Development and Evaluation of a Keypoint-Based Video Stabilization Pipeline for Oral Capillaroscopy

Capillaroscopy imaging is a non-invasive technique used to examine the microcirculation of the oral mucosa. However, the acquired video sequences are often affected by motion noise and shaking, which can compromise diagnostic accuracy and hinder the development of automated systems for capillary identification and segmentation. To address these challenges, we implemented a comprehensive video stabilization model, structured as a multi-phase pipeline and visually represented through a flow-chart. The proposed method integrates keypoint extraction, optical flow estimation, and affine transformation-based frame alignment to enhance video stability. Within this framework, we evaluated the performance of three keypoint extraction algorithms-Scale-Invariant Feature Transform (SIFT), Oriented FAST and Rotated BRIEF (ORB) and Good Features to Track (GFTT)-on a curated dataset of oral capillaroscopy videos. To simulate real-world acquisition conditions, synthetic tremors were introduced via Gaussian affine transformations. Experimental results demonstrate that all three algorithms yield comparable stabilization performance, with GFTT offering slightly higher structural fidelity and ORB excelling in computational efficiency. These findings validate the effectiveness of the proposed model and highlight its potential for improving the quality and reliability of oral videocapillaroscopy imaging. Experimental evaluation showed that the proposed pipeline achieved an average SSIM of 0.789 and reduced jitter to 25.8, compared to the perturbed input sequences. In addition, path smoothness and RMS errors (translation and rotation) consistently indicated improved stabilization across all tested feature extractors. Compared to previous stabilization approaches in nailfold capillaroscopy, our method achieved comparable or superior structural fidelity while maintaining computational efficiency.