Xiaoning Li

Ruiqi Song, Lei Liu, Ya-Nan Zhang et al.

Accurate retinal vessel segmentation is a critical prerequisite for quantitative analysis of retinal images and computer-aided diagnosis of vascular diseases such as diabetic retinopathy. However, the elongated morphology, wide scale variation, and low contrast of retinal vessels pose significant challenges for existing methods, making it difficult to simultaneously preserve fine capillaries and maintain global topological continuity. To address these challenges, we propose the Vessel-aware Frequency-domain and Global Spatial modeling Network (VFGS-Net), an end-to-end segmentation framework that seamlessly integrates frequency-aware feature enhancement, dual-path convolutional representation learning, and bidirectional asymmetric spatial state-space modeling within a unified architecture. Specifically, VFGS-Net employs a dual-path feature convolution module to jointly capture fine-grained local textures and multi-scale contextual semantics. A novel vessel-aware frequency-domain channel attention mechanism is introduced to adaptively reweight spectral components, thereby enhancing vessel-relevant responses in high-level features. Furthermore, at the network bottleneck, we propose a bidirectional asymmetric Mamba2-based spatial modeling block to efficiently capture long-range spatial dependencies and strengthen the global continuity of vascular structures. Extensive experiments on four publicly available retinal vessel datasets demonstrate that VFGS-Net achieves competitive or superior performance compared to state-of-the-art methods. Notably, our model consistently improves segmentation accuracy for fine vessels, complex branching patterns, and low-contrast regions, highlighting its robustness and clinical potential.

Hong Zheng, Nan Mu, Han Su et al.

Noise reduction constitutes a crucial operation within Digital Signal Processing. Regrettably, it frequently remains neglected when dealing with the processing of convolutional features in segmentation networks. This oversight could trigger the butterfly effect, impairing the subsequent outcomes within the entire feature system. To complete this void, we consider convolutional features following Gaussian distributions as feature signal matrices and then present a simple and effective feature filter in this study. The proposed filter is fundamentally a low-amplitude pass filter primarily aimed at minimizing noise in feature signal inputs and is named Convolutional Feature Filter (CFF). We conducted experiments on two established 2D segmentation networks and two public cardiac MR image datasets to validate the effectiveness of the CFF, and the experimental findings demonstrated a decrease in noise within the feature signal matrices. To enable a numerical observation and analysis of this reduction, we developed a binarization equation to calculate the information entropy of feature signals.

Nan Mu, Ruiqi Song, Xiaoning Li et al.

Background: Coronary artery disease (CAD) remains one of the leading causes of mortality worldwide. Precise segmentation of coronary arteries from invasive coronary angiography (ICA) is critical for effective clinical decision-making. Objective: This study aims to propose a novel deep learning model based on frequency-domain analysis to enhance the accuracy of coronary artery segmentation and stenosis detection in ICA, thereby offering robust support for the stenosis detection and treatment of CAD. Methods: We propose the Frequency-Domain Attention-Guided Diffusion Network (FAD-Net), which integrates a frequency-domain-based attention mechanism and a cascading diffusion strategy to fully exploit frequency-domain information for improved segmentation accuracy. Specifically, FAD-Net employs a Multi-Level Self-Attention (MLSA) mechanism in the frequency domain, computing the similarity between queries and keys across high- and low-frequency components in ICAs. Furthermore, a Low-Frequency Diffusion Module (LFDM) is incorporated to decompose ICAs into low- and high-frequency components via multi-level wavelet transformation. Subsequently, it refines fine-grained arterial branches and edges by reintegrating high-frequency details via inverse fusion, enabling continuous enhancement of anatomical precision. Results and Conclusions: Extensive experiments demonstrate that FAD-Net achieves a mean Dice coefficient of 0.8717 in coronary artery segmentation, outperforming existing state-of-the-art methods. In addition, it attains a true positive rate of 0.6140 and a positive predictive value of 0.6398 in stenosis detection, underscoring its clinical applicability. These findings suggest that FAD-Net holds significant potential to assist in the accurate diagnosis and treatment planning of CAD.

Hong Zheng, Yucheng Chen, Nan Mu et al.

Accurate segmentation of the ventricles from cardiac magnetic resonance images (CMRIs) is crucial for enhancing the diagnosis and analysis of heart conditions. Deep learning-based segmentation methods have recently garnered significant attention due to their impressive performance. However, these segmentation methods are typically good at partitioning regularly shaped organs, such as the left ventricle (LV) and the myocardium (MYO), whereas they perform poorly on irregularly shaped organs, such as the right ventricle (RV). In this study, we argue that this limitation of segmentation models stems from their insufficient generalization ability to address the distribution shift of segmentation targets across slices, cardiac phases, and disease conditions. To overcome this issue, we present a Multi-Disease-Aware Training Strategy (MTS) and restructure the introduced CMRI datasets into multi-disease datasets. Additionally, we propose a specialized data processing technique for preprocessing input images to support the MTS. To validate the effectiveness of our method, we performed control group experiments and cross-validation tests. The experimental results show that (1) network models trained using our proposed strategy achieved superior segmentation performance, particularly in RV segmentation, and (2) these networks exhibited robust performance even when applied to data from unknown diseases.