# