Retinal Vessel Segmentation Using Minimum Spanning Superpixel Tree Detector.

Accurate segmentation of retinal vessels is critical to the mechanism, diagnosis, and treatment of many ocular pathologies. Due to the poor contrast and inhomogeneous background of fundus imaging and the complex structure of retinal fundus images, this makes accurate segmentation of blood vessels from retinal images still challenging. In this paper, we propose an effective framework for retinal vascular segmentation, which is innovative mainly in the retinal image pre-processing stage and segmentation stage. First, we perform image enhancement on three publicly available fundus datasets based on the multiscale retinex with color restoration (MSRCR) method, which effectively suppresses noise and highlights the vessel structure creating a good basis for the segmentation phase. The processed fundus images are then fed into an effective Reverse Fusion Attention Residual Network (RFARN) for training to achieve more accurate retinal vessel segmentation. In the RFARN, we use Reverse Channel Attention Module (RCAM) and Reverse Spatial Attention Module (RSAM) to highlight the shallow details of the channel and spatial dimensions. And RCAM and RSAM are used to achieve effective fusion of deep local features with shallow global features to ensure the continuity and integrity of the segmented vessels. In the experimental results for the DRIVE, STARE and CHASE datasets, the evaluation metrics were 0.9712, 0.9822 and 0.9780 for accuracy (Acc), 0.8788, 0.8874 and 0.8352 for sensitivity (Se), 0.9803, 0.9891 and 0.9890 for specificity (Sp), area under the ROC curve(AUC) was 0.9910, 0.9952 and 0.9904, and the F1-Score was 0.8453, 0.8707 and 0.8185. In comparison with existing retinal image segmentation methods, e.g. UNet, R2UNet, DUNet, HAnet, Sine-Net, FANet, etc., our method in three fundus datasets achieved better vessel segmentation performance and results.

Purpose Retinal blood vessel image segmentation is an important step in ophthalmological analysis. However, it is difficult to segment small vessels accurately because of low contrast and complex feature information of blood vessels. The objective of this study is to develop an improved retinal blood vessel segmentation structure (WA-Net) to overcome these challenges. Methods This paper mainly focuses on the width of deep learning. The channels of the ResNet block were broadened to propagate more low-level features, and the identity mapping pathway was slimmed to maintain parameter complexity. A residual atrous spatial pyramid module was used to capture the retinal vessels at various scales. We applied weight normalization to eliminate the impacts of the mini-batch and improve segmentation accuracy. The experiments were performed on the DRIVE and STARE datasets. To show the generalizability of WA-Net, we performed cross-training between datasets. Results The global accuracy and specificity within datasets were 95.66% and 96.45% and 98.13% and 98.71%, respectively. The accuracy and area under the curve of the interdataset diverged only by 1%∼2% compared with the performance of the corresponding intradataset. Conclusion All the results show that WA-Net extracts more detailed blood vessels and shows superior performance on retinal blood vessel segmentation tasks.

Assessment of blood vessels in retinal images is an important factor for many medical disorders. The changes in the retinal vessels due to the pathologies can be easily identified by segmenting the retinal vessels. Segmentation of retinal vessels is done to identify the early diagnosis of the disease like glaucoma, diabetic retinopathy, macular degeneration, hypertensive retinopathy and arteriosclerosis. In this paper, we propose two automatic blood vessel segmentation methods. The first proposed algorithm starts with the extraction of blood vessel centerline pixels. The final segmentation is obtained using an iterative region growing method that merges the contents of several binary images resulting from vessel width dependent modified morphological filters on normalized retinal images. In the second proposed algorithm the blood vessel is segmented using normalized modified morphological operations and neuro fuzzy classifier. Normalized morphological operations are used to enhance the vessels and neuro fuzzy classifier is used to segment retinal blood vessels. These methods are applied on the publicly available DRIVE database and the experimental results obtained by using green channel images have been presented and their results are compared with recently published methods. The results demonstrate that our algorithms are very effective methods to detect retinal blood vessels. DOI: http://dx.doi.org/10.11591/ijece.v4i3.5829

