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    This study introduces a novel framework to generate diverse and balanced optical coherence tomography (OCT) images for retinal layer segmentation. The method enhances data diversity from imbalanced samples, improving segmentation accuracy.

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    Area of Science:

    • Medical Imaging
    • Computer Vision
    • Ophthalmology

    Background:

    • Accurate retinal layer segmentation in optical coherence tomography (OCT) is crucial for diagnosing eye diseases.
    • Collecting diverse and balanced OCT datasets, especially with various pathologies, is a significant challenge.
    • Existing generative models struggle with data diversity due to imbalanced training data.

    Purpose of the Study:

    • To develop a framework for generating diverse and balanced OCT image-label pairs from imbalanced real-world data.
    • To improve the performance of retinal layer segmentation by augmenting training datasets with synthetic data.
    • To address the limitations of current generative models in capturing data diversity.

    Main Methods:

    • A novel image-label pair generation framework utilizing two customized diffusion probabilistic models.
    • Generation of diverse layer masks followed by plausible OCT image synthesis.
    • Introduction of pathological-related conditions and a potential structure modeling technique to guide generation and enhance diversity.

    Main Results:

    • The proposed method generates OCT images with superior quality and diversity compared to existing generative approaches.
    • Extensive training with the generated data significantly improved downstream retinal layer segmentation performance.
    • Experimental validation on two public datasets confirmed the effectiveness of the framework.

    Conclusions:

    • The developed framework effectively generates diverse and balanced OCT data, overcoming limitations of imbalanced datasets.
    • The approach enhances the utility of generative models for medical image analysis and segmentation tasks.
    • This work provides a valuable tool for improving the accuracy and robustness of retinal layer segmentation.