Evidence map›Paper›PMID 40105812›Full record

ArticleTranslational vision science & technology2025

Corneal Layer Segmentation in Healthy and Pathological Eyes: A Joint Super-Resolution Generative Adversarial Network and Adaptive Graph Theory Approach.

Khin Yadanar Win, Jipson Wong Hon Fai, Wong Qiu Ying, Chloe Chua Si Qi, Jacqueline Chua, Damon Wong, Marcus Ang, Leopold Schmetterer, Bingyao Tan

Abstract read
In one paragraph

Article in Translational vision science & technology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Khin Yadanar WinSingapore Eye Research Institute, Singapore National Eye Centre, Singapore, Singapore.
Jipson Wong Hon FaiSingapore Eye Research Institute, Singapore National Eye Centre, Singapore, Singapore.
Wong Qiu YingSingapore Eye Research Institute, Singapore National Eye Centre, Singapore, Singapore.
Chloe Chua Si QiSingapore Eye Research Institute, Singapore National Eye Centre, Singapore, Singapore.
Jacqueline ChuaSingapore Eye Research Institute, Singapore National Eye Centre, Singapore, Singapore.
Damon WongSingapore Eye Research Institute, Singapore National Eye Centre, Singapore, Singapore.
Marcus AngSingapore Eye Research Institute, Singapore National Eye Centre, Singapore, Singapore.
Leopold SchmettererSingapore Eye Research Institute, Singapore National Eye Centre, Singapore, Singapore.
Bingyao TanSingapore Eye Research Institute, Singapore National Eye Centre, Singapore, Singapore.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: To enhance corneal layer segmentation and thickness measurement in ultra-high axial resolution optical coherence tomography (OCT) images for both healthy and pathological eyes using super-resolution generative adversarial network and adaptive graph theory. Methods: We combine a super-resolution generative adversarial network (SRGAN) with adaptive graph theory for an improved segmentation accuracy of five corneal layers: epithelium, Bowman's, corneal stroma, Descemet's membrane, and endothelium. The fine-tuned SRGAN enhances the contrast and visibility of layer interfaces, particularly Descemet's membrane. For the layer segmentation with graph theory, search spaces were adapted according to the contrasts of the layers. We segmented volumetric high-resolution corneal OCT images of healthy participants, patients who underwent Descemet's membrane endothelial keratoplasty (DMEK), and patients with Fuchs endothelial corneal dystrophy (FECD). Results: Enface thickness maps were generated over a 4-mm field of view from both healthy and pathological eyes. The measurements showed high reproducibility (intraclass correlation coefficient [ICC] = 0.97) for the whole cornea and stroma and moderate reproducibility for the other layers (ICC = 0.64 for epithelium/Bowman's complex; ICC = 0.53 for endothelium/Descemet's membrane complex). The average thickness errors were 3.5 µm for the total cornea, 4.4 µm for epithelium, 2.5 µm for Bowman's, 4.3 µm for stroma, and 3.0 µm for endothelium/Descemet's membrane complex. Conclusions: The proposed method consistently outperforms conventional graph search methods across all corneal layer segmentations, which is beneficial for diagnosing and monitoring corneal diseases. Translational Relevance: Our method can provide precise thickness measurement of multiple corneal layers, which has the potential to improve DMEK monitoring and FECD diagnosis.

Indexed as

CorneaFuchs' Endothelial DystrophyGenerative Adversarial NetworksTomography, Optical CoherenceAgedDescemet MembraneDescemet Stripping Endothelial KeratoplastyFemaleHumansMaleMiddle AgedReproducibility of Results

Identifiers

PMID40105812
PMCPMC11932425

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.