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Refining feature representation for accurate fundus lesion segmentation.

Hao Sun1, Enting Gao2, Yongcheng Li3

  • 1School of Future Science and Engineering, Soochow University, Suzhou, China.

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|April 16, 2026
PubMed
Summary
This summary is machine-generated.

A new deep learning model, RFENet, improves automated segmentation of retinal lesions like choroidal neovascularization (CNV) and choroidal non-perfusion (CNP) for age-related macular degeneration (AMD) detection. RFENet shows significant performance gains, enhancing diagnostic accuracy.

Keywords:
fundus fluorescein angiographyoptical coherence tomographyretinal lesion segmentation

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Area of Science:

  • Ophthalmology
  • Medical Imaging
  • Artificial Intelligence

Background:

  • Accurate segmentation of retinal lesions is crucial for early detection of age-related macular degeneration (AMD).
  • Choroidal neovascularization (CNV) and choroidal non-perfusion (CNP) are key indicators of AMD, but their variable presentation challenges automated segmentation.
  • Existing methods struggle with the diverse shapes and appearances of retinal lesions.

Purpose of the Study:

  • To develop a deep learning model, the Retinal Feature Enhancement Network (RFENet), for improved accuracy and robustness in retinal lesion segmentation.
  • To address the challenges posed by variable lesion morphology in challenging imaging conditions.
  • To enhance the early detection of AMD through precise segmentation of CNV and CNP.

Main Methods:

  • RFENet utilizes the UNeXt backbone with novel Adaptive Feature Refinement Unit (AFRU) and Optimized Channel-Wise Convolution Unit (OCCU) modules.
  • The model was trained and validated on two expert-annotated datasets: 1070 OCT B-scans (CNV) and 184 FFA images (CNP).
  • Performance was benchmarked against state-of-the-art models using Dice coefficient and Intersection over Union (IoU) metrics, with statistical significance assessed via t-tests.

Main Results:

  • RFENet achieved a Dice score of 82.50% and IoU of 71.66% on the CNV dataset, outperforming competing models.
  • On the CNP dataset, RFENet obtained a Dice score of 74.43% and IoU of 60.80%, slightly exceeding the best benchmark.
  • Statistical analyses confirmed significant improvements, particularly on the CNV dataset, highlighting RFENet's robustness.

Conclusions:

  • RFENet demonstrates consistent and statistically significant improvements over existing benchmarks for CNV and CNP lesion segmentation.
  • The model offers a reliable advancement for automated segmentation of AMD-related lesions.
  • Source code is publicly available to encourage further research and reproducibility.