Super-Resolution and Denoising of Corneal B-Scan OCT Imaging Using Diffusion Model Plug-and-Play Priors

Optical coherence tomography (OCT) is pivotal in corneal imaging for both surgical planning and diagnosis. However, high-speed acquisitions often degrade spatial resolution and increase speckle noise, posing challenges for accurate interpretation. We propose an advanced super-resolution framework leveraging diffusion model plug-and-play (PnP) priors to achieve 4x spatial resolution enhancement alongside effective denoising of OCT Bscan images. Our approach formulates reconstruction as a principled Bayesian inverse problem, combining Markov chain Monte Carlo sampling with pretrained generative priors to enforce anatomical consistency. We comprehensively validate the framework using \emph{in vivo} fisheye corneal datasets, to assess robustness and scalability under diverse clinical settings. Comparative experiments against bicubic interpolation, conventional supervised U-Net baselines, and alternative diffusion priors demonstrate that our method consistently yields more precise anatomical structures, improved delineation of corneal layers, and superior noise suppression. Quantitative results show state-of-the-art performance in peak signal-to-noise ratio, structural similarity index, and perceptual metrics. This work highlights the potential of diffusion-driven plug-and-play reconstruction to deliver high-fidelity, high-resolution OCT imaging, supporting more reliable clinical assessments and enabling advanced image-guided interventions. Our findings suggest the approach can be extended to other biomedical imaging modalities requiring robust super-resolution and denoising.

Real-time topology-aware M-mode OCT segmentation for robotic deep anterior lamellar keratoplasty (DALK) guidance

Robotic deep anterior lamellar keratoplasty (DALK) requires accurate real time depth feedback to approach Descemet's membrane (DM) without perforation. M-mode intraoperative optical coherence tomography (OCT) provides high temporal resolution depth traces, but speckle noise, attenuation, and instrument induced shadowing often result in discontinuous or ambiguous layer interfaces that challenge anatomically consistent segmentation at deployment frame rates. We present a lightweight, topology aware M-mode segmentation pipeline based on UNeXt that incorporates anatomical topology regularization to stabilize boundary continuity and layer ordering under low signal to noise ratio conditions. The proposed system achieves end to end throughput exceeding 80 Hz measured over the complete preprocessing inference overlay pipeline on a single GPU, demonstrating practical real time guidance beyond model only timing. This operating margin provides temporal headroom to reject low quality or dropout frames while maintaining a stable effective depth update rate. Evaluation on a standard rabbit eye M-mode dataset using an established baseline protocol shows improved qualitative boundary stability compared with topology agnostic controls, while preserving deployable real time performance.

Physics-based generation of multilayer corneal OCT data via Gaussian modeling and MCML for AI-driven diagnostic and surgical guidance applications

Training deep learning models for corneal optical coherence tomography (OCT) imaging is limited by the availability of large, well-annotated datasets. We present a configurable Monte Carlo simulation framework that generates synthetic corneal B-scan optical OCT images with pixel-level five-layer segmentation labels derived directly from the simulation geometry. A five-layer corneal model with Gaussian surfaces captures curvature and thickness variability in healthy and keratoconic eyes. Each layer is assigned optical properties from the literature and light transport is simulated using Monte Carlo modeling of light transport in multi-layered tissues (MCML), while incorporating system features such as the confocal PSF and sensitivity roll-off. This approach produces over 10,000 high-resolution (1024x1024) image-label pairs and supports customization of geometry, photon count, noise, and system parameters. The resulting dataset enables systematic training, validation, and benchmarking of AI models under controlled, ground-truth conditions, providing a reproducible and scalable resource to support the development of diagnostic and surgical guidance applications in image-guided ophthalmology.

Wide-field high-resolution microscopy via high-speed galvo scanning and real-time mosaicking

Wide-field high-resolution microscopy requires fast scanning and accurate image mosaicking to cover large fields of view without compromising image quality. However, conventional galvanometric scanning, particularly under sinusoidal driving, can introduce nonuniform spatial sampling, leading to geometric inconsistencies and brightness variations across the scanned field. To address these challenges, we present an image mosaicking framework for wide-field microscopic imaging that is applicable to both linear and sinusoidal galvanometric scanning strategies. The proposed approach combines a translation-based geometric mosaicking model with region-of-interest (ROI) based brightness correction and seam-aware feathering to improve radiometric consistency across large fields of view. The method relies on calibrated scan parameters and synchronized scan--camera control, without requiring image-content-based registration. Using the proposed framework, wide-field mosaicked images were successfully reconstructed under both linear and sinusoidal scanning strategies, achieving a field of view of up to $2.5 \times 2.5~\mathrm{cm}^2$ with a total acquisition time of approximately $6~\mathrm{s}$ per dataset. Quantitative evaluation shows that both scanning strategies demonstrate improved image quality, including enhanced brightness uniformity, increased contrast-to-noise ratio (CNR), and reduced seam-related artifacts after image processing, while preserving a lateral resolution of $7.81~μ\mathrm{m}$. Overall, the presented framework provides a practical and efficient solution for scan-based wide-field microscopic mosaicking.