Chu Bing, Zhao Jinsong, Zheng Wenqiang, Xu Zhengyuan
Department of Medical Engineering, Wannan Medical College, WuHu, AnHui, 241002, China.
School of Medical Imageology, Wannan Medical College, WuHu, AnHui, 241002, China.
BMC Ophthalmol. 2025 Feb 21;25(1):86. doi: 10.1186/s12886-025-03908-0.
Morphological changes in the retina are crucial and serve as valuable references in the clinical diagnosis of ophthalmic and cardiovascular diseases. However, the retinal vascular structure is complex, making manual segmentation time-consuming and labor-intensive.
This paper proposes a retinal segmentation network that integrates feature channel attention and the Convolutional Block Attention Module (CBAM) attention within the UNet model. First, a feature channel attention module is introduced into the RSU (Residual Spatial Unit) block of UNet, forming an Attention-RSU block, which focuses more on significant areas during feature extraction and suppresses the influence of noise; Second, a Spatial Attention Module (SAM) is introduced into the high-resolution module of Attention-RSU to enrich feature extraction from both spatial and channel dimensions, and a Channel Attention Module (CAM) is integrated into the lowresolution module of Attention-RSU, which uses dual channel attention to reduce detail loss.Finally, dilated convolution is applied during the upscaling and downscaling processes to expand the receptive field in low-resolution states, allowing the model to better integrate contextual information.
The evaluation across multiple clinical datasets demonstrated excellent performance on various metrics, with an accuracy (ACC) of 98.71%.
The proposed Network is general enough and we believe it can be easily extended to other medical image segmentation tasks where large scale variation and complicated features are the main challenges.
视网膜的形态变化至关重要,是眼科和心血管疾病临床诊断中有价值的参考依据。然而,视网膜血管结构复杂,使得手动分割既耗时又费力。
本文提出一种视网膜分割网络,该网络在U-Net模型中集成了特征通道注意力和卷积块注意力模块(CBAM)注意力。首先,将特征通道注意力模块引入U-Net的RSU(残差空间单元)块中,形成注意力-RSU块,其在特征提取过程中更关注重要区域,并抑制噪声的影响;其次,将空间注意力模块(SAM)引入注意力-RSU的高分辨率模块中,以从空间和通道维度丰富特征提取,并且将通道注意力模块(CAM)集成到注意力-RSU的低分辨率模块中,其使用双通道注意力来减少细节损失。最后,在升采样和降采样过程中应用空洞卷积,以在低分辨率状态下扩展感受野,使模型能够更好地整合上下文信息。
在多个临床数据集上的评估表明,该模型在各项指标上均表现出色,准确率(ACC)达到98.71%。
所提出的网络具有足够的通用性,我们相信它可以很容易地扩展到其他医学图像分割任务,在这些任务中,大规模变化和复杂特征是主要挑战。