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Jay Chhablani

Publications and source records attributed to Jay Chhablani.

4 recordsLinked to original sources

Diffuse Maxwellian illumination for safe wide-field retinal Doppler holography

We report a diffuse Maxwellian illumination scheme for wide-field retinal laser Doppler holography. Inserting an engineered diffuser in the illumination arm transforms a spatially concentrated near-infrared laser focus into an angularly diversified illumination pattern, thereby reducing local irradiance near the anterior segment while preserving coherent interferometric detection. This configuration allows the eyepiece to be positioned closer to the cornea, increasing the digitally reconstructed retinal field of view without producing a localized corneal hot spot. We compare three illumination geometries: focused non-diffuse illumination, diffuse illumination at the same cornea--eyepiece distance, and diffuse Maxwellian illumination. Diffuse Maxwellian illumination expands the retinal field of view while preserving Doppler contrast in broad and high-frequency fluctuation bands. Light-hazard assessment is limited to the current ophthalmic standards ISO 15004-2:2024 and ANSI Z80.36-2021. Based on measured beam profiles, the recommended operating power at 852 nm is set by the most restrictive relevant exposure condition among the assessed anterior-segment, iris, and retinal limits. These results support diffuse illumination as a practical route toward safer, non-mydriatic, wide-field Doppler holography of the human retina.

physics.optics

Freqformer: Frequency-Domain Transformer for 3-D Reconstruction and Quantification of Human Retinal Vasculature

Objective: To achieve accurate 3-D reconstruction and quantitative analysis of human retinal vasculature from a single optical coherence tomography angiography (OCTA) scan. Methods: We introduce Freqformer, a novel Transformer-based model featuring a dual-branch architecture that integrates a Transformer layer for capturing global spatial context with a complex-valued frequency-domain module designed for adaptive frequency enhancement. Freqformer was trained using single depth-plane OCTA images, utilizing volumetrically merged OCTA as the ground truth. Performance was evaluated quantitatively through 2-D and 3-D image quality metrics. 2-D networks and their 3-D counterparts were compared to assess the differences between enhancing volume slice by slice and enhancing it by 3-D patches. Furthermore, 3-D quantitative vascular metrics were conducted to quantify human retinal vasculature. Results: Freqformer substantially outperformed existing convolutional neural networks and Transformer-based methods, achieving superior image metrics. Importantly, the enhanced OCTA volumes show strong correlation with the merged volumes on vascular segment count, density, length, and flow index, further underscoring its reliability for quantitative vascular analysis. 3-D counterparts did not yield additional gains in image metrics or downstream 3-D vascular quantification but incurred nearly an order-of-magnitude longer inference time, supporting our 2-D slice-wise enhancement strategy. Additionally, Freqformer showed excellent generalization capability on larger field-of-view scans, surpassing the quality of conventional volumetric merging methods. Conclusion: Freqformer reliably generates high-definition 3-D retinal microvasculature from single-scan OCTA, enabling precise vascular quantification comparable to standard volumetric merging methods.

eess.IV

Diagnostic Quality Assessment of Fundus Photographs: Hierarchical Deep Learning with Clinically Significant Explanations

Fundus photography (FP) remains the primary imaging modality in screening various retinal diseases including age-related macular degeneration, diabetic retinopathy and glaucoma. FP allows the clinician to examine the ocular fundus structures such as the macula, the optic disc (OD) and retinal vessels, whose visibility and clarity in an FP image remain central to ensuring diagnostic accuracy, and hence determine the diagnostic quality (DQ). Images with low DQ, resulting from eye movement, improper illumination and other possible causes, should obviously be recaptured. However, the technician, often unfamiliar with DQ criteria, initiates recapture only based on expert feedback. The process potentially engages the imaging device multiple times for single subject, and wastes the time and effort of the ophthalmologist, the technician and the subject. The burden could be prohibitive in case of teleophthalmology, where obtaining feedback from the remote expert entails additional communication cost and delay. Accordingly, a strong need for automated diagnostic quality assessment (DQA) has been felt, where an image is immediately assigned a DQ category. In response, motivated by the notional continuum of DQ, we propose a hierarchical deep learning (DL) architecture to distinguish between good, usable and unusable categories. On the public EyeQ dataset, we achieve an accuracy of 89.44%, improving upon existing methods. In addition, using gradient based class activation map (Grad-CAM), we generate a visual explanation which agrees with the expert intuition. Future FP cameras equipped with the proposed DQA algorithm will potentially improve the efficacy of the teleophthalmology as well as the traditional system.

eess.IV

Efficient Screening of Diseased Eyes based on Fundus Autofluorescence Images using Support Vector Machine

A variety of vision ailments are associated with geographic atrophy (GA) in the foveal region of the eye. In current clinical practice, the ophthalmologist manually detects potential presence of such GA based on fundus autofluorescence (FAF) images, and hence diagnoses the disease, when relevant. However, in view of the general scarcity of ophthalmologists relative to the large number of subjects seeking eyecare, especially in remote regions, it becomes imperative to develop methods to direct expert time and effort to medically significant cases. Further, subjects from either disadvantaged background or remote localities, who face considerable economic/physical barrier in consulting trained ophthalmologists, tend to seek medical attention only after being reasonably certain that an adverse condition exists. To serve the interest of both the ophthalmologist and the potential patient, we plan a screening step, where healthy and diseased eyes are algorithmically differentiated with limited input from only optometrists who are relatively more abundant in number. Specifically, an early treatment diabetic retinopathy study (ETDRS) grid is placed by an optometrist on each FAF image, based on which sectoral statistics are automatically collected. Using such statistics as features, healthy and diseased eyes are proposed to be classified by training an algorithm using available medical records. In this connection, we demonstrate the efficacy of support vector machines (SVM). Specifically, we consider SVM with linear as well as radial basis function (RBF) kernel, and observe satisfactory performance of both variants. Among those, we recommend the latter in view of its slight superiority in terms of classification accuracy (90.55% at a standard training-to-test ratio of 80:20), and practical class-conditional costs.

cs.CV