X-GAN: A Generative AI-Powered Unsupervised Model for High-Precision Segmentation of Retinal Main Vessels toward Early Detection of Glaucoma

Structural changes in main retinal blood vessels serve as critical biomarkers for the onset and progression of glaucoma. Identifying these vessels is vital for vascular modeling yet highly challenging. This paper proposes X-GAN, a generative AI-powered unsupervised segmentation model designed for extracting main blood vessels from Optical Coherence Tomography Angiography (OCTA) images. The process begins with the Space Colonization Algorithm (SCA) to rapidly generate a skeleton of vessels, featuring their radii. By synergistically integrating generative adversarial networks (GANs) with biostatistical modeling of vessel radii, X-GAN enables a fast reconstruction of both 2D and 3D representations of the vessels. Based on this reconstruction, X-GAN achieves nearly 100\% segmentation accuracy without relying on labeled data or high-performance computing resources. Also, to address the Issue, data scarity, we introduce GSS-RetVein, a high-definition mixed 2D and 3D glaucoma retinal dataset. GSS-RetVein provides a rigorous benchmark due to its exceptionally clear capillary structures, introducing controlled noise for testing model robustness. Its 2D images feature sharp capillary boundaries, while its 3D component enhances vascular reconstruction and blood flow prediction, supporting glaucoma progression simulations. Experimental results confirm GSS-RetVein's superiority in evaluating main vessel segmentation compared to existing datasets. Code and dataset are here: https://github.com/VikiXie/SatMar8.

Latent Relationship Mining of Glaucoma Biomarkers: a TRI-LSTM based Deep Learning

In recently years, a significant amount of research has been conducted on applying deep learning methods for glaucoma classification and detection. However, the explainability of those established machine learning models remains a big concern. In this research, in contrast, we learn from cognitive science concept and study how ophthalmologists judge glaucoma detection. Simulating experts' efforts, we propose a hierarchical decision making system, centered around a holistic set of carefully designed biomarker-oriented machine learning models. While biomarkers represent the key indicators of how ophthalmologists identify glaucoma, they usually exhibit latent inter-relations. We thus construct a time series model, named TRI-LSTM, capable of calculating and uncovering potential and latent relationships among various biomarkers of glaucoma. Our model is among the first efforts to explore the intrinsic connections among glaucoma biomarkers. We monitor temporal relationships in patients' disease states over time and to capture and retain the progression of disease-relevant clinical information from prior visits, thereby enriching biomarker's potential relationships. Extensive experiments over real-world dataset have demonstrated the effectiveness of the proposed model.