Abstract

Microaneurysms, tiny, circular red dots that occur in retinal fundus images, are one of the earliest symptoms of diabetic retinopathy. Because microaneurysms are small and delicate, detecting them can be difficult. Their small size and cunning character make automatic detection of them difficult. In this study, a novel encoder-decoder network is proposed to segment the MAs automatically and accurately. The encoder part mainly consists of three parts: a low-level feature extraction module composed of a dense connectivity block (Dense Block), a High-resolution Block (HR Block), and an Atrous Spatial Pyramid Pooling (ASPP) module, of which the latter two modules are used to extract high-level information. Therefore, the network is named a Multi-Level Features based Deep Convolutional Neural Network (MF-DCNN). The proposed decoder takes advantage of the multi-scale features from the encoder to predict MA regions. Compared with the existing methods on three datasets, it is proved that the proposed method is better than the current excellent methods in the segmentation results of the normal and abnormal fundus. In the case of fewer network parameters, MF-DCNN achieves better prediction performance on intersection over union (IoU), dice similarity coefficient (DSC), and other evaluation metrics. MF-DCNN is lightweight and able to use multi-scale features to predict MA regions. It can be used to automatically segment the MA and assist in computer-aided diagnosis.

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