Deep learning-based automatic meibomian gland segmentation and morphology assessment in infrared meibography

Abstract Meibomian glands (MG) are large sebaceous glands located below the tarsal conjunctiva and the abnormalities of these glands cause Meibomian gland dysfunction (MGD) which is responsible for evaporative dry eye disease (DED). Accurate MG segmentation is a key prerequisite for automated imagin...

Full description

Bibliographic Details
Main Authors: Md Asif Khan Setu, Jens Horstmann, Stefan Schmidt, Michael E. Stern, Philipp Steven
Format: Article
Language:English
Published: Nature Portfolio 2021-04-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-021-87314-8
_version_ 1818834935678500864
author Md Asif Khan Setu
Jens Horstmann
Stefan Schmidt
Michael E. Stern
Philipp Steven
author_facet Md Asif Khan Setu
Jens Horstmann
Stefan Schmidt
Michael E. Stern
Philipp Steven
author_sort Md Asif Khan Setu
collection DOAJ
description Abstract Meibomian glands (MG) are large sebaceous glands located below the tarsal conjunctiva and the abnormalities of these glands cause Meibomian gland dysfunction (MGD) which is responsible for evaporative dry eye disease (DED). Accurate MG segmentation is a key prerequisite for automated imaging based MGD related DED diagnosis. However, Automatic MG segmentation in infrared meibography is a challenging task due to image artifacts. A deep learning-based MG segmentation has been proposed which directly learns MG features from the training image dataset without any image pre-processing. The model is trained and evaluated using 728 anonymized clinical meibography images. Additionally, automatic MG morphometric parameters, gland number, length, width, and tortuosity assessment were proposed. The average precision, recall, and F1 score were achieved 83%, 81%, and 84% respectively on the testing dataset with AUC value of 0.96 based on ROC curve and dice coefficient of 84%. Single image segmentation and morphometric parameter evaluation took on average 1.33 s. To the best of our knowledge, this is the first time that a validated deep learning-based approach is applied in MG segmentation and evaluation for both upper and lower eyelids.
first_indexed 2024-12-19T02:42:43Z
format Article
id doaj.art-81521c54131d43678c2babeb7875e399
institution Directory Open Access Journal
issn 2045-2322
language English
last_indexed 2024-12-19T02:42:43Z
publishDate 2021-04-01
publisher Nature Portfolio
record_format Article
series Scientific Reports
spelling doaj.art-81521c54131d43678c2babeb7875e3992022-12-21T20:39:06ZengNature PortfolioScientific Reports2045-23222021-04-0111111110.1038/s41598-021-87314-8Deep learning-based automatic meibomian gland segmentation and morphology assessment in infrared meibographyMd Asif Khan Setu0Jens Horstmann1Stefan Schmidt2Michael E. Stern3Philipp Steven4Department of Ophthalmology, Faculty of Medicine, University Hospital Cologne, University of CologneDepartment of Ophthalmology, Faculty of Medicine, University Hospital Cologne, University of CologneHeidelberg Engineering GmbHDepartment of Ophthalmology, Faculty of Medicine, University Hospital Cologne, University of CologneDepartment of Ophthalmology, Faculty of Medicine, University Hospital Cologne, University of CologneAbstract Meibomian glands (MG) are large sebaceous glands located below the tarsal conjunctiva and the abnormalities of these glands cause Meibomian gland dysfunction (MGD) which is responsible for evaporative dry eye disease (DED). Accurate MG segmentation is a key prerequisite for automated imaging based MGD related DED diagnosis. However, Automatic MG segmentation in infrared meibography is a challenging task due to image artifacts. A deep learning-based MG segmentation has been proposed which directly learns MG features from the training image dataset without any image pre-processing. The model is trained and evaluated using 728 anonymized clinical meibography images. Additionally, automatic MG morphometric parameters, gland number, length, width, and tortuosity assessment were proposed. The average precision, recall, and F1 score were achieved 83%, 81%, and 84% respectively on the testing dataset with AUC value of 0.96 based on ROC curve and dice coefficient of 84%. Single image segmentation and morphometric parameter evaluation took on average 1.33 s. To the best of our knowledge, this is the first time that a validated deep learning-based approach is applied in MG segmentation and evaluation for both upper and lower eyelids.https://doi.org/10.1038/s41598-021-87314-8
spellingShingle Md Asif Khan Setu
Jens Horstmann
Stefan Schmidt
Michael E. Stern
Philipp Steven
Deep learning-based automatic meibomian gland segmentation and morphology assessment in infrared meibography
Scientific Reports
title Deep learning-based automatic meibomian gland segmentation and morphology assessment in infrared meibography
title_full Deep learning-based automatic meibomian gland segmentation and morphology assessment in infrared meibography
title_fullStr Deep learning-based automatic meibomian gland segmentation and morphology assessment in infrared meibography
title_full_unstemmed Deep learning-based automatic meibomian gland segmentation and morphology assessment in infrared meibography
title_short Deep learning-based automatic meibomian gland segmentation and morphology assessment in infrared meibography
title_sort deep learning based automatic meibomian gland segmentation and morphology assessment in infrared meibography
url https://doi.org/10.1038/s41598-021-87314-8
work_keys_str_mv AT mdasifkhansetu deeplearningbasedautomaticmeibomianglandsegmentationandmorphologyassessmentininfraredmeibography
AT jenshorstmann deeplearningbasedautomaticmeibomianglandsegmentationandmorphologyassessmentininfraredmeibography
AT stefanschmidt deeplearningbasedautomaticmeibomianglandsegmentationandmorphologyassessmentininfraredmeibography
AT michaelestern deeplearningbasedautomaticmeibomianglandsegmentationandmorphologyassessmentininfraredmeibography
AT philippsteven deeplearningbasedautomaticmeibomianglandsegmentationandmorphologyassessmentininfraredmeibography