Abstract
The automatic artery/vein (A/V) classification in retinal fundus images plays a significant role in detecting vascular abnormalities and could speed up the diagnosis of various systemic diseases. Deep-learning methods have been extensively employed in this task. However, due to the lack of annotated data and the serious data imbalance, the performance of the existing methods is constricted. To address these limitations, we propose a novel multi-channel multi-scale fusion network (MMF-Net) that employs the enhancement of vessel structural information to constrain the A/V classification. First, the newly designed multi-channel (MM) module could extract the vessel structure from the original fundus image by the frequency filters, increasing the proportion of blood vessel pixels and reducing the influence caused by the background pixels. Second, the MMF-Net introduces a multi-scale transformation (MT) module, which could efficiently extract the information from the multi-channel feature representations. Third, the MMF-Net utilizes a multi-feature fusion (MF) module to improve the robustness of A/V classification by splitting and reorganizing the pixel feature from different scales. We validate our results on several public benchmark datasets. The experimental results show that the proposed method could achieve the best result compared with the existing state-of-the-art methods, which demonstrate the superior performance of the MMF-Net. The highly optimized Python implementations of our method is released at: https://github.com/chenchouyu/MMF_Net.
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The datasets generated during and/or analysed during the current study are available in the https://medicine.uiowa.edu/eye/rite-dataset, https://www5.cs.fau.de/research/data/fundus-images/, and https://www.idiap.ch/software/bob/docs/bob/bob.db.iostar/stable/ repository
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References
Wong TY, Klein R, Sharrett AR, Duncan BB, Couper DJ, Klein BE, Hubbard LD, Nieto FJ (2004) Retinal arteriolar diameter and risk for hypertension. Ann Intern Med 140(4):248–255
Pellegrini E, Robertson G, MacGillivray T, Hemert J, Houston G, Trucco E (2017) A graph cut approach to artery/vein classification in ultra-widefield scanning laser ophthalmoscopy. IEEE Trans Med Imaging 37(2):516–526
Huang F, Dashtbozorg B, Tan T, Haar Romeny BM (2018) Retinal artery/vein classification using genetic-search feature selection. Comput Methods Programs Biomed 161:197–207
Li L, Verma M, Nakashima Y, Kawasaki R, Nagahara H (2020) Joint learning of vessel segmentation and artery/vein classification with post-processing. Proceedings of Machine Learning Research 1:14
Hu J, Wang H, Cao Z, Wu G, Jonas JB, Wang YX, Zhang J (2021) Automatic artery/vein classification using a vessel-constraint network for multicenter fundus images. Frontiers in Cell and Developmental Biology 9
Zhang C, Bi J, Xu S, Ramentol E, Fan G, Qiao B, Fujita H (2019) Multi-imbalance: An open-source software for multi-class imbalance learning. Knowl-Based Syst 174:137–143
Zhang S, Li Z, Yan S, He X, Sun J (2021) Distribution alignment: A unified framework for long-tail visual recognition. In: Proceedings of the IEEE/CVF Conference on Computer Vision and Pattern Recognition, pp 2361–2370
Xu X, Wang R, Lv P, Gao B, Li C, Tian Z, Tan T, Xu F (2018) Simultaneous arteriole and venule segmentation with domain-specific loss function on a new public database. Biomedical Optics Express 9(7):3153–3166
Girard F, Kavalec C, Cheriet F (2019) Joint segmentation and classification of retinal arteries/veins from fundus images. Artif Intell Med 94:96–109
Karlsson RA, Hardarson SH (2022) Artery vein classification in fundus images using serially connected u-nets. Comput Methods Programs Biomed 216:106650
Wang Z, Lin J, Wang R, Zheng W (2019) Retinal artery/vein classification via rotation augmentation and deeply supervised u-net segmentation. ICBIP 2019:71–76
