Summary
Objectives:
The analysis of the optic disk morphology with the means of the scanning laser tomography
is an important step for glaucoma diagnosis. A method we developed for optic disk
segmentation in images of the scanning laser tomograph is limited by noise, nonuniform
illumination and presence of blood vessels. Inspired by recent medical research, we
wanted to develop a tool for improving optic disk segmentation by registration of
images of the scanning laser tomograph and color fundus photographs and by applying
a method we developed for optic disk segmentation in color fundus photographs.
Methods:
The segmentation of the optic disk for glaucoma diagnosis in images of the scanning
laser tomograph is based on morphological operations, detection of anatomical structures
and active contours and has been described in a previous paper [1]. The segmentation
of the optic disk in the fundus photographs is based on nonlinear filtering, Canny
edge detector and a modified Hough transform. The registration is based on mutual
information using simulated annealing for finding maxima.
Results:
The registration was successful 86.8% of the time when tested on 174 images. Results
of the registration have shown a very low displacement error of a maximum of about
5 pixels. The correctness of the registration was manually evaluated by measuring
distances between the real vessel borders and those from the registered image.
Conclusions:
We have developed a method for the registration of images of the scanning laser tomograph
and fundus photographs. Our first experiments showed that the optic disk segmentation
could be improved by fused information from both image modalities.
Keywords
Computer-assisted image processing - optic disk - glaucoma - multimodal registration
- scanning laser tomography