Background:Diabetic retinopathy(DR)is one of the primary causes of visual impairment globally,resulting from microvascular abnormalities in the retina.Accurate segmentation of retinal blood vessels from fundus images ...Background:Diabetic retinopathy(DR)is one of the primary causes of visual impairment globally,resulting from microvascular abnormalities in the retina.Accurate segmentation of retinal blood vessels from fundus images plays a pivotal role in the early diagnosis,progression monitoring,and treatment planning of DR and related ocular conditions.Traditional convolutional neural networks often struggle with capturing the intricate structures of thin vessels under varied illumination and contrast conditions.Methods:In this study,we propose an improved U-Net-based framework named MSAC U-Net,which enhances feature extraction and reconstruction through multiscale and attention-based modules.Specifically,the encoder replaces standard convolutions with a Multiscale Asymmetric Convolution(MSAC)block,incorporating parallel 1×n,n×1,and n×n kernels at different scales(3×3,5×5,7×7)to effectively capture fine-grained vascular structures.To further refine spatial representation,skip connections are utilized,and the decoder is augmented with dual activation strategies,Squeeze-and-Excitation blocks,and Convolutional Block Attention Modules for improved contextual understanding.Results:The model was evaluated on the publicly available DRIVE dataset.It achieved an accuracy of 96.48%,sensitivity of 88.31%,specificity of 97.90%,and an AUC of 98.59%,demonstrating superior performance compared to several state-of-the-art segmentation methods.Conclusion:The proposed MSAC U-Net provides a robust and accurate approach for retinal vessel segmentation,offering substantial clinical value in the early detection and management of diabetic retinopathy.Its design contributes to enhanced segmentation reliability and may serve as a foundation for broader applications in medical image analysis.展开更多
基金supported by the Guangdong Basic and Applied Basic Research Foundation(2024A1515010987)the Medical Scientific Research Foundation of Guangdong Province(B2024035).
文摘Background:Diabetic retinopathy(DR)is one of the primary causes of visual impairment globally,resulting from microvascular abnormalities in the retina.Accurate segmentation of retinal blood vessels from fundus images plays a pivotal role in the early diagnosis,progression monitoring,and treatment planning of DR and related ocular conditions.Traditional convolutional neural networks often struggle with capturing the intricate structures of thin vessels under varied illumination and contrast conditions.Methods:In this study,we propose an improved U-Net-based framework named MSAC U-Net,which enhances feature extraction and reconstruction through multiscale and attention-based modules.Specifically,the encoder replaces standard convolutions with a Multiscale Asymmetric Convolution(MSAC)block,incorporating parallel 1×n,n×1,and n×n kernels at different scales(3×3,5×5,7×7)to effectively capture fine-grained vascular structures.To further refine spatial representation,skip connections are utilized,and the decoder is augmented with dual activation strategies,Squeeze-and-Excitation blocks,and Convolutional Block Attention Modules for improved contextual understanding.Results:The model was evaluated on the publicly available DRIVE dataset.It achieved an accuracy of 96.48%,sensitivity of 88.31%,specificity of 97.90%,and an AUC of 98.59%,demonstrating superior performance compared to several state-of-the-art segmentation methods.Conclusion:The proposed MSAC U-Net provides a robust and accurate approach for retinal vessel segmentation,offering substantial clinical value in the early detection and management of diabetic retinopathy.Its design contributes to enhanced segmentation reliability and may serve as a foundation for broader applications in medical image analysis.
