Exact surface registration of retinal surfaces from 3-D optical coherence tomography images.

Nonrigid registration of optical coherence tomography (OCT) images is an important problem in studying eye diseases, evaluating the effect of pharmaceuticals in treating vision loss, and performing group-wise cross-sectional analysis. High dimensional nonrigid registration algorithms required for cross-sectional and longitudinal analysis are still being developed for accurate registration of OCT image volumes, with the speckle noise in images presenting a challenge for registration. Development of algorithms for segmentation of OCT images to generate surface models of retinal layers has advanced considerably and several algorithms are now available that can segment retinal OCT images into constituent retinal surfaces. Important morphometric measurements can be extracted if accurate surface registration algorithm for registering retinal surfaces onto corresponding template surfaces were available. In this paper, we present a novel method to perform multiple and simultaneous retinal surface registration, targeted to registering surfaces extracted from ocular volumetric OCT images. This enables a point-to-point correspondence (homology) between template and subject surfaces, allowing for a direct, vertex-wise comparison of morphometric measurements across subject groups. We demonstrate that this approach can be used to localize and analyze regional changes in choroidal and nerve fiber layer thickness among healthy and glaucomatous subjects, allowing for cross-sectional population wise analysis. We also demonstrate the method's ability to track longitudinal changes in optic nerve head morphometry, allowing for within-individual tracking of morphometric changes. This method can also, in the future, be used as a precursor to 3-D OCT image registration to better initialize nonrigid image registration algorithms closer to the desired solution.