Abstract

The segmentation and classification of retinal arterioles and venules play an important role in the diagnosis of various eye diseases and systemic diseases. The major challenges include complicated vessel structure, inhomogeneous illumination, and large background variation across subjects. In this study, we employ a fully convolutional network to simultaneously segment arterioles and venules directly from the retinal image, rather than using a vessel segmentation-arteriovenous classification strategy as reported in most literature. To simultaneously segment retinal arterioles and venules, we configured the fully convolutional network to allow true color image as input and multiple labels as output. A domain-specific loss function was designed to improve the overall performance. The proposed method was assessed extensively on public data sets and compared with the state-of-the-art methods in literature. The sensitivity and specificity of overall vessel segmentation on DRIVE is 0.944 and 0.955 with a misclassification rate of 10.3% and 9.6% for arteriole and venule, respectively. The proposed method outperformed the state-of-the-art methods and avoided possible error-propagation as in the segmentation-classification strategy. The proposed method was further validated on a new database consisting of retinal images of different qualities and diseases. The proposed method holds great potential for the diagnostics and screening of various eye diseases and systemic diseases.

Highlights

  • Retinal arterioles and venules, defined as small blood vessels directly before and after the capillaries, are the only human microcirculation that can be non-invasively observed in vivo with an optical method

  • Various eye diseases and systemic diseases manifest themselves on the fundus image as retinal arteriole and venule changes [1, 2]

  • The proposed method achieves significantly better Se of 0.944 and comparable Sp of 0.955 compared with the state-of-the-art methods

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Summary

Introduction

Retinal arterioles and venules, defined as small blood vessels directly before and after the capillaries, are the only human microcirculation that can be non-invasively observed in vivo with an optical method. Various eye diseases and systemic diseases manifest themselves on the fundus image as retinal arteriole and venule changes [1, 2]. Diseases may affect the arterioles and venules differently. Identifying and quantifying the changes of retinal arterioles and venules may serve as potential biomarkers for the diagnosis and long-term monitoring of these diseases. It is of great importance to automatically segment and analyze the arterioles and venules individually on the retinal images. By projecting three-dimensional vascular trees to a twodimensional image, the vessel trees are overlapped with incomplete structures. The retina shows diverse background pigmentation across images because of different biological characteristics (i.e., races and ages)

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