Adjustable Robust Transformer for High Myopia Screening in Optical Coherence Tomography

Myopia is a manifestation of visual impairment caused by an excessively elongated eyeball. Image data is critical material for studying high myopia and pathological myopia. Measurements of spherical equivalent and axial length are the gold standards for identifying high myopia, but the available image data for matching them is scarce. In addition, the criteria for defining high myopia vary from study to study, and therefore the inclusion of samples in automated screening efforts requires an appropriate assessment of interpretability. In this work, we propose a model called adjustable robust transformer (ARTran) for high myopia screening of optical coherence tomography (OCT) data. Based on vision transformer, we propose anisotropic patch embedding (APE) to capture more discriminative features of high myopia. To make the model effective under variable screening conditions, we propose an adjustable class embedding (ACE) to replace the fixed class token, which changes the output to adapt to different conditions. Considering the confusion of the data at high myopia and low myopia threshold, we introduce the label noise learning strategy and propose a shifted subspace transition matrix (SST) to enhance the robustness of the model. Besides, combining the two structures proposed above, the model can provide evidence for uncertainty evaluation. The experimental results demonstrate the effectiveness and reliability of the proposed method. Code is available at: https://github.com/maxiao0234/ARTran.

Label Adversarial Learning for Skeleton-level to Pixel-level Adjustable Vessel Segmentation

You can have your cake and eat it too. Microvessel segmentation in optical coherence tomography angiography (OCTA) images remains challenging. Skeleton-level segmentation shows clear topology but without diameter information, while pixel-level segmentation shows a clear caliber but low topology. To close this gap, we propose a novel label adversarial learning (LAL) for skeleton-level to pixel-level adjustable vessel segmentation. LAL mainly consists of two designs: a label adversarial loss and an embeddable adjustment layer. The label adversarial loss establishes an adversarial relationship between the two label supervisions, while the adjustment layer adjusts the network parameters to match the different adversarial weights. Such a design can efficiently capture the variation between the two supervisions, making the segmentation continuous and tunable. This continuous process allows us to recommend high-quality vessel segmentation with clear caliber and topology. Experimental results show that our results outperform manual annotations of current public datasets and conventional filtering effects. Furthermore, such a continuous process can also be used to generate an uncertainty map representing weak vessel boundaries and noise.