Segmenting retinal OCT images with inter-B-scan and longitudinal information

Monitoring retinal thickness of persons with multiple sclerosis (MS) provides important bio-markers for disease progression. However, changes in retinal thickness can be small and concealed by noise in the acquired data. Consistent longitudinal retinal layer segmentation methods for optical coherence tomography (OCT) images are crucial for identifying the real longitudinal retinal changes of individuals with MS. In this paper, we propose an iterative registration and deep learning based segmentation method for longitudinal 3D OCT scans. Since 3D OCT scans are usually anisotropic with large slice separation, we extract B-scan features using 2D deep networks and utilize inter-B-scan context with convolutional long-short-term memory (LSTM). To incorporate longitudinal information, we perform fundus registration and interpolate the smooth retinal surfaces of the previous visit to use as a prior on the current visit.