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author:

Lin, Jia-Wen (Lin, Jia-Wen.) [1] | Lin, Ling-Jie (Lin, Ling-Jie.) [2] | Lu, Feng (Lu, Feng.) [3] | Lai, Tai-Chen (Lai, Tai-Chen.) [4] | Zou, Jing (Zou, Jing.) [5] | Guo, Lin-Ling (Guo, Lin-Ling.) [6] | Lin, Zhi-Ming (Lin, Zhi-Ming.) [7] | Li, Li (Li, Li.) [8]

Indexed by:

Scopus SCIE

Abstract:

AIM: To investigate a pioneering framework for the segmentation of meibomian glands (MGs), using limited annotations to reduce the workload on ophthalmologists and enhance the efficiency of clinical diagnosis. METHODS: Totally 203 infrared meibomian images from 138 patients with dry eye disease, accompanied by corresponding annotations, were gathered for the study. A rectified scribble-supervised gland segmentation (RSSGS) model, incorporating temporal ensemble prediction, uncertainty estimation, and a transformation equivariance constraint, was introduced to address constraints imposed by limited supervision information inherent in scribble annotations. The viability and efficacy of the proposed model were assessed based on accuracy, intersection over union (IoU), and dice coefficient. RESULTS: Using manual labels as the gold standard, RSSGS demonstrated outcomes with an accuracy of 93.54%, a dice coefficient of 78.02%, and an IoU of 64.18%. Notably, these performance metrics exceed the current weakly supervised state-of-the-art methods by 0.76%, 2.06%, and 2.69%, respectively. Furthermore, despite achieving a substantial 80% reduction in annotation costs, it only lags behind fully annotated methods by 0.72%, 1.51%, and 2.04%. CONCLUSION: An innovative automatic segmentation model is developed for MGs in infrared eyelid images, using scribble annotation for training. This model maintains an exceptionally high level of segmentation accuracy while substantially reducing training costs. It holds substantial utility for calculating clinical parameters, thereby greatly enhancing the diagnostic efficiency of ophthalmologists in evaluating meibomian gland dysfunction.

Keyword:

infrared meibomian glands images meibomian gland dysfunction meibomian glands segmentation scribbled annotation weak supervision

Community:

  • [ 1 ] [Lin, Jia-Wen]Fuzhou Univ, Coll Comp & Data Sci, Fuzhou 350108, Fujian Province, Peoples R China
  • [ 2 ] [Lin, Ling-Jie]Fuzhou Univ, Coll Comp & Data Sci, Fuzhou 350108, Fujian Province, Peoples R China
  • [ 3 ] [Lu, Feng]Fuzhou Univ, Coll Comp & Data Sci, Fuzhou 350108, Fujian Province, Peoples R China
  • [ 4 ] [Lin, Zhi-Ming]Fuzhou Univ, Coll Comp & Data Sci, Fuzhou 350108, Fujian Province, Peoples R China
  • [ 5 ] [Lin, Jia-Wen]Fuzhou Univ, Fujian Prov Key Lab Networking Comp & Intelligent, Fuzhou 350108, Fujian Province, Peoples R China
  • [ 6 ] [Lin, Ling-Jie]Fuzhou Univ, Fujian Prov Key Lab Networking Comp & Intelligent, Fuzhou 350108, Fujian Province, Peoples R China
  • [ 7 ] [Lu, Feng]Fuzhou Univ, Fujian Prov Key Lab Networking Comp & Intelligent, Fuzhou 350108, Fujian Province, Peoples R China
  • [ 8 ] [Lin, Zhi-Ming]Fuzhou Univ, Fujian Prov Key Lab Networking Comp & Intelligent, Fuzhou 350108, Fujian Province, Peoples R China
  • [ 9 ] [Lai, Tai-Chen]Fujian Med Univ, Shengli Clin Med Coll, Fuzhou 350001, Fujian Province, Peoples R China
  • [ 10 ] [Zou, Jing]Fujian Med Univ, Shengli Clin Med Coll, Fuzhou 350001, Fujian Province, Peoples R China
  • [ 11 ] [Guo, Lin-Ling]Fujian Med Univ, Shengli Clin Med Coll, Fuzhou 350001, Fujian Province, Peoples R China
  • [ 12 ] [Li, Li]Fujian Med Univ, Shengli Clin Med Coll, Fuzhou 350001, Fujian Province, Peoples R China
  • [ 13 ] [Li, Li]Fujian Prov Hosp, Fujian Prov Hosp South Branch, Dept Ophthalmol, Fuzhou 350001, Fujian Province, Peoples R China

Reprint 's Address:

  • [Li, Li]Fujian Prov Hosp, Fujian Prov Hosp South Branch, Dept Ophthalmol, Fuzhou 350001, Fujian Province, Peoples R China

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Source :

INTERNATIONAL JOURNAL OF OPHTHALMOLOGY

ISSN: 2222-3959

Year: 2024

Issue: 3

Volume: 17

Page: 401-407

1 . 9 0 0

JCR@2023

CAS Journal Grade:3

Cited Count:

WoS CC Cited Count:

SCOPUS Cited Count:

ESI Highly Cited Papers on the List: 0 Unfold All

WanFang Cited Count:

Chinese Cited Count:

30 Days PV: 1

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