Retinal vessel segmentation is critical for medical diagnosis, yet existing models often struggle to generalize across domains due to appearance variability, limited annotations, and complex vascular morphology. We propose GraphSeg, a variational Bayesian framework that integrates anatomical graph priors with structure-aware image decomposition to enhance cross-domain segmentation.

Retinal vessel segmentation is generally grounded in image-based datasets collected with bench-top devices.

Accurate detection of retinal vessels plays a critical role in reflecting a wide range of health status indicators in the clinical diagnosis of ocular diseases. Recently, advances in deep learning have led to a surge in retinal vessel segmentation methods, which have significantly contributed to the quantitative analysis of vascular morphology. However, retinal vasculature differs significantly from conventional segmentation targets in that it consists of extremely thin and branching structures, whose global morphology varies greatly across images. These characteristics continue to pose challenges to segmentation precision and robustness. To address these issues, we propose MM-UNet, a novel architecture tailored for efficient retinal vessel segmentation. The model incorporates Morph Mamba Convolution layers, which replace pointwise convolutions to enhance branching topological perception through morph, state-aware feature sampling. Additionally, Reverse Selective State Guidance modules integrate reverse guidance theory with state-space modeling to improve geometric boundary awareness and decoding efficiency. Extensive experiments conducted on two public retinal vessel segmentation datasets demonstrate the superior performance of the proposed method in segmentation accuracy. Compared to the existing approaches, MM-UNet achieves F1-score gains of 1.64 % on DRIVE and 1.25 % on STARE, demonstrating its effectiveness and advancement. The project code is public via https://github.com/liujiawen-jpg/MM-UNet.

Retinal vessel segmentation is generally grounded in image-based datasets collected with bench-top devices.

The emergence of powerful, general-purpose omnimodels capable of processing diverse data modalities has raised a critical question: can these ``jack-of-all-trades'' systems perform on par with highly specialized models in knowledge-intensive domains? This work investigates this question within the high-stakes field of medical image segmentation. We conduct a comparative study analyzing the zero-shot performance of a state-of-the-art omnimodel (Gemini, the ``Nano Banana'' model) against domain-specific deep learning models on three distinct tasks: polyp (endoscopy), retinal vessel (fundus), and breast tumor segmentation (ultrasound). Our study focuses on performance at the extremes by curating subsets of the ``easiest'' and ``hardest'' cases based on the specialist models' accuracy. Our findings reveal a nuanced and task-dependent landscape. For polyp and breast tumor segmentation, specialist models excel on easy samples, but the omnimodel demonstrates greater robustness on hard samples where specialists fail catastrophically. Conversely, for the fine-grained task of retinal vessel segmentation, the specialist model maintains superior performance across both easy and hard cases. Intriguingly, qualitative analysis suggests omnimodels may possess higher sensitivity, identifying subtle anatomical features missed by human annotators. Our results indicate that while current omnimodels are not yet a universal replacement for specialists, their unique strengths suggest a potential complementary role with specialist models, particularly in enhancing robustness on challenging edge cases.

Lightweight retinal vessel segmentation is important for the early diagnosis of vision-threatening and systemic diseases, especially in a real-world clinical environment with limited computational resources. Although segmentation methods based on deep learning are improving, existing models are still facing challenges of small vessel segmentation and high computational costs. To address these challenges, we proposed a new vascular segmentation network, LFA-Net, which incorporates a newly designed attention module, LiteFusion-Attention. This attention module incorporates residual learning connections, Vision Mamba-inspired dynamics, and modulation-based attention, enabling the model to capture local and global context efficiently and in a lightweight manner. LFA-Net offers high performance with 0.11 million parameters, 0.42 MB memory size, and 4.46 GFLOPs, which make it ideal for resource-constrained environments. We validated our proposed model on DRIVE, STARE, and CHASE_DB with outstanding performance in terms of dice scores of 83.28, 87.44, and 84.50% and Jaccard indices of 72.85, 79.31, and 74.70%, respectively. The code of LFA-Net is available online https://github.com/Mehwish4593/LFA-Net.

