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Synthesizing realistic medical images using generative adversarial networks (GANs) is crucial for imbalanced datasets. The novel multiple-channels-multiple-landmarks (MCML) preprocessing pipeline significantly enhances synthetic fundus image quality for improved medical image analysis.

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Area of Science:

  • Medical Imaging
  • Computer Vision
  • Artificial Intelligence

Background:

  • Medical image datasets are often imbalanced, hindering effective training for AI models.
  • Generative Adversarial Networks (GANs) are used to synthesize medical images, augmenting datasets for improved analysis.
  • Existing methods for synthesizing fundus images, like image-to-image translation, have limitations in detail and quality.

Purpose of the Study:

  • To improve the quality and detail of synthetic fundus images.
  • To introduce a novel preprocessing pipeline for synthesizing color fundus images.
  • To evaluate the effectiveness of the proposed pipeline and GAN architectures on public datasets.

Main Methods:

  • Proposed a new preprocessing pipeline: multiple-channels-multiple-landmarks (MCML).
  • Synthesized color fundus images using vessel tree, optic disc, and optic cup inputs.
  • Compared MCML with single vessel mask inputs across various Pix2pix and Cycle-GAN architectures.
  • Designed and evaluated a Pix2pix model with a ResU-net generator.

Main Results:

  • The MCML method outperformed single vessel-based methods across all tested GAN architectures.
  • The Pix2pix model with a ResU-net generator demonstrated superior Peak Signal-to-Noise Ratio (PSNR) and Structural Similarity Index Measure (SSIM) compared to other GANs.
  • Utilizing high-resolution paired images further improved the performance of all GANs.

Conclusions:

  • The MCML method is effective in generating high-quality, realistic fundus images.
  • The combination of MCML, a Pix2pix network with a ResU-net generator, and high-resolution images yields optimal results.
  • The proposed approach shows significant potential for applications in computer-aided diagnosis, particularly for glaucoma detection using fundus images.