The accurate segmentation of retinal vascular is of great significance for the diagnosis of diseases such as diabetes, hypertension, microaneurysms and arteriosclerosis. In order to segment more deep and small blood vessels and provide more information to doctors, a multi-scale joint optimization strategy for retinal vascular segmentation is presented in this paper. Firstly, the Multi-Scale Retinex (MSR) algorithm is used to improve the uneven illumination of fundus images. Then, the multi-scale Gaussian matched filtering method is used to enhance the contrast of the retinal images. Optimized by the Particle Swarm Optimization (PSO) algorithm, Otsu algorithm (OTSU) multi-threshold segmentation is utilized to segment the retinal image extracted by the multi-scale matched filtering method. Finally, the image is post-processed, including binarization, morphological operation and edge-contour removal. The test experiments are implemented on the DRIVE and STARE datasets to evaluate the effectiveness and practicability of the proposed method. Compared with other existing methods, it can be concluded that the proposed method can segment more small blood vessels while ensuring the integrity of vascular structure and has a higher performance. The proposed method has more obvious targets, a higher contrast, more plentiful detailed information, and local features. The qualitative and quantitative analysis results show that the presented method is superior to the other advanced methods.

Diabetic Retinopathy (DR) is one of the most common microvascular complications of diabetes. Diabetic Macular Edema (DME) is a concomitant symptom of DR. As the grade of lesion of DR and DME increase, the possibility of blindness can also increase significantly. In order to take the early interventions as soon as possible to reduce the likelihood of blindness, it is necessary to perform both DR and DME grading. We design a joint grading model based on multi-task learning and multi-branch networks (MaMNet) for DR and DME grading. The model mainly includes a multi-branch network (MbN), a feature fusion module, and a disease classification module. The MbN is formed by four branch structures, which can extract the low-level feature information of DME and DR in a targeted way; the feature fusion module is composed of a self-feature extraction module (SFEN), cross-feature extraction module (CFEN) and atrous spatial pyramid pooling module (ASPP). By combining various features collected from the aforementioned modules, the feature fusion module can provide more thorough discriminative features, which benefits the joint grading accuracy. The ISBI-2018-IDRiD challenge dataset is used to evaluate the performance of the proposed model. The experimental results show that based on the multi-task strategy the two grading tasks of DR and DME can provide each other with additional useful information. The joint accuracy of the model, the accuracy of DR and the accuracy of DME are 61.2%, 64.1% and 79.4% respectively.