This work deals with possibilities of registration of retinal images from different mo-dalities, concretely optical coherence tomography (OCT), scanning laser ophthalmoscopy (SLO) and fundus camera. In first stage is the interest focused on registration of SLO and fundus images, which will serve to determine area of interest for consecutive registration of OCT data. The final stage is finding correct location of OCT B-scans in fundus image. On the basis of the studied methods of registration was chosen method making use of computation of correlation coefficient for both cases. For finding optimal parameters of registration is used searching through whole space of parameters. In partial stages of the work was created algorithm for alignment of B-scans followed by detection of blood vessels and also simple algorithm for detection of blood vessels from fundus image. For more transparent registration the graphical user interface was created, which allows loading input images and displaying the result in several possible forms.

The diploma thesis deals with registration and analysis of images from the experimental low-cost fundus camera that reaches a low SNR (around 10 dB) and low temporal and spatial resolution. The aim of the diploma tesis is to explore the possibilities of digital processing leading to the creation of a videosequence that has real benefits for medical diagnostics. The well-known program elastix is used for registration. Preprocessing filters and interpolation are implemented in Matlab. The program provides a wide range of setting options, out of which many combinations were tested and evaluated. To assess the accuracy achieved, spatial variations in the detected motion of blood-vessels are evaluated. Best results with a precision below 0.3 px were achieved by using a band-pass filter, a~suitably sized mask, rigid registration and a metric of the mutual information. Test sequences were registered precisely enough both for visual assessment and basic computational analysis. Registered sequences and the developed application that both can be used in the further development of the experimental camera are the main contributions of the diploma thesis.

Image registration is widely used in clinical practice. However image registration and its~evaluation is still challenging especially with regards to new possibilities of various modalities. One of these areas is contrast-enhanced ultrasound imaging. The time-dependent image contrast, low signal-to-noise ratio and specific speckle pattern make preprocessing and image registration difficult. In this thesis a method for registration of images in ultrasound contrast-enhanced sequences is proposed. The method is based on automatic fragmentation into image subsequences in which the images with similar characteristics are registered. The new evaluation method based on comparison of perfusion model is proposed. Registration and evaluation method was tested on a flow phantom and real patient data and compared with a standard methods proposed i literature. The second part of this thesis contains examples of application of image registration in~ophthalmology and proposition for its improvement. In this area the image registration methods are widely used, especially landmark based image registration method. In this thesis methods for landmark detection and its correspondence estimation are proposed.

Fundus kamera je široce dostupné zobrazovací zařízení, které umožňuje relativně rychlé a nenákladné vyšetření zadního segmentu oka – sítnice. Z těchto důvodů se mnoho výzkumných pracovišť zaměřuje právě na vývoj automatických metod diagnostiky nemocí sítnice s využitím fundus fotografií. Tato dizertační práce analyzuje současný stav vědeckého poznání v oblasti diagnostiky glaukomu s využitím fundus kamery a navrhuje novou metodiku hodnocení vrstvy nervových vláken (VNV) na sítnici pomocí texturní analýzy. Spolu s touto metodikou je navržena metoda segmentace cévního řečiště sítnice, jakožto další hodnotný příspěvek k současnému stavu řešené problematiky. Segmentace cévního řečiště rovněž slouží jako nezbytný krok předcházející analýzu VNV. Vedle toho práce publikuje novou volně dostupnou databázi snímků sítnice se zlatými standardy pro účely hodnocení automatických metod segmentace cévního řečiště.

Diabetic retinopathy and age-related macular degeneration are two of the most common retinal diseases in these days, which can lead to partial or full loss of sight. Due to it, it is necessary to create new approaches enabling to detect these diseases and inform the patient about his condition in advance. The main objective of this work is to design and to implement an algorithm for retinal diseases classification based on images of the patient's retina of previously mentioned diseases. In the first part of this work, there is described in detail each stage of each disease and its the most frequent symptoms. In this thesis, there is also a chapter about fundus camera, which is a tool for image creation of human eye retina. In the second part of this thesis, there is proposed an approach for classification of diabetic retinopathy and age-related macular degeneration. There is also a chapter about algorithmic methods which can be used for image processing and object detection in image. The last part of this thesis contains the test results and their evaluation. Assessment of success of proposed and implemented methods is also part of this chapter.

