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Robust semi-automatic vessel tracing in the human retinal image by an instance segmentation neural network.
Siyi Chen1, Linh Hoang1, Amir H Kashani2
1Department of Biomedical Engineering, Johns Hopkins University, Baltimore, MD 21231, USA.
Science Advances
|April 4, 2025
Summary
A new algorithm, InSegNN, accurately traces individual human retinal vascular trees from fundus images. This method preserves vessel hierarchy, aiding research into retinal diseases.
Area of Science:
- Ophthalmology
- Medical Imaging
- Computational Biology
Background:
- Vascular morphology and hierarchy are crucial for effective blood perfusion.
- The human retinal circulation is a complex network originating from the optic nerve head (ONH).
- Accurate tracing of retinal vascular branching is vital for morphological quantification but technically challenging.
Purpose of the Study:
- To develop a robust semi-automatic algorithm for tracing individual vascular trees in human retinal images.
- To enable detailed morphological analysis of retinal vasculature and its hierarchy.
- To improve the accuracy and robustness of retinal vessel tracing for disease-related studies.
Main Methods:
- Utilized an instance segmentation neural network (InSegNN) to separate and label individual vascular trees.
- Implemented pseudotemporal learning, spatial multisampling, and dynamic probability map strategies to enhance accuracy.
- Applied the algorithm to human fundus images for vessel tracing.
Main Results:
- Achieved 83% specificity and 91% precision with 71% sensitivity.
- Demonstrated a 50% improvement in symmetric best dice (SBD) compared to existing literature.
- Outperformed the baseline U-net model in vessel tracing accuracy.
- Successfully traced individual vessel trees while retaining hierarchical information.
Conclusions:
- The InSegNN algorithm provides a robust method for tracing individual retinal vascular trees and their hierarchy from fundus images.
- This technique facilitates detailed vascular morphology analysis relevant to retinal diseases.
- InSegNN offers a significant advancement for research in ophthalmology and medical imaging of the retinal vasculature.