Artery vein classification in fundus images using serially connected U-Nets

Automatic segmentation of the retinal vasculature is a first step in computer-assisted diagnosis and treatment planning. The extraction of retinal vessels in pediatric retinal images is challenging because of comparatively wide arterioles with a light streak running longitudinally along the vessel's center, the central vessel reflex. A new method for automatic segmentation was developed and tested. A supervised method for retinal vessel segmentation in the images of multi-ethnic school children was developed based on ensemble classifier of bootstrapped decision trees. A collection of dual Gaussian, second derivative of Gaussian and Gabor filters, along with the generalized multiscale line strength measure and morphological transformation is used to generate the feature vector. The feature vector encodes information to handle the normal vessels as well as the vessels with the central reflex. The methodology is evaluated on CHASE_DB1, a relatively new public retinal image database of multi-ethnic school children, which is a subset of retinal images from the Child Heart and Health Study in England (CHASE) dataset. The segmented retinal images from the CHASE_DB1 database produced best case accuracy, sensitivity and specificity of 0.96, 0.74 and 0.98, respectively, and worst case measures of 0.94, 0.67 and 0.98, respectively. A new retinal blood vessel segmentation algorithm was developed and tested with a shared database. The observed accuracy, speed, robustness and simplicity suggest that the algorithm may be a suitable tool for automated retinal image analysis in large population-based studies.

In this research, retinal blood vessel fundus images will be segmented. Moreover, bifurcation point of the segmented blood vessel images will be determined. The data used for this research was obtained from fundus image database of DRIVE (Digital Retinal Images for Vessel Extraction) dataset. The preprocessing phases contain of several steps such as green channel extraction, histogram equalization and optic disc elimination. Meanwhile, the segmentation phase was performed by combining two filtering methods. These methods are median and derivative of Gaussian filter. Median filter was used to reduce the noise on retinal fundus image such as hard and soft exudates as well as dot and blot hemorrhages. Combination of these two filtering methods were also employed to determine the bifurcation point of segmented blood vessel image. The bifurcation points and the result from blood vessel segmentation were among two of the unique parameters of retinal fundus image. These parameters will be used eventually as unique features of the advanced research which is a biometric system to identify an individual based on his/her unique retinal pattern.

The analysis of retinal vessel images plays a crucial role in the early diagnosis of various diseases. Existing retinal vascular segmentation algorithms rely only on convolutional neural networks (CNN) to carry out feature extraction. However, due to the local nature of the convolutional operation, the CNN-based algorithms are difficult to extract the global features of the picture and are insensitive to the position information of each feature, which leads to poor connectivity among the segmented retinal vessels and insufficient segmentation of fine vessels. Therefore, we propose a retinal vessel segmentation algorithm based on an axial transformer and CNN. In this algorithm, the axial transformer is used to encode the position of each feature of the image and extract their global features, and the CNN is used to extract the local features of the image. The experimental results on the CHASE DB1 dataset indicate that the proposed algorithm can effectively segment the fine vessels in retinal images and significantly improve the segmentation accuracy of retinal vessels.

Objective: The aim of this research is to present a novel computer-aided decision support tool in analyzing, quantifying, and evaluating the retinal blood vessel structure from fluorescein angiogram (FA) videos. Methods: The proposed method consists of three phases: i) image registration for large motion removal from FA videos, followed by ii) retinal vessel segmentation, and lastly, iii) segmentation-guided video magnification. In the image registration phase, individual frames of the FA video are spatiotemporally aligned using a novel wavelet-based registration approach to compensate for the global camera and patient motion. In the second phase, a capsule-based neural network architecture is employed to perform the segmentation of retinal vessels for the first time in the literature. In the final phase, a segmentation-guided Eulerian video magnification is proposed for magnifying subtle changes in the retinal video produced by blood flow through the retinal vessels. The magnification is applied only to the segmented vessels, as determined by the capsule network. This minimizes the high levels of noise present in FA videos and maximizes useful information, enabling ophthalmologists to more easily identify potential regions of pathology. Results: The collected FA video dataset consists of 1402 frames from 10 normal subjects (prospective study). Experimental results for retinal vessel segmentation show that the capsule-based algorithm outperforms a state-of-the-art CNN (U-Net), obtaining a higher dice coefficient (85.94%) and sensitivity (92.36%) while using just 5% of the network parameters. Qualitative analysis of the FA videos was performed after the final phase by expert ophthalmologists, supporting the claim that artificial intelligence assisted decision support tool can be helpful for providing a better analysis of blood flow dynamics. Conclusions: The authors introduce a novel computational tool, combining a wavelet-based video registration method with a deep learning capsule-based retinal vessel segmentation algorithm and a Eulerian video magnification technique to quantitatively and qualitatively analyze FA videos. To authors' best knowledge, this is the first-ever development of such a computational tool to assist ophthalmologists with analyzing blood flow in FA videos.

