# A Novel Hybrid Approach for Retinal Vessel Segmentation with Dynamic Long-Range Dependency and Multi-Scale Retinal Edge Fusion Enhancement

arXiv: https://arxiv.org/abs/2504.13553 · HTML: https://mlsanity.com/paper/2504.13553/

## Key facts

- Cited by 2 papers in the map (data through 14 Oct 2026).
- Placed in Mamba for medical image analysis, one of 10 directions in State-space sequence models (S4, Mamba).
- Builds on 28 of its 61 references that are in the map.
- First posted on arXiv 18 Apr 2025.

## Placed in

- State-space sequence models (S4, Mamba) / [Mamba for medical image analysis](https://mlsanity.com/ssm/mamba-for-medical-image-analysis/)

## Builds on (most cited first, 28 of 28)

- [Deep Residual Learning for Image Recognition](https://mlsanity.com/paper/1512.03385/) (2015)
- [An Image is Worth 16x16 Words: Transformers for Image Recognition at Scale](https://mlsanity.com/paper/2010.11929/) (2020)
- [U-Net: Convolutional Networks for Biomedical Image Segmentation](https://mlsanity.com/paper/1505.04597/) (2015)
- [Swin Transformer: Hierarchical Vision Transformer using Shifted Windows](https://mlsanity.com/paper/2103.14030/) (2021)
- [Grad-CAM: Visual Explanations from Deep Networks via Gradient-based Localization](https://mlsanity.com/paper/1610.02391/) (2016)
- [Densely Connected Convolutional Networks](https://mlsanity.com/paper/1608.06993/) (2016)
- [Squeeze-and-Excitation Networks](https://mlsanity.com/paper/1709.01507/) (2017)
- [TransUNet: Transformers Make Strong Encoders for Medical Image Segmentation](https://mlsanity.com/paper/2102.04306/) (2021)
- [UNet++: A Nested U-Net Architecture for Medical Image Segmentation](https://mlsanity.com/paper/1807.10165/) (2018)
- [Deformable Convolutional Networks](https://mlsanity.com/paper/1703.06211/) (2017)
- [Deep High-Resolution Representation Learning for Human Pose Estimation](https://mlsanity.com/paper/1902.09212/) (2019)
- [Swin-Unet: Unet-like Pure Transformer for Medical Image Segmentation](https://mlsanity.com/paper/2105.05537/) (2021)
- [VMamba: Visual State Space Model](https://mlsanity.com/paper/2401.10166/) (2024)
- [U-Mamba: Enhancing Long-range Dependency for Biomedical Image Segmentation](https://mlsanity.com/paper/2401.04722/) (2024)
- [clDice -- A Novel Topology-Preserving Loss Function for Tubular Structure Segmentation](https://mlsanity.com/paper/2003.07311/) (2020)
- [nnU-Net: Self-adapting Framework for U-Net-Based Medical Image Segmentation](https://mlsanity.com/paper/1809.10486/) (2018)
- [VM-UNet: Vision Mamba UNet for Medical Image Segmentation](https://mlsanity.com/paper/2402.02491/) (2024)
- [SegMamba: Long-range Sequential Modeling Mamba For 3D Medical Image Segmentation](https://mlsanity.com/paper/2401.13560/) (2024)
- [Swin-UMamba: Mamba-based UNet with ImageNet-based pretraining](https://mlsanity.com/paper/2402.03302/) (2024)
- [HRFormer: High-Resolution Transformer for Dense Prediction](https://mlsanity.com/paper/2110.09408/) (2021)
- [Dynamic Snake Convolution based on Topological Geometric Constraints for Tubular Structure Segmentation](https://mlsanity.com/paper/2307.08388/) (2023)
- [RS-Mamba for Large Remote Sensing Image Dense Prediction](https://mlsanity.com/paper/2404.02668/) (2024)
- [SHViT: Single-Head Vision Transformer with Memory Efficient Macro Design](https://mlsanity.com/paper/2401.16456/) (2024)
- [Deep supervision with additional labels for retinal vessel segmentation task](https://mlsanity.com/paper/1806.02132/) (2018)
- [An Accurate and Efficient Neural Network for OCTA Vessel Segmentation and a New Dataset](https://mlsanity.com/paper/2309.09483/) (2023)
- [An Elastic Interaction-Based Loss Function for Medical Image Segmentation](https://mlsanity.com/paper/2007.02663/) (2020)
- [Evolutionary Neural Architecture Search for Retinal Vessel Segmentation](https://mlsanity.com/paper/2001.06678/) (2020)
- [Mamba meets crack segmentation](https://mlsanity.com/paper/2407.15714/) (2024)

## Built on by (most cited first, 2 of 2)

- [LFA-Net: A Lightweight Network with LiteFusion Attention for Retinal Vessel Segmentation](https://mlsanity.com/paper/2509.21738/) (2025)
- [LightVesselNet: An Ultra-Lightweight Sub-100K Parameter Network for Retinal Blood Vessel Segmentation](https://mlsanity.com/paper/2606.05354/) (2026)

## Abstract (arXiv)

Accurate retinal vessel segmentation provides essential structural information for ophthalmic image analysis. However, existing methods struggle with challenges such as multi-scale vessel variability, complex curvatures, and ambiguous boundaries. While Convolutional Neural Networks (CNNs), Transformer-based models and Mamba-based architectures have advanced the field, they often suffer from vascular discontinuities or edge feature ambiguity. To address these limitations, we propose a novel hybrid framework that synergistically integrates CNNs and Mamba for high-precision retinal vessel segmentation. Our approach introduces three key innovations: 1) The proposed High-Resolution Edge Fuse Network is a high-resolution preserving hybrid segmentation framework that combines a multi-scale backbone with the Multi-scale Retina Edge Fusion (MREF) module to enhance edge features, ensuring accurate and robust vessel segmentation. 2) The Dynamic Snake Visual State Space block combines Dynamic Snake Convolution with Mamba to adaptively capture vessel curvature details and long-range dependencies. An improved eight-directional 2D Snake-Selective Scan mechanism and a dynamic weighting strategy enhance the perception of complex vascular topologies. 3) The MREF module enhances boundary precision through multi-scale edge feature aggregation, suppressing noise while emphasizing critical vessel structures across scales. Experiments on three public datasets demonstrate that our method achieves state-of-the-art performance, particularly in maintaining vascular continuity and effectively segmenting vessels in low-contrast regions. This work provides a robust method for clinical applications requiring accurate retinal vessel analysis. The code is available at https://github.com/frank-oy/HREFNet.