Retinal fundus images provide valuable insights into the human eye's interior structure and crucial features, such as blood vessels, optic disk, macula, and fovea. However, accurate segmentation of retinal blood vessels can be challenging due to imbalanced data distribution and varying vessel thickness. In this paper, we propose BLCB-CNN, a novel pipeline based on deep learning and bi-level class balancing scheme to achieve vessel segmentation in retinal fundus images. The BLCB-CNN scheme uses a Convolutional Neural Network (CNN) architecture and an empirical approach to balance the distribution of pixels across vessel and non-vessel classes and within thin and thick vessels. Level-I is used for vessel/non-vessel balancing and Level-II is used for thick/thin vessel balancing. Additionally, pre-processing of the input retinal fundus image is performed by Global Contrast Normalization (GCN), Contrast Limited Adaptive Histogram Equalization (CLAHE), and gamma corrections to increase intensity uniformity as well as to enhance the contrast between vessels and background pixels. The resulting balanced dataset is used for classification-based segmentation of the retinal vascular tree. We evaluate the proposed scheme on standard retinal fundus images and achieve superior performance measures, including an area under the ROC curve of 98.23%, Accuracy of 96.22%, Sensitivity of 81.57%, and Specificity of 97.65%. We also demonstrate the method's efficacy through external cross-validation on STARE images, confirming its generalization ability.

Retinal vessel segmentation is a vital early detection method for several severe ocular diseases. Despite significant progress in retinal vessel segmentation with the advancement of Neural Networks, there are still challenges to overcome. Specifically, retinal vessel segmentation aims to predict the class label for every pixel within a fundus image, with a primary focus on intra-image discrimination, making it vital for models to extract more discriminative features. Nevertheless, existing methods primarily focus on minimizing the difference between the output from the decoder and the label, but ignore fully using feature-level fine-grained representations from the encoder. To address these issues, we propose a novel Attention U-shaped Kolmogorov-Arnold Network named AttUKAN along with a novel Label-guided Pixel-wise Contrastive Loss for retinal vessel segmentation. Specifically, we implement Attention Gates into Kolmogorov-Arnold Networks to enhance model sensitivity by suppressing irrelevant feature activations and model interpretability by non-linear modeling of KAN blocks. Additionally, we also design a novel Label-guided Pixel-wise Contrastive Loss to supervise our proposed AttUKAN to extract more discriminative features by distinguishing between foreground vessel-pixel pairs and background pairs. Experiments are conducted across four public datasets including DRIVE, STARE, CHASE_DB1, HRF and our private dataset. AttUKAN achieves F1 scores of 82.50%, 81.14%, 81.34%, 80.21% and 80.09%, along with MIoU scores of 70.24%, 68.64%, 68.59%, 67.21% and 66.94% in the above datasets, which are the highest compared to 11 networks for retinal vessel segmentation. Quantitative and qualitative results show that our AttUKAN achieves state-of-the-art performance and outperforms existing retinal vessel segmentation methods. Our code will be available at https://github.com/stevezs315/AttUKAN.

The analysis of retinal images for the diagnosis of various diseases is one of the emerging areas of research. Recently, the research direction has been inclined towards investigating several changes in retinal blood vessels in subjects with many neurological disorders, including dementia. This research focuses on detecting diseases early by improving the performance of models for segmentation of retinal vessels with fewer parameters, which reduces computational costs and supports faster processing. This paper presents a novel lightweight encoder-decoder model that segments retinal vessels to improve the efficiency of disease detection. It incorporates multi-scale convolutional blocks in the encoder to accurately identify vessels of various sizes and thicknesses. The bottleneck of the model integrates the Focal Modulation Attention and Spatial Feature Refinement Blocks to refine and enhance essential features for efficient segmentation. The decoder upsamples features and integrates them with the corresponding feature in the encoder using skip connections and the spatial feature refinement block at every upsampling stage to enhance feature representation at various scales. The estimated computation complexity of our proposed model is around 29.60 GFLOP with 0.71 million parameters and 2.74 MB of memory size, and it is evaluated using public datasets, that is, DRIVE, CHASE\_DB, and STARE. It outperforms existing models with dice scores of 86.44\%, 84.22\%, and 87.88\%, respectively.

The extraction of blood vessels has recently experienced a widespread interest in medical image analysis. Automatic vessel segmentation is highly desirable to guide clinicians in computer-assisted diagnosis, therapy or surgical planning. Despite a good ability to extract large anatomical structures, the capacity of U-Net inspired architectures to automatically delineate vascular systems remains a major issue, especially given the scarcity of existing datasets. In this paper, we present a novel approach that integrates into deep segmentation shape priors from a Semi-Overcomplete Convolutional Auto-Encoder (S-OCAE) embedding. Compared to standard Convolutional Auto-Encoders (CAE), it exploits an over-complete branch that projects data onto higher dimensions to better characterize tiny structures. Experiments on retinal and liver vessel extraction, respectively performed on publicly-available DRIVE and 3D-IRCADb datasets, highlight the effectiveness of our method compared to U-Net trained without and with shape priors from a traditional CAE.