Perceived Image Quality Improvements from the Application of Image Deconvolution to Retinal Images from an Adaptive Optics Fundus Imager

Summary

Aim: The objective of this project was to apply an image restoration methodology based on wavefront measurements obtained with a Shack-Hartmann sensor and evaluating the restored image quality based on medical criteria.Methods: Implementing an adaptive optics (AO) technique, a fundus imager was used to achieve low-order correction to images of the retina. The high-order correction was provided by deconvolution. A Shack-Hartmann wavefront sensor measures aberrations. The wavefront measurement is the basis for activating a deformable mirror. Image restoration to remove remaining aberrations is achieved by direct deconvolution using the point spread function (PSF) or a blind deconvolution. The PSF is estimated using measured wavefront aberrations. Direct application of classical deconvolution methods such as inverse filtering, Wiener filtering or iterative blind deconvolution (IBD) to the AO retinal images obtained from the adaptive optical imaging system is not satisfactory because of the very large image size, dificulty in modeling the system noise, and inaccuracy in PSF estimation. Our approach combines direct and blind deconvolution to exploit available system information, avoid non-convergence, and time-consuming iterative processes. Results: The deconvolution was applied to human subject data and resulting restored images compared by a trained ophthalmic researcher. Qualitative analysis showed significant improvements. Neovascularization can be visualized with the adaptive optics device that cannot be resolved with the standard fundus camera. The individual nerve fiber bundles are easily resolved as are melanin structures in the choroid. Conclusion: This project demonstrated that computer-enhanced, adaptive optic images have greater detail of anatomical and pathological structures.