# Diabetic Retinopathy Lesion Segmentation through Attention Mechanisms

arXiv: https://arxiv.org/abs/2602.07301 · HTML: https://mlsanity.com/paper/2602.07301/

## Key facts

- Cited by 2 papers in the map (data through 14 Oct 2026).
- Builds on 11 of its 18 references that are in the map.
- First posted on arXiv 7 Feb 2026.

## Builds on (most cited first, 11 of 11)

- [U-Net: Convolutional Networks for Biomedical Image Segmentation](https://mlsanity.com/paper/1505.04597/) (2015)
- [Encoder-Decoder with Atrous Separable Convolution for Semantic Image Segmentation](https://mlsanity.com/paper/1802.02611/) (2018)
- [YOLOv3: An Incremental Improvement](https://mlsanity.com/paper/1804.02767/) (2018)
- [CBAM: Convolutional Block Attention Module](https://mlsanity.com/paper/1807.06521/) (2018)
- [V-Net: Fully Convolutional Neural Networks for Volumetric Medical Image Segmentation](https://mlsanity.com/paper/1606.04797/) (2016)
- [Rethinking Atrous Convolution for Semantic Image Segmentation](https://mlsanity.com/paper/1706.05587/) (2017)
- [Attention U-Net: Learning Where to Look for the Pancreas](https://mlsanity.com/paper/1804.03999/) (2018)
- [Generalised Dice overlap as a deep learning loss function for highly unbalanced segmentations](https://mlsanity.com/paper/1707.03237/) (2017)
- [Boundary loss for highly unbalanced segmentation](https://mlsanity.com/paper/1812.07032/) (2018)
- [Distance Map Loss Penalty Term for Semantic Segmentation](https://mlsanity.com/paper/1908.03679/) (2019)
- [Deep image mining for diabetic retinopathy screening](https://mlsanity.com/paper/1610.07086/) (2016)

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

- [Multi-Resolution Feature Stem for Diabetic Retinopathy lesion segmentation](https://mlsanity.com/paper/2607.08679/) (2026)
- [PRISM-DR: Per-lesion Retinal Inference with Specialist Models for Diabetic Retinopathy](https://mlsanity.com/paper/2607.19864/) (2026)

## Abstract (arXiv)

Diabetic Retinopathy (DR) is an eye disease which arises due to diabetes mellitus. It might cause vision loss and blindness. To prevent irreversible vision loss, early detection through systematic screening is crucial. Although researchers have developed numerous automated deep learning-based algorithms for DR screening, their clinical applicability remains limited, particularly in lesion segmentation. Our method provides pixel-level annotations for lesions, which practically supports Ophthalmologist to screen DR from fundus images. In this work, we segmented four types of DR-related lesions: microaneurysms, soft exudates, hard exudates, and hemorrhages on 757 images from DDR dataset. To enhance lesion segmentation, an attention mechanism was integrated with DeepLab-V3+. Compared to the baseline model, the Attention-DeepLab model increases mean average precision (mAP) from 0.3010 to 0.3326 and the mean Intersection over Union (IoU) from 0.1791 to 0.1928. The model also increased microaneurysm detection from 0.0205 to 0.0763, a clinically significant improvement. The detection of microaneurysms is the earliest visible symptom of DR.