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
Background:Diabetic macular edema is a prevalent retinal condition and a leading cause of visual impairment among diabetic patients’Early detection of affected areas is beneficial for effective diagnosis and treatmen...Background:Diabetic macular edema is a prevalent retinal condition and a leading cause of visual impairment among diabetic patients’Early detection of affected areas is beneficial for effective diagnosis and treatment.Traditionally,diagnosis relies on optical coherence tomography imaging technology interpreted by ophthalmologists.However,this manual image interpretation is often slow and subjective.Therefore,developing automated segmentation for macular edema images is essential to enhance to improve the diagnosis efficiency and accuracy.Methods:In order to improve clinical diagnostic efficiency and accuracy,we proposed a SegNet network structure integrated with a convolutional block attention module(CBAM).This network introduces a multi-scale input module,the CBAM attention mechanism,and jump connection.The multi-scale input module enhances the network’s perceptual capabilities,while the lightweight CBAM effectively fuses relevant features across channels and spatial dimensions,allowing for better learning of varying information levels.Results:Experimental results demonstrate that the proposed network achieves an IoU of 80.127%and an accuracy of 99.162%.Compared to the traditional segmentation network,this model has fewer parameters,faster training and testing speed,and superior performance on semantic segmentation tasks,indicating its highly practical applicability.Conclusion:The C-SegNet proposed in this study enables accurate segmentation of Diabetic macular edema lesion images,which facilitates quicker diagnosis for healthcare professionals.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.
基金supported by the Guangdong Pharmaceutical University 2024 Higher Education Research Projects(GKP202403,GMP202402)the Guangdong Pharmaceutical University College Students’Innovation and Entrepreneurship Training Programs(Grant No.202504302033,202504302034,202504302036,and 202504302244).
文摘Background:Diabetic macular edema is a prevalent retinal condition and a leading cause of visual impairment among diabetic patients’Early detection of affected areas is beneficial for effective diagnosis and treatment.Traditionally,diagnosis relies on optical coherence tomography imaging technology interpreted by ophthalmologists.However,this manual image interpretation is often slow and subjective.Therefore,developing automated segmentation for macular edema images is essential to enhance to improve the diagnosis efficiency and accuracy.Methods:In order to improve clinical diagnostic efficiency and accuracy,we proposed a SegNet network structure integrated with a convolutional block attention module(CBAM).This network introduces a multi-scale input module,the CBAM attention mechanism,and jump connection.The multi-scale input module enhances the network’s perceptual capabilities,while the lightweight CBAM effectively fuses relevant features across channels and spatial dimensions,allowing for better learning of varying information levels.Results:Experimental results demonstrate that the proposed network achieves an IoU of 80.127%and an accuracy of 99.162%.Compared to the traditional segmentation network,this model has fewer parameters,faster training and testing speed,and superior performance on semantic segmentation tasks,indicating its highly practical applicability.Conclusion:The C-SegNet proposed in this study enables accurate segmentation of Diabetic macular edema lesion images,which facilitates quicker diagnosis for healthcare professionals.