Automatic segmentation of medical pictures is a significant stage to extricate valuable data that can assist doctors to detect infections. Eye and systemic infections are known to show themselves in retinal vasculature. Retinal image segmentation is the undertaking of sectioning vessels in retina imagery. Segmentation of retinal vessel is one of the significant strides in retinal image analysis. The order that has been put together for the segmentation of vessel is the chief treatment, cinematography, feature selection, classifier development, testing, education and training in a variety of information and the evaluation of the presentation of the different measures. Many machine learning techniques have already been given by researchers to segment the blood vessels of the images of the retinal fundus of the eyes. A large portion of the accessible retinal vessels division strategies are inclined to more unfortunate outcomes when managing testing circumstances, such as, recognizing low-contrast miniature vessels, vessels with focal reflex, and vessels within the sight of pathologies. We classified the different methods of vascular segmentation of the controlled and uncontrolled practices. Moreover, in this work, we have reviewed and discussed various retinal image segmentation state-of-the-art techniques based on machine learning.

Retinal fundus image is a crucial tool for ophthalmologists to diagnose eye-related diseases. These images provide visual information of the interior layer of the retina structures such as optic disc, optic cup, blood vessels and macula that can assist ophthalmologist in determining the health of an eye. Segmentation of blood vessels in fundus images is one of the most fundamental phase in detecting diseases such as diabetic retinopathy. However, the ambiguity of the retina structures in the retinal fundus images presents a challenge for researcher to segment the blood vessels. Extensive pre-processing and training of the images is necessary for precise segmentation, which is very intricate and laborious. This paper proposes the implementation of object-oriented-based metadata (OOM) structures of each pixel in the retinal fundus images. These structures comprise of additional metadata towards the conventional red, green, and blue data for each pixel within the images. The segmentation of the blood vessels in the retinal fundus images are performed by considering these additional metadata that enunciates the location, color spaces, and neighboring pixels of each individual pixel. From the results, it is shown that accurate segmentation of retinal fundus blood vessels can be achieved by purely employing straightforward thresholding method via the OOM structures without extensive pre-processing image processing technique or data training.

Accurate retinal vessel segmentation plays a vital role in the early detection and diagnosis of ophthalmologic dis- eases such as diabetic retinopathy, glaucoma, and hypertension. Traditional image processing and machine learning techniques often struggle to capture the fine vessel structures and complex variations present in retinal fundus images. To overcome these limitations, this study proposes a hybrid deep learning framework that combines Convolutional Neural Networks (CNNs) and Gen- erative Adversarial Networks (GANs) for precise retinal vessel segmentation. In the proposed method, the CNN component serves as the feature extractor, learning multi-scale spatial and contextual features from retinal images, while the GAN framework enhances segmentation accuracy by employing a discriminator network that distinguishes between real and generated vessel maps. This adversarial learning setup encourages the generator to produce vessel segmentations that closely resemble ground truth images. Additionally, preprocessing techniques such as contrast enhancement and noise reduction are applied to improve the visibility of retinal structures, and post-processing steps refine the vessel boundaries for higher accuracy. Experimental results on publicly available retinal image datasets, such as DRIVE and STARE, demonstrate that the pro- posed GAN-CNN model outperforms conventional CNN-based segmentation methods in terms of accuracy, sensitivity, specificity, and Dice coefficient. The system achieves robust performance even under varying illumination and noise conditions. These findings indicate that integrating adversarial learning with convolutional feature extraction can significantly enhance retinal vessel segmentation, paving the way for more efficient and automated retinal disease screening systems

