VAOT: Vessel-Aware Optimal Transport for Retinal Fundus Enhancement
This work addresses image quality issues in retinal disease diagnosis, offering a domain-specific improvement for medical imaging.
The paper tackled the problem of enhancing retinal fundus images degraded by acquisition variability while preserving clinically critical vasculature, achieving superior performance in vessel and lesion segmentation compared to state-of-the-art baselines.
Color fundus photography (CFP) is central to diagnosing and monitoring retinal disease, yet its acquisition variability (e.g., illumination changes) often degrades image quality, which motivates robust enhancement methods. Unpaired enhancement pipelines are typically GAN-based, however, they can distort clinically critical vasculature, altering vessel topology and endpoint integrity. Motivated by these structural alterations, we propose Vessel-Aware Optimal Transport (\textbf{VAOT}), a framework that combines an optimal-transport objective with two structure-preserving regularizers: (i) a skeleton-based loss to maintain global vascular connectivity and (ii) an endpoint-aware loss to stabilize local termini. These constraints guide learning in the unpaired setting, reducing noise while preserving vessel structure. Experimental results on synthetic degradation benchmark and downstream evaluations in vessel and lesion segmentation demonstrate the superiority of the proposed methods against several state-of-the art baselines. The code is available at https://github.com/Retinal-Research/VAOT