The work focuses on molecular genetic testing of patients with Usher syndrome to confirm the diagnosis, to determine the causal cause of the disease and describe new mutations causing Usher syndrome in Czech patients. Usher syndrome is a clinically and genetically heterogeneous disease that is the most common cause of hereditary deafblindness. Based on responsible genes and disease onset is classified into three clinical subtypes. Given the fact that there is currently no specific treatment, there is a need to understand the pathophysiology of this disease and to broaden the spectrum of causal mutations. The theoretical part of the thesis deals with the anatomy of the eye, especially the structure of the retina. Attention is also paid to retinal diseases, such as the progressive loss of vision characteristic for retinitis pigmentosa (RP). RP may occur either as an isolated disorder or also affecting other organs, so-called syndromic RP. Classic syndromic RP includes Usher's syndrome, which the work mainly deals with. The theoretical part of the thesis describes mainly the mechanism of the disease, the functions of individual Usher proteins and the genes that encode these proteins. The haplotype analysis has been previously done for the most common mutations causing Usher's syndrome in Europe Based...

L’ostéopétrose est une pathologie osseuse caractérisée par des os denses et fragiles principalement due à l’incapacité des ostéoclastes, cellules d’origine hématopoïétique, à résorber le tissu osseux. La forme la plus sévère de cette maladie génétique est l’ostéopétrose autosomale récessive infantile due à une mutation du gène Ostm1 (Protéine transmembranaire de type 1 associée à l'ostéopétrose). Le gène Ostm1 est exprimé principalement dans la lignée des cellules hématopoïétiques, mais aussi dans le système nerveux central et les mélanocytes. Cette mutation développe plusieurs symptômes comme l’apparition d’une couleur de pelage gris chez la souris, une anémie sévère, une sensibilité aux infections et des troubles neuronaux chez l’homme et la souris. Afin de mieux comprendre cette maladie, nous avons généré des souris transgéniques sur un fond génétique grey-lethal (gl) dans lesquelles l’expression d’Ostm1 est ciblée à un tissu spécifique. Nous avons caractérisé le gène Ostm1 responsable de la mutation ostéopétrotique spontanée gl chez la souris. La complémentation fonctionnelle des défauts hématopoïétiques a été obtenue dans les souris transgéniques PU.1-Ostm1-gl/gl mais ces souris meurent prématurément avec une neurodegénérescence sévère. Cette perte cellulaire affecte le système nerveux central dans son ensemble incluant la rétine. Ce mémoire porte sur le but d’établir le profil d’expression du gène Ostm1 dans la rétine puisque la perte du gène entraine une dégénérescence rétinienne. Pour définir le rôle d’Ostm1 dans la rétine, nous avons caractérisé son expression dans ce tissu (organe). Des analyses PCR, démontrent une expression d’Ostm1 dans l’œil total et enrichie dans la neurorétine et dans l’épithélium pigmentée (RPE). Après avoir caractérisé avec des marqueurs protéiques spécifiques les sous populations cellulaires de la rétine, in situ hybridation détecte l’expression préférentielle d’Ostm1 dans l’épithélium pigmentée (RPE) et la couche nucléaire interne (INL). Basé sur ce profil d’expression, nous avons induit dans un premier temps la perte de fonction d’Ostm1 spécifiquement dans le RPE. Dans un premier temps nous avons vérifié que l’expression de la recombinasse Cre seule n’est pas toxique. Nous avons ensuite induit la perte d’expression d’Ostm1 dans ces cellules et démontré que la perte d’Ostm1 dans le RPE se traduit par une perte graduelle des photorécepteurs avec l’âge. Ces résultats préliminaires suggèrent que l’expression post-natale d’Ostm1 dans le RPE est essentielle au maintien de l’homéostasie des photorécepteurs dans la rétine. / Osteopetrosis is a disease characterized by high bone density and fragility principally caused by impaired activity of osteoclasts, which are cells that reside in bone and dissolve bone tissue. The most severe form of osteopetrosis is infantile autosomal recessive osteopetrosis (ARO) which is caused by mutations in genes Ostm1. As Ostm1(osteopetrosis-associated transmembrane protein 1) is expressed in multiple hematopoietic stem cell lineages, melanocytes and the nervous system, mutations in Ostm1 can cause coat color change in mice as well as bone fragility, anemia, infections and neuronal disorders in humans and mice. To further the understanding of these conditions linked with Ostm1 loss, multiple tissue specific Ostm1 transgenic mice over an Ostm1 knockout (gl/gl) background were constructed. To better understand this disease, we characterized the Ostm1 gene responsible for the spontaneous osteopetrotic mutation grey- lethal (gl) in mice. Functional complementation of hematopoietic defects was obtained in PU.1-Ostm1-gl/gl transgenic mice, but these mice die prematurely with severe neurodegeneration. This indicates that Ostm1 has a crucial role in neuronal and retinal health. As a result, we wished to establish an expression profile of Ostm1 in all the layers of the retina to further decipher the role of Ostm1 in the retina. Polymerase chain reaction (PCR) of reverse-transcribed mRNA of separated sections of the eye demonstrate that Ostm1 is expressed in the whole eye, neuroretina and retinal pigmented epithelium (RPE). Further specific expression analyses were performed by in- situ hybridization which showed that Ostm1 is expressed specifically in the inner nuclear layer of the neuroretina as well as in the RPE. Based on this tissue expression pattern, we have constructed, for the first time, an RPE specific knockdown of Ostm1 expression and verified that the expression of Cre recombinase in this tissue is not toxic. The reduction of Ostm1 in the RPE of the eye resulted in gradual loss of photoreceptors of the retina. These preliminary results suggest that the post-natal expression of Ostm1 in the RPE is essential for maintaining the homeostasis of the photoreceptors of the retina.

