Perceptual-Assisted Adversarial Adaptation for Choroid Segmentation in Optical Coherence Tomography

Accurate choroid segmentation in optical coherence tomography (OCT) image is vital because the choroid thickness is a major quantitative biomarker of many ocular diseases. Deep learning has shown its superiority in the segmentation of the choroid region but subjects to the performance degeneration caused by the domain discrepancies (e.g., noise level and distribution) among datasets obtained from the OCT devices of different manufacturers. In this paper, we present an unsupervised perceptual-assisted adversarial adaptation (PAAA) framework for efficiently segmenting the choroid area by narrowing the domain discrepancies between different domains. The adversarial adaptation module in the proposed framework encourages the prediction structure information of the target domain to be similar to that of the source domain. Besides, a perceptual loss is employed for matching their shape information (the curvatures of Bruch's membrane and choroid-sclera interface) which can result in a fine boundary prediction. The results of quantitative experiments show that the proposed PAAA segmentation framework outperforms other state-of-the-art methods.