Accurate vessel segmentation in retinal images is vital for retinopathy diagnosis and analysis. However, existence of very thin vessels in low image contrast along with pathological conditions (e.g., capillary dilation or microaneurysms) render the segmentation task difficult. In this work, we present a novel approach for retinal vessel segmentation focusing on improving thin vessel segmentation. We develop a deep convolutional neural network (CNN), which exploits the specific characteristics of the input retinal data to use deep supervision, for improved segmentation accuracy. In particular, we use the average input retinal vessel width and match it with the layer-wise effective receptive fields (LERF) of the CNN to determine the location of the auxiliary supervision. This helps the network to pay more attention to thin vessels, that otherwise the network would ‘ignore’ during training. We verify our method on three public retinal vessel segmentation datasets (DRIVE, CHASE_DB1, and STARE), achieving better sensitivity (10.18% average increase) than state-of-the-art methods while maintaining comparable specificity, accuracy, and AUC.

Vascular diseases cause tortuosity in the retinal blood vessel's structure which can be identified using fundus images.The computerized retinal vessel tortuosity diagnosis is suffered from high time consuming and less accuracy due to the less effective retinal vessel segmentation algorithms.The success of retinal vessel tortuosity diagnosis depends on the performance quality of the vessel segmentation algorithm.Hence, this research proposes a new retinal vessel segmentation method, namely 'Retinal Vessel Segmentation using CLAHE and VJSTFD (RVSCV)'.The proposed segmentation method separates the vessel region from the background, tissue region, and Optic Disc (OD).It is constituted by two algorithms, viz.(i) vessel enhancement based on Contrast Limited Adaptive Histogram Equalization (CLAHE) and (ii) Vessel Joining algorithm based on vessel Skeletonization and Tetra vessel Flow Directions (VJSTFD).The CLAHE method, which is an existing method, enhances the vessel structure.The main contribution of this paper is the VJSTFD algorithm, which is a novel method to segment the vessel region from the enhanced fundus image.The VJSTFD algorithm makes a binary segmentation and joints the broken vessels in a novel approach through vessel skeletonization and tetra vessel flow directions-based vessel extension.The specialty of this approach is that minute vessels are also captured for segmentation even at the low contrast level because of the proposed preeminence vessel joining approach that is powered by tetra direction-based vessel searching.The CHASE_DB, RITE_DB, and STARE_DB databases have been involved in the testing process.These databases have retinal fundus images which clearly exposes the retinal vessel areas.Experimental results reveal that the proposed RVSCV method accomplishes the overall average F-score of 0.9580, along with the average segmentation accuracy of 96.73% in retinal vessel segmentation.The proposed method can be activated as a tool for ophthalmologists to extract the vessel course essentially.

The segmentation of fundus vascular images is a key step in retinal image processing and analysis. It plays an important role in the early prevention and diagnosis of eye diseases and blood system diseases. In view of the low accuracy of retinal blood vessel segmentation caused by the complex features of fundus images, the presence of soft, hard penetrant and bleeding noises, the low contrast between retinal blood vessels and background, uneven changes in width and curvature, small shape and blurred edges, this paper proposes a new network model RCU-Net for retinal vessel segmentation. Specifically, this paper proposes CBAM-Conv convolution block and RA-Conv convolution block based on visual attention mechanism (CBAM) and residual connection idea, which can make the network better use of the information at the spatial and channel levels. Experiments were carried out in public datasets DRIVE and CHASE_DB1. The accuracy, sensitivity, F1-Score and AUC of RCU-Net network on DRIVE datasets reached 96.75%, 82.02%, 81.45% and 98.33% respectively. Compared with the classical U-Net network, the proposed model can effectively improve the performance of retinal vessel segmentation.

The retinal vessel segmentation task plays an important role in clinical diagnosis and treatment, especially in cardiovascular diseases such as diabetic retinopathy and hypertensive retinopathy. Recently, the fully convolutional neural network, as a popular learning-based segmentation method, has been demonstrated to yield highly segmentation performance in vessel wall segmentation tasks. However, the major network factors affecting the performance of segmentation are still not obvious. This paper uses the single-factor control variable method to investigates the effects of network architectures (FCN network and U-Net network) and other network factors (pooling times, patch size, number of skip connection, and network depth) on retinal blood vessel segmentation. Our experiments are performed on two public fundus image database DRIVE and STARE. The results show that U-net is better than FCN and skip connections, proper pooling times, dilated convolution is vital to obtain better performance of retinal vessel segmentation.