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Register a new userContextual Information Enhanced Convolutional Neural Networks for Retinal Vessel Segmentation in Color Fundus Images
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Accurate retinal vessel segmentation is a challenging problem in color fundus image analysis. An automatic retinal vessel segmentation system can effectively facilitate clinical diagnosis and ophthalmological research. Technically, this problem suffers from various degrees of vessel thickness, perception of details, and contextual feature fusion. For addressing these challenges, a deep learning based method has been proposed and several customized modules have been integrated into the well-known encoder-decoder architecture U-net, which is mainly employed in medical image segmentation. Structurally, cascaded dilated convolutional modules have been integrated into the intermediate layers, for obtaining larger receptive field and generating denser encoded feature maps. Also, the advantages of the pyramid module with spatial continuity have been taken, for multi-thickness perception, detail refinement, and contextual feature fusion. Additionally, the effectiveness of different normalization approaches has been discussed in network training for different datasets with specific properties. Experimentally, sufficient comparative experiments have been enforced on three retinal vessel segmentation datasets, DRIVE, CHASEDB1, and the unhealthy dataset STARE. As a result, the proposed method outperforms the work of predecessors and achieves state-of-the-art performance in Sensitivity/Recall, F1-score and MCC.
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Retinal blood vessel can assist doctors in diagnosis of eye-related diseases such as diabetes and hypertension, and its segmentation is particularly important for automatic retinal image analysis. However, it is challenging to segment these vessels structures, especially the thin capillaries from the color retinal image due to low contrast and ambiguousness. In this paper, we propose pyramid U-Net for accurate retinal vessel segmentation. In pyramid U-Net, the proposed pyramid-scale aggregation blocks (PSABs) are employed in both the encoder and decoder to aggregate features at higher, current and lower levels. In this way, coarse-to-fine context information is shared and aggregated in each block thus to improve the location of capillaries. To further improve performance, two optimizations including pyramid inputs enhancement and deep pyramid supervision are applied to PSABs in the encoder and decoder, respectively. For PSABs in the encoder, scaled input images are added as extra inputs. While for PSABs in the decoder, scaled intermediate outputs are supervised by the scaled segmentation labels. Extensive evaluations show that our pyramid U-Net outperforms the current state-of-the-art methods on the public DRIVE and CHASE-DB1 datasets.
Retinal artery/vein (A/V) classification plays a critical role in the clinical biomarker study of how various systemic and cardiovascular diseases affect the retinal vessels. Conventional methods of automated A/V classification are generally complicated and heavily depend on the accurate vessel segmentation. In this paper, we propose a multi-task deep neural network with spatial activation mechanism that is able to segment full retinal vessel, artery and vein simultaneously, without the pre-requirement of vessel segmentation. The input module of the network integrates the domain knowledge of widely used retinal preprocessing and vessel enhancement techniques. We specially customize the output block of the network with a spatial activation mechanism, which takes advantage of a relatively easier task of vessel segmentation and exploits it to boost the performance of A/V classification. In addition, deep supervision is introduced to the network to assist the low level layers to extract more semantic information. The proposed network achieves pixel-wise accuracy of 95.70% for vessel segmentation, and A/V classification accuracy of 94.50%, which is the state-of-the-art performance for both tasks on the AV-DRIVE dataset. Furthermore, we have also tested the model performance on INSPIRE-AVR dataset, which achieves a skeletal A/V classification accuracy of 91.6%.
3D to 2D retinal vessel segmentation is a challenging problem in Optical Coherence Tomography Angiography (OCTA) images. Accurate retinal vessel segmentation is important for the diagnosis and prevention of ophthalmic diseases. However, making full use of the 3D data of OCTA volumes is a vital factor for obtaining satisfactory segmentation results. In this paper, we propose a Progressive Attention-Enhanced Network (PAENet) based on attention mechanisms to extract rich feature representation. Specifically, the framework consists of two main parts, the three-dimensional feature learning path and the two-dimensional segmentation path. In the three-dimensional feature learning path, we design a novel Adaptive Pooling Module (APM) and propose a new Quadruple Attention Module (QAM). The APM captures dependencies along the projection direction of volumes and learns a series of pooling coefficients for feature fusion, which efficiently reduces feature dimension. In addition, the QAM reweights the features by capturing four-group cross-dimension dependencies, which makes maximum use of 4D feature tensors. In the two-dimensional segmentation path, to acquire more detailed information, we propose a Feature Fusion Module (FFM) to inject 3D information into the 2D path. Meanwhile, we adopt the Polarized Self-Attention (PSA) block to model the semantic interdependencies in spatial and channel dimensions respectively. Experimentally, our extensive experiments on the OCTA-500 dataset show that our proposed algorithm achieves state-of-the-art performance compared with previous methods.
Retinal fundus images are widely used for the clinical screening and diagnosis of eye diseases. However, fundus images captured by operators with various levels of experience have a large variation in quality. Low-quality fundus images increase uncertainty in clinical observation and lead to the risk of misdiagnosis. However, due to the special optical beam of fundus imaging and structure of the retina, natural image enhancement methods cannot be utilized directly to address this. In this paper, we first analyze the ophthalmoscope imaging system and simulate a reliable degradation of major inferior-quality factors, including uneven illumination, image blurring, and artifacts. Then, based on the degradation model, a clinically oriented fundus enhancement network (cofe-Net) is proposed to suppress global degradation factors, while simultaneously preserving anatomical retinal structures and pathological characteristics for clinical observation and analysis. Experiments on both synthetic and real images demonstrate that our algorithm effectively corrects low-quality fundus images without losing retinal details. Moreover, we also show that the fundus correction method can benefit medical image analysis applications, e.g., retinal vessel segmentation and optic disc/cup detection.
The precise detection of blood vessels in retinal images is crucial to the early diagnosis of the retinal vascular diseases, e.g., diabetic, hypertensive and solar retinopathies. Existing works often fail in predicting the abnormal areas, e.g, sudden brighter and darker areas and are inclined to predict a pixel to background due to the significant class imbalance, leading to high accuracy and specificity while low sensitivity. To that end, we propose a novel error attention refining network (ERA-Net) that is capable of learning and predicting the potential false predictions in a two-stage manner for effective retinal vessel segmentation. The proposed ERA-Net in the refine stage drives the model to focus on and refine the segmentation errors produced in the initial training stage. To achieve this, unlike most previous attention approaches that run in an unsupervised manner, we introduce a novel error attention mechanism which considers the differences between the ground truth and the initial segmentation masks as the ground truth to supervise the attention map learning. Experimental results demonstrate that our method achieves state-of-the-art performance on two common retinal blood vessel datasets.
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