Hyperspectral Imaging of the Eye for Early Detection of Retinal Diseases I. Al Abboud E. Theofanidou A. R. Harvey* Engineering and Physical Sciences Heriot Watt University Edinburgh, UK *a.r.harvey@hw.ac.uk Abstract Hyperspectral imaging (HSI) holds great promise for the detection and classification of several diseases, especially in the field of optical biopsy as applied to oncology, and functional retinal imaging in ophthalmology. In essence, hyperspectral imaging of the biochemistry of the retina offers a powerful, non-invasive tool for the investigation and diagnosis of retinal diseases such as diabetic retinopathy, agerelated macular degeneration and glaucoma. The eye presents a unique opportunity for direct imaging of the vasculature, but also presents a challenging set of problems; such as imaging an erratically moving and photosensitive structure through a low numerical aperture and in the presence of high levels of clutter. Sequentional spectral imaging using a liquid crystal tuneable filter (LCTF) has been achieved with wide spectral range, reasonable SNRs and lower light intensity at the retina. The calibration and modification of a commercial fundus camera has been achieved, which enables the recording of high quality spectral images of the retina. Collected retinal images enable the estimation of the diameter of veins and arteries, and haemoglobin oxygenation which provides useful information in the diagnosis of certain diseases. 1. Introduction Hyperspectral imaging entails capturing a spectrum for every pixel within a scene. Hyperspectral data cube is constructed with three dimensions; two spatial dimensions (X, Y), and wavelength λ. Using a two-dimensional detector array, it is usual that one of three dimensions is obtained through time sequential scanning. The increased spectral information recorded provides enhanced capabilities over conventional imaging techniques for the purposes of classifying and quantifying the concentration of chemicals. 2. Spectral retinal imaging Hyperspectral imaging of the biochemistry of the retina offers potential as a powerful noninvasive tool for the investigation and diagnosis of retinal diseases. For example, using HSI to monitor the changes in oxygen concentration in the veins and arteries can enable the detection of diabetic retinopathy in its early stages. Conventional retinal imaging techniques like fundus imaging, fluorescein angiogram, and optical coherence tomography (OTC) provide information about the circulatory system and the condition of the back of the eye (retinal structure) not the chemistry (e.g. oxygen saturation). Several techniques have been reported for spectral retinal imaging, these include: full-field Fourier-transform spectral imaging; one- dimensional, Fourier-transform spectral imaging1; and one-dimensional dispersive spectral imaging2. We have developed an instrument that employs time-sequential, full field spectral imaging in which spectral filtering of the source is accomplished using a liquid crystal tuneable filter. In comparison to other techniques, this provides the advantages of lower light intensity at the eye, two-dimensional imaging as required for screening purposes and a minimum number of recorded image frames. Minimisation of light intensity and the number of image frames recorded is important for patient comfort, which in turn improves the quality of images recorded. Although a snap-shot technique3, (currently also under development,) offers the ideal solution for use as a clinical tool and for improved spectral calibration, the time-sequential instrument described here offers the advantage of a more flexible approach to record spectral images of the retina. 3. Developed instrument A liquid crystal tuneable filter has been incorporated into a conventional fundus camera to enable computer-controlled, random-access spectral filtering of the source (figure 1) with 10nm Spectral resolution. Reimaging of the conventional output image has enabled the 60° field of view to be retained. Interfacing with a computer to acquire the images and control the filter through LabView. 12-Bit Images captured using a cooled, low-noise CCD camera. LCTF Figure 1: Modified optical system 4. Pre-processing and calibration Recorded images need to be calibrated and co-registered due to non uniform illumination and random movement of the eye and reflections from the lens surface which cause high intensity artefacts in the retinal image. Narrow-band spectral images are mutually co-registered to correct for rotational and translational offsets introduced by movement of the eye between images. A relatively simple cross-correlation technique has been found to enable accurate coregistration. Prior to registration, images are spatially filtered to enhance blood vessels since these serve as good spectrally invariant landmarks across the spectral bands. Filtering consists of the following steps which were optimized heuristically; band pass filtering, matched filtering and edge detection. A typical set of images taken from a spectral data cube is shown in figure 2 for wavelengths between 590 nm and 600 nm. This illustrates the relationship between optical density and oxygenation: the optical density (OD) of oxygenated blood in the larger arteries varies strongly across this wavelength range, whereas the OD of deoxygenated blood in the veins remains high. 590nm 596nm 600nm Figure 2: Set of retinal images at different wavelengths 5. Retinal Oximetry Measuring oxygen saturation in the fundus of the human eye could aid the diagnosis and monitoring of disorders for early detection of some diseases. Oximetric measurements can be implemented by exploitation of the spectral variation of optical densities. Using LambertBeer’s law and the well-known absorption spectra of oxygenated and de-oxygenated haemoglobin4 and considering multiple optical paths as depicted in figure 3. Figure 3: Optical paths Self calibration is needed to compensate for uneven illumination. This is accomplished by linear fitting to estimate the intensity on the both sides of vessel figure 4. Figure 4: Self calibration Nonlinear fitting of the vessel OD profile enables an estimate of the vessel diameter at each wavelength and hence of blood oxygenation as shown in figures 5 and 6. Linear fitting Optical density Fitted model Figure 5: Vessel profile and fitted model OS=95% . . .....real values ___ fitted model. ¬OS=20% ¬OS=99% Figure 6: results from applying nonlinear fitting to find OS 6. Conclusions and future work We report here a new instrument for the recording of spectral images of the retina. Spectral processing methods (Spectral Angle Mapper; SAM, linear spectral unmixing) provide a useful semi-quantitative map of retinal biochemistry; quantitative mapping requires a rigorous model of light propagation in the retina. We have discussed how a relatively simple model can enable oximetry within blood vessels. Future work will concentrate on refining the model to enable sufficient accuracy to be obtained and the implementation of a snapshot spectral imaging technique for improved convenience and accuracy. ___________________________________________ [1] P. W. Truitt, P. Soliz, A.D. Meigs, L. J. Otten , Hyperspectral fundus imager, SPIE,4132, p. 356-364,NOV 2000. [2] M. Hammer, D. Schweitzer, L .Leistritz, M .Scibor,K. Donnerhacke, and J. Strobel, Imaging spectroscopy of the human ocular fundus in vivo, journal of biomedical optics 2(4), 418–425 (1997) . [3] A. S. Gorman, A. R. Harvey, Snapshot spectral imaging using image replication and polarising interferometry, photon06, 2006. [4] V. Assendelft, O.W, Spectrophotometry of haemoglobin derivatives (Charles C. Thomas, Springfield, IL, 1970).