Synthesis of Optical Nerve Head Region of Fundus Image

The Optic Disc (OD) and Optic Cup (OC) boundaries play a critical role in the detection of glaucoma. However, very few annotated datasets are available for both OD and OC that are required for segmentation. Recently, Convolutional Neural Networks have shown significant improvements in segmentation performance. However, the full potential of CNNs is hindered by the lack of a large amount of annotated training images. To address this issue, we explore a method to generate synthetic images which can be used to augment the training data. Given the segmentation masks of OD, OC and vessels from arbitrarily different fundus images, the proposed method employs a combination of B-spline registration and GAN to generate high quality images that ensure that the vessels bend at the edge of the OC in a realistic manner. In contrast, the existing GAN based methods for fundus image synthesis fail to capture the local details and vasculature in the Optic Nerve Head (ONH) region. The utility of the proposed method in training deep networks for the challenging problem of OC segmentation is explored and an improvement in the dice score from 0.85 to 0.902 is seen with the inclusion of the synthetic images in the training set.