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3  Noise reduction and contrast enhancement     61




                  2.2  Tomographic imaging
                  In  OCT  imaging,  the  need  for  intensity  rectification  stems  from  the  automatic
                  intensity rescaling and averaging of the sensor, which may differ in each scan.
                  Generic intensity normalization has been applied to individual scans [31]. However,
                  prominent noise reduction methods utilize multiple scans that image the same area
                  and average measurements corresponding to the same tissue points [32–34]. The
                  central step in such approaches is the registration of scans (see Section 4.2).




                  3  Noise reduction and contrast enhancement
                  Noise reduction and contrast enhancement are typical preprocessing steps in multiple
                  domains of image analysis. Their goal is to improve image definition and fidelity, by
                  accenting image structure and reducing image noise. Generic approaches to these
                  tasks have been employed for all retinal image types. Nonetheless, approaches
                  targeted to the particular modality and the subsequent analysis have been more
                  widely adopted. Notably, in OCT imaging, noise reduction methods address an
                  imaging artifact pertinent only to this modality, besides conventional image noise.


                  3.1  Fundus imaging
                  Generic approaches to local contrast and structural adjustment have been proposed
                  [6, 7, 35–37], but are culpable in amplifying noise or noninteresting structures.
                  Single-scale [38] and multi-scale [13, 39–41] linear filterings have also been tools
                  of similar approaches but conversely they filter out useful fine image structure at
                  fine scales. Morphological transformations have also been proposed, such as the
                  contourlet [42] and the top-hat transformations [43], and were combined with
                  histogram equalization [44] and matched filters [45]. Nonlinear filtering approaches
                  have also been proposed. A diffusion-based “shock” filter was employed in Ref. [46].
                  In Ref. [47], inverse diffusion provided feature-preserving noise reduction. In Ref.
                  [48], sparse coding and a representation dictionary were utilized to represent vessels
                  and reconstruct the original image without noise.
                     Target-oriented contrast enhancement methods have also been tailored. Image
                  sharpness was amplified by compensating for the blur of the eye’s point spread
                  function, through the modeling of the former [49]. Multi-orientation filtering kernels
                  that mimic and highly correlate with vessel intensity profiles were used in Refs.
                  [50–52] to enhance vessels. By modeling vessel appearance as ridge structures, the
                  “vesselness,” or Frangi filter in Ref. [53] has been widely utilized to accent vessels
                  over the rest of the image.
                     Combination of multiple images has also been based on the information
                  redundancy that is provided when imaging the same tissue multiple times, using
                  averaging [54], or blind deconvolution [55]. The central step in these approaches is
                  image registration (see Section 4.2).
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