Automated Erythrocyte Detection and Tracking for Retinal Blood Flow Quantification in Erythrocyte-Mediated Angiography

Abstract

Capillary-level retinal blood flow (RBF) has strong potential as a biomarker for various ocular diseases. However, modalities for measuring capillary-level RBF remain limited. Erythrocyte-mediated angiography (EMA), an emerging imaging technique, enables capillary-level RBF measurement by visualizing individual erythrocytes, yet automated erythrocyte detection and tracking, which are essential for quantifying blood flow, remain largely unexplored. To address this gap, we propose EMTrack, a novel framework featuring a flow-context module for erythrocyte detection that distinguishes moving from paused cells and a topology-aware tracking strategy that enables tracking under large inter-frame displacements and substantial motion variations. In addition, we establish RBF-EMA, a new EMA dataset with comprehensive erythrocyte detection and tracking annotations. Experimental results demonstrate that our method outperforms baseline methods both quantitatively and qualitatively on detection and tracking tasks in the RBF-EMA dataset. Moreover, RBF quantification results highlight the strong potential of our framework for automated retinal blood flow measurement.