Ma W, Yu S, Ma K, Wang J, Ding X, Zheng Y (2019) Multi-task neural networks with spatial activation for retinal vessel segmentation and artery/vein classification. In: International Conference on Medical Image Computing and Computer-Assisted Intervention, pp 769–778
Wu Y, Xia Y, Zhang Y (2018a) Deep classification and segmentation model for vessel extraction in retinal images. In: Chinese Conference on Pattern Recognition and Computer Vision (PRCV), pp 250–258
Wu Y, Xia Y, Song Y, Zhang Y, Cai W (2018b) Multiscale network followed network model for retinal vessel segmentation. In: International Conference on Medical Image Computing and Computer-assisted Intervention, pp 119–126
Wang B, Wang S, Qiu S, Wei W, Wang H, He H (2020) Csu-net: a context spatial u-net for accurate blood vessel segmentation in fundus images. IEEE Journal of Biomedical and Health Informatics 25(4):1128–1138
Fu H, Cheng J, Xu Y, Wong DWK, Liu J, Cao X (2018) Joint optic disc and cup segmentation based on multi-label deep network and polar transformation. IEEE Trans Med Imaging 1597–1605
Mishra S, Wang YX, Wei CC, Chen DZ, Hu XS (2021) Vtg-net: a cnn based vessel topology graph network for retinal artery/vein classification. Frontiers in Medicine 2124
Tan Y, Yang K-F, Zhao S-X, Li Y-J (2022) Retinal vessel segmentation with skeletal prior and contrastive loss. IEEE Trans Med Imaging 41(9):2238–2251
Guo C, Szemenyei M, Yi Y, Wang W, Chen B, Fan C (2021) Sa-unet: Spatial attention u-net for retinal vessel segmentation. In: 2020 25th International Conference on Pattern Recognition (ICPR), pp 1236–1242
Tong H, Fang Z, Wei Z, Cai Q, Gao Y (2021) Sat-net: a side attention network for retinal image segmentation. Appl Intell 51:5146–5156
Gu Z, Cheng J, Fu H, Zhou K, Hao H, Zhao Y, Zhang T, Gao S, Liu J (2019) Ce-net: Context encoder network for 2d medical image segmentation. IEEE Trans Med Imaging 38(10):2281–2292
Zhang F, Yan Z, Wu Y, Tan X (2019) Attention guided network for retinal image segmentation. International Conference on Medical Image Computing and Computer-Assisted Intervention 797–805
Yuan Y, Zhang L, Wang L, Huang H (2021) Multi-level attention network for retinal vessel segmentation. IEEE Journal of Biomedical and Health Informatics 26(1):312–323
Lin A, Chen B, Xu J, Zhang Z, Lu G, Zhang D (2022) Ds-transunet: Dual swin transformer u-net for medical image segmentation. IEEE Trans Instrum Meas 71:1–15
Li X, Jiang Y, Li M, Yin S (2020) Lightweight attention convolutional neural network for retinal vessel image segmentation. IEEE Transactions on Industrial Informatics 17(3):1958–1967
Tan X, Chen X, Meng Q, Shi F, Xiang D, Chen Z, Pan L, Zhu W (2023) Oct2former: A retinal oct-angiography vessel segmentation transformer. Comput Methods Programs Biomed 233:107454
Shen X, Xu J, Jia H, Fan P, Dong F, Yu B, Ren S (2022) Self-attentional microvessel segmentation via squeeze-excitation transformer unet. Comput Med Imaging Graph 97:102055
Huang X, Deng Z, Li D, Yuan X, Fu Y (2022) Missformer: An effective transformer for 2d medical image segmentation. IEEE Trans Med Imaging
Ronneberger O, Fischer P, Brox T (2015) U-net: Convolutional networks for biomedical image segmentation. In: International Conference on Medical Image Computing and Computer-assisted Intervention, pp 234–241
Soares JV, Leandro JJ, Cesar RM, Jelinek HF, Cree MJ (2006) Retinal vessel segmentation using the 2-d gabor wavelet and supervised classification. IEEE Trans Med Imaging 25(9):1214–1222
Gao S, Cheng M-M, Zhao K, Zhang X-Y, Yang M-H, Torr PH (2019) Res2net: A new multi-scale backbone architecture. IEEE Transactions on Pattern Analysis and Machine Intelligence 43(2):652–662
Alom MZ, Yakopcic C, Hasan M, Taha TM, Asari VK (2019) Recurrent residual u-net for medical image segmentation. Journal of Medical Imaging 6(1):014006
He K, Xiangyu Zhang SR, Sun J (2016) Deep residual learning for image recognition. In Proceedings of the IEEE conference on computer vision and pattern recognition, 770–778
