XOCT: Enhancing OCT to OCTA Translation via Cross-Dimensional Supervised Multi-Scale Feature Learning

Optical Coherence Tomography Angiography (OCTA) and its derived en-face projections provide high-resolution visualization of the retinal and choroidal vasculature, which is critical for the rapid and accurate diagnosis of retinal diseases. However, acquiring high-quality OCTA images is challenging due to motion sensitivity and the high costs associated with software modifications for conventional OCT devices. Moreover, current deep learning methods for OCT-to-OCTA translation often overlook the vascular differences across retinal layers and struggle to reconstruct the intricate, dense vascular details necessary for reliable diagnosis. To overcome these limitations, we propose XOCT, a novel deep learning framework that integrates Cross-Dimensional Supervision (CDS) with a Multi-Scale Feature Fusion (MSFF) network for layer-aware vascular reconstruction. Our CDS module leverages 2D layer-wise en-face projections, generated via segmentation-weighted z-axis averaging, as supervisory signals to compel the network to learn distinct representations for each retinal layer through fine-grained, targeted guidance. Meanwhile, the MSFF module enhances vessel delineation through multi-scale feature extraction combined with a channel reweighting strategy, effectively capturing vascular details at multiple spatial scales. Our experiments on the OCTA-500 dataset demonstrate XOCT's improvements, especially for the en-face projections which are significant for clinical evaluation of retinal pathologies, underscoring its potential to enhance OCTA accessibility, reliability, and diagnostic value for ophthalmic disease detection and monitoring. The code is available at https://github.com/uci-cbcl/XOCT.

Flattening Singular Values of Factorized Convolution for Medical Images

Convolutional neural networks (CNNs) have long been the paradigm of choice for robust medical image processing (MIP). Therefore, it is crucial to effectively and efficiently deploy CNNs on devices with different computing capabilities to support computer-aided diagnosis. Many methods employ factorized convolutional layers to alleviate the burden of limited computational resources at the expense of expressiveness. To this end, given weak medical image-driven CNN model optimization, a Singular value equalization generalizer-induced Factorized Convolution (SFConv) is proposed to improve the expressive power of factorized convolutions in MIP models. We first decompose the weight matrix of convolutional filters into two low-rank matrices to achieve model reduction. Then minimize the KL divergence between the two low-rank weight matrices and the uniform distribution, thereby reducing the number of singular value directions with significant variance. Extensive experiments on fundus and OCTA datasets demonstrate that our SFConv yields competitive expressiveness over vanilla convolutions while reducing complexity.