An Ultra-Widefield Swept-Source OCTA Dataset and a Polar-Gated Mamba Network for Retinal Vessel Segmentation

Existing deep learning frameworks for Optical Coherence Tomography Angiography (OCTA) vessel segmentation are largely derived from the U-Net architecture, which serves as the foundation for most current designs. However, most of these methods focus only on holistic representation, struggling to address the problem of low local contrast unique to OCTA, which leads to vessel discontinuities and loss of detail. To address these problems, we propose LSENet, which builds upon the U-Net architecture by introducing three core innovative modules: To address vessel discontinuities, we introduce the Patch Information Enhance module (PIE), which replaces standard skip connections to execute patch-wise attention. To mitigate detail loss, the Multiscale Feature Fusion module (MFF) is proposed to feed the PIE module rich, multi-scale information by extracting visually interpretable features from both the original input and preceding layers. Finally, the Connectivity Refinement Decoder (CRD) is designed to refine features from all levels and utilize a large kernel in the final convolutional layer to reduce fragmentation. Experiments on three public datasets (OCTA-500, ROSE-1, and ROSSA) demonstrate that our proposed LSENet achieves state-of-the-art performance while requiring fewer parameters.

Retinal vessel segmentation is crucial for diagnosis and assessment of ocular diseases. Notably, segmentation of small retinal vessels has been consistently recognized as a challenging and complex task. To tackle this challenge, we design a hybrid CNN-Mamba fusion network that integrates polygon scanning mamba and space-frequency collaborative attention mechanism for the detection of small vessels. Considering that the traditional mamba architecture with horizontal-vertical scanning may compromise the topological integrity of target structures and result in local discontinuities in small retinal vessels, we present a polygon scanning visual state space model (PS-VSS) to identify small vessel structural features by multi-layer reverse scanning way. Which effectively preserves pixels connectivity, thereby substantially mitigating the loss of information pertaining to small vessels. Furthermore, as we all known that the spatial domain prioritizes positional and structural information, while the frequency domain emphasizes global perception and local detail components, a space-frequency collaborative attention mechanism (SFCAM) is introduced within the skip connection to extract efficient features from the spatial and frequency domains. This strategy empowers the model to dynamically enhance the key features while effectively suppressing clutters. To assess the efficacy of our model, it was tested on three publicly available datasets: DRIVE, STARE, and CHASE_DB1. Compared to manual annotations, our model demonstrated F1 scores of 0.8283, 0.8282, and 0.8251, Area Under Curve (AUC) values of 0.9806, 0.9840, and 0.9866, and Sensitivity (SE) values of of 0.8268, 0.8314, and 0.8484 across three datasets, respectively. The effectiveness of our model was validated through both visual inspection and quantitative analysis.

Vascular structures in the retina contain important information for the detection and analysis of ocular diseases, including age-related macular degeneration, diabetic retinopathy and glaucoma. Commonly used modalities in diagnosis of these diseases are fundus photography, scanning laser ophthalmoscope (SLO) and fluorescein angiography (FA). Typically, retinal vessel segmentation is carried out either manually or interactively, which makes it time consuming and prone to human errors. In this research, we propose a new multi-modal framework for vessel segmentation called ELEMENT (vEsseL sEgmentation using Machine lEarning and coNnecTivity). This framework consists of feature extraction and pixel-based classification using region growing and machine learning. The proposed features capture complementary evidence based on grey level and vessel connectivity properties. The latter information is seamlessly propagated through the pixels at the classification phase. ELEMENT reduces inconsistencies and speeds up the segmentation throughput. We analyze and compare the performance of the proposed approach against state-of-the-art vessel segmentation algorithms in three major groups of experiments, for each of the ocular modalities. Our method produced higher overall performance, with an overall accuracy of 97.40%, compared to 25 of the 26 state-of-the-art approaches, including six works based on deep learning, evaluated on the widely known DRIVE fundus image dataset. In the case of the STARE, CHASE-DB, VAMPIRE FA, IOSTAR SLO and RC-SLO datasets, the proposed framework outperformed all of the state-of-the-art methods with accuracies of 98.27%, 97.78%, 98.34%, 98.04% and 98.35%, respectively.