Segmentation and classification of retinal pigment granules in fluorescence lifetime imaging microscopy (FLIM) data

Alterations of fluorescence properties in retinal pigment epithelium (RPE) cells caused by diseases such as age-related macular degeneration (AMD) highlight the need for detailed analysis of the fluorescent RPE granules at the individual level. Precise segmentation and classification of these granules remain challenging due to their limited visual separability. In this study, we present Classi4RPE, a computational algorithm designed to accurately segment RPE granules and classify them into three categories -- lipofuscin (L), melanolipofuscin (ML), and melanin (M) -- based on fluorescence lifetime imaging data, which provide distinctive contrast. The method is implemented in a custom Python framework and employs seeded watershed segmentation to isolate individual granules. Lipofuscin granules are identified as hyperfluorescent structures with longer lifetimes, while granules with shorter lifetimes are further analyzed based on their spatial lifetime distribution from the center to edge, enabling discrimination of ML from other melanin-rich granules. Our approach achieves high performance, with mean sensitivities of 0.99 for L granules and 0.90 for ML granules, and corresponding specificities of 0.93 and 0.98, respectively, compared to manually annotated ground truth. These results demonstrate the potential of Classi4RPE to surpass human visual limitations and provide a robust tool for quantitative RPE analysis.