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    Area of Science:

    • Urology
    • Medical Imaging
    • Computer Vision

    Background:

    • Accurate localization of urinary bladder abnormalities is crucial for uro-oncology treatments.
    • Blood vessels are key anatomical landmarks for orientation during cystoscopy, but segmentation is challenging due to variable conditions.
    • Existing research on bladder vessel segmentation is limited.

    Purpose of the Study:

    • To introduce the first publicly available dataset for bladder vessel segmentation from endoscopic images.
    • To develop and evaluate a deep learning model for improved bladder vessel segmentation.
    • To address limitations of standard segmentation architectures in the context of uro-oncology.

    Main Methods:

    • Creation of a manually annotated dataset of endoscopic bladder images, including various cystectomy scenarios.
    • Adaptation of a U-Net architecture with deep skip connections and attention mechanisms.
    • Evaluation of the modified U-Net model on the new dataset.

    Main Results:

    • Standard retinal vessel segmentation models performed poorly on the bladder dataset.
    • The proposed modified U-Net achieved an accuracy of 0.93 and a precision of 0.55.
    • The developed method demonstrates improved performance under challenging imaging conditions.

    Conclusions:

    • The introduced dataset and modified U-Net architecture advance automated bladder vessel segmentation.
    • This work provides a foundation for improved diagnostic and therapeutic outcomes in urological imaging.
    • The findings facilitate more precise patient-specific treatments in uro-oncology.