEEE Transactions on Medical Imaging.

[18]  Anne-Fré Swager,et al.  Automated segmentation and characterization of esophageal wall in vivo by tethered capsule optical coherence tomography endomicroscopy. , 2016, Biomedical optics express.

[19]  J. Poneros Diagnosis of Barrett's esophagus using optical coherence tomography. , 2003, Gastrointestinal endoscopy clinics of North America.

[20]  Cong Wang,et al.  Fast esophageal layer segmentation in OCT images of guinea pigs based on sparse Bayesian classification and graph search. , 2019, Biomedical optics express.

[21]  Yufan He,et al.  Parallel deep neural networks for endoscopic OCT image segmentation. , 2019, Biomedical optics express.

[22]  Mireille Rosenberg,et al.  Esophageal-guided biopsy with volumetric laser endomicroscopy and laser cautery marking: a pilot clinical study. , 2014, Gastrointestinal endoscopy.

[23]  J. Fujimoto,et al.  Optical Coherence Tomography , 1991 .

[24]  A. Jemal,et al.  Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries , 2021, CA: a cancer journal for clinicians.

[25]  Seyed-Ahmad Ahmadi,et al.  V-Net: Fully Convolutional Neural Networks for Volumetric Medical Image Segmentation , 2016, 2016 Fourth International Conference on 3D Vision (3DV).

[26]  Yanmei Liang,et al.  Automatic and robust segmentation of endoscopic OCT images and optical staining. , 2017, Biomedical optics express.

[27]  Xingde Li,et al.  426 Allergic Inflammation-Induced Structural and Functional Changes in Esophageal Epithelium in a Guinea Pig Model of Eosinophilic Esophagitis , 2014 .

[28]  Thomas Brox,et al.  U-Net: Convolutional Networks for Biomedical Image Segmentation , 2015, MICCAI.

[29]  Xingde Li,et al.  Diffractive catheter for ultrahigh-resolution spectral-domain volumetric OCT imaging. , 2014, Optics letters.

[30]  L. R. Dice Measures of the Amount of Ecologic Association Between Species , 1945 .

[31]  C. Compton,et al.  High-resolution imaging of the human esophagus and stomach in vivo using optical coherence tomography. , 2000, Gastrointestinal endoscopy.