In this paper, we present the VMSE U-Net and VM-Unet CBAM+ model, two cutting-edge deep learning architectures designed to enhance medical image segmentation. Our approach integrates Squeeze-and-Excitation (SE) and Convolutional Block Attention Module (CBAM) techniques into the traditional VM U-Net framework, significantly improving segmentation accuracy, feature localization, and computational efficiency. Both models show superior performance compared to the baseline VM-Unet across multiple datasets. Notably, VMSEUnet achieves the highest accuracy, IoU, precision, and recall while maintaining low loss values. It also exhibits exceptional computational efficiency with faster inference times and lower memory usage on both GPU and CPU. Overall, the study suggests that the enhanced architecture VMSE-Unet is a valuable tool for medical image analysis. These findings highlight its potential for real-world clinical applications, emphasizing the importance of further research to optimize accuracy, robustness, and computational efficiency.

This study presents an AI-driven pipeline for automated retinal segmentation and thickness analysis in diabetic retinopathy (DR) using SD-OCT imaging. A deep neural network was trained to segment ten retinal layers, intra-retinal fluid, and hyperreflective foci (HRF), with performance evaluated across multiple architectures. SwinUNETR achieved the highest segmentation accuracy, while VM-Unet excelled in specific layers. Analysis revealed distinct thickness variations between NPDR and PDR, with correlations between layer thickness and visual acuity. The proposed method enhances DR assessment by reducing manual annotation effort and providing clinically relevant thickness maps for disease monitoring and treatment planning.

Coronary artery disease (CAD) is one of the most prevalent diseases in the cardiovascular field and one of the major contributors to death worldwide. Computed Tomography Angiography (CTA) images are regarded as the authoritative standard for the diagnosis of coronary artery disease, and by performing vessel segmentation and stenosis detection on CTA images, physicians are able to diagnose coronary artery disease more accurately. In order to combine the advantages of both the base model and the domain-specific model, and to achieve high-precision and fully-automatic segmentation and detection with a limited number of training samples, we propose a novel architecture, SAM-VMNet, which combines the powerful feature extraction capability of MedSAM with the advantage of the linear complexity of the visual state-space model of VM-UNet, giving it faster inferences than Vision Transformer with faster inference speed and stronger data processing capability, achieving higher segmentation accuracy and stability for CTA images. Experimental results show that the SAM-VMNet architecture performs excellently in the CTA image segmentation task, with a segmentation accuracy of up to 98.32% and a sensitivity of up to 99.33%, which is significantly better than other existing models and has stronger domain adaptability. Comprehensive evaluation of the CTA image segmentation task shows that SAM-VMNet accurately extracts the vascular trunks and capillaries, demonstrating its great potential and wide range of application scenarios for the vascular segmentation task, and also laying a solid foundation for further stenosis detection.