Vaswani A, Shazeer N, Parmar N, Uszkoreit J, Jones L, Gomez AN, Kaiser Ł, Polosukhin I (2017) Attention is all you need. Advances in Neural Information Processing Systems 30
Kang H, Gao Y, Guo S, Xu X, Li T, Wang K (2020) Avnet: A retinal artery/vein classification network with category-attention weighted fusion. Comput Methods Prog Biomed 195:105629
Hu Q, Abràmoff MD, Garvin MK (2013) Automated separation of binary overlapping trees in low-contrast color retinal images. In: International Conference on Medical Image Computing and Computer-assisted Intervention, pp 436–443
Hu Q, Abràmoff MD, Garvin MK (2015) Automated construction of arterial and venous trees in retinal images. Journal of Medical Imaging 2(4):044001
Odstrcilik J, Kolar R, Budai A, Hornegger J, Jan J, Gazarek J, Kubena T, Cernosek P, Svoboda O, Angelopoulou E (2013) Retinal vessel segmentation by improved matched filtering: evaluation on a new high-resolution fundus image database. IET Image Process 7(4):373–383
Zhang J, Dashtbozorg B, Bekkers E, Pluim JPW, Duits R, ter Haar Romeny BM (2016) Robust retinal vessel segmentation via locally adaptive derivative frames in orientation scores. IEEE Trans Med Imaging 35(12):2631–2644
Galdran A, Meyer M, Costa P, Campilho A, et al. (2019) Uncertainty-aware artery/vein classification on retinal images. In: ISBI 2019, pp 556–560 . IEEE
Noh KJ, Park SJ, Lee S (2020) Combining fundus images and fluorescein angiography for artery/vein classification using the hierarchical vessel graph network. In: International Conference on Medical Image Computing and Computer-Assisted Intervention, pp 595–605
Ye Y, Pan C, Wu Y, Wang S, Xia Y (2022) Mfi-net: Multiscale feature interaction network for retinal vessel segmentation. IEEE Journal of Biomedical and Health Informatics
Yuan Y, Zhang L, Wang L, Huang H (2021) Multi-level attention network for retinal vessel segmentation. IEEE Journal of Biomedical and Health Informatics 26(1):312–323
Xu R, Liu T, Ye X, Liu F, Lin L, Li L, Tanaka S, Chen Y-W (2020) Joint extraction of retinal vessels and centerlines based on deep semantics and multi-scaled cross-task aggregation. IEEE Journal of Biomedical and Health Informatics 25(7):2722–2732
Samuel PM, Veeramalai T (2019) Multilevel and multiscale deep neural network for retinal blood vessel segmentation. Symmetry 11(7):946
Odstrcilik J, Kolar R, Budai A, Hornegger J, Jan J, Gazarek J, Kubena T, Cernosek P, Svoboda O, Angelopoulou E (2013) Retinal vessel segmentation by improved matched filtering: evaluation on a new high-resolution fundus image database. IET Image Process 7(4):373–383
Funding
This research was funded by the Science and Technology Project of Beijing Municipal Commission of Education, grant number KM202010016011, the National Natural Science Foundation of China, grant number 61871020, 62031003, Scientific Research Foundation of Beijing University of Civil Engineering and Architecture, grant number 00331613002, the Fundamental Research Funds for Beijing University of Civil Engineering and Architecture, grant number X18064. The computer resources were provided by Public Computing Cloud Platform of Renmin University of China
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Conceptualization: Junyan Yi, Chouyu Chen, Gang Yang; Methodology: Junyan Yi, Gang Yang; Formal analysis and investigation: Junyan Yi, Chouyu Chen, Gang Yang; Software: Chouyu Chen; Writing - original draft preparation: Junyan Yi; Writing - review and editing: Junyan Yi, Chouyu Chen, Gang Yang; Supervision: Gang Yang
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Yi, J., Chen, C. & Yang, G. Retinal artery/vein classification by multi-channel multi-scale fusion network. Appl Intell 53, 26400–26417 (2023). https://doi.org/10.1007/s10489-023-04939-0
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DOI: https://doi.org/10.1007/s10489-023-04939-0