No description available.

Indiana University-Purdue University Indianapolis (IUPUI) / Prevention of pathological angiogenesis is a key strategy for treatment of common blinding ocular diseases such as retinopathy of prematurity, proliferative diabetic retinopathy, and wet age-related macular degeneration. The current treatment strategies are associated with partial vision loss and are ineffective in a significant patient population. Hence novel drugs as well as new ways to target ocular angiogenesis are needed for treating these diseases. I pursued a natural antiangiogenic compound, cremastranone, to develop novel drug leads and to find new targets. The objective of my doctoral thesis project was to elucidate cremastranone’s molecular mechanism of action and optimize its structureactivity relationship (SAR). In order to achieve this goal, with the help of chemistry collaborators cremastranone was synthesized for the first time. I showed that cremastranone has 50-fold more potency against endothelial cells as compared to nonendothelial cells, and also tested a novel active isomer, SH-11052. By SAR studies I identified a potent molecule, SH-11037, that has 10-fold more selectivity against retinal endothelial cells as compared to macrovascular endothelial cells. I then elucidated cremastranone’s molecular mechanism using a chemical proteomic approach. I identified ferrochelatase (FECH) as a specific interacting protein partner of cremastranone using photoaffinity chromatography. Hence, I hypothesized that cremastranone exerts its antiangiogenic activities through modulation of the functions of FECH. Cremastranone inhibited the enzymatic activity FECH in endothelial cells. Therefore, I investigated the role of FECH in ocular angiogenesis. Partial loss of FECH, using a siRNA-based knock down approach, decreased retinal angiogenesis both in vitro and in vivo in mouse models. Knock down of FECH decreased the expression levels of key proangiogenic proteins HIF-1α, eNOS, and VEGFR2. This work suggests that ferrochelatase plays an important, previously undocumented role in angiogenesis and that targeting of this enzyme by cremastranone might be exploited to inhibit pathological angiogenesis in ocular diseases.

No description available.