Vessel segmentation has come a long way in terms of matching the experts at detection accuracy, yet there is potential for further improvement. In this regard, the accurate detection of vessels is generally more challenging due to the high variations in vessel contrast, width, and the observed noise level. Most vessel segmentation strategies utilize contrast enhancement as a preprocessing step, which has an inherent tendency to aggravate the noise and therefore, impede accurate vessel detection. To alleviate this problem, we propose to use the state-of-the-art Probabilistic Patch-Based (PPB) denoiser within the framework of an unsupervised retinal vessel segmentation strategy based on the Frangi filter. The PPB denoiser helps preserve vascular structure while effectively dealing with the amplified noise. Also, the modified Frangi filter is evaluated separately for tiny and large vessels, followed by individual segmentation and linear recombination of the binarized outputs. This way, the performance of the modified Frangi filter is significantly enhanced. The performance evaluation of the proposed method is evaluated on two recognized open-access datasets, viz: DRIVE and STARE. The proposed strategy yields competitive results for both preprocessing modalities, i.e., Contrast Limited Adaptive Histogram Equalization (CLAHE) and Generalized Linear Model (GLM). The performance observed for CLAHE over DRIVE and STARE datasets is (Sn = 0.8027, Acc = 0.9561) and (Sn = 0.798, Acc = 0.9561), respectively. For GLM, it is observed to be (Sn = 0.7907, Acc = 0.9603) and (Sn = 0.7860, Acc = 0.9583) over DRIVE and STARE datasets, respectively. Furthermore, based on the conducted comparative study, it is established that the proposed method outperforms various notable vessel segmentation methods available in the existing literature.

The assessment of transformations in the retinal vascular structure has a strong potential in indicating a wide range of underlying ocular pathologies. Correctly identifying the retinal vessel map is a crucial step in disease identification, severity progression assessment, and appropriate treatment. Marking the vessels manually by a human expert is a tedious and time-consuming task, thereby reinforcing the need for automated algorithms capable of quick segmentation of retinal features and any possible anomalies. Techniques based on unsupervised learning methods utilize vessel morphology to classify vessel pixels. This study proposes a directional multi-scale line detector technique for the segmentation of retinal vessels with the prime focus on the tiny vessels that are most difficult to segment out. Constructing a directional line-detector, and using it on images having only the features oriented along the detector’s direction, significantly improves the detection accuracy of the algorithm. The finishing step involves a binarization operation, which is again directional in nature, helps in achieving further performance improvements in terms of key performance indicators. The proposed method is observed to obtain a sensitivity of 0.8043, 0.8011, and 0.7974 for the Digital Retinal Images for Vessel Extraction (DRIVE), STructured Analysis of the Retina (STARE), and Child Heart And health Study in England (CHASE_DB1) datasets, respectively. These results, along with other performance enhancements demonstrated by the conducted experimental evaluation, establish the validity and applicability of directional multi-scale line detectors as a competitive framework for retinal image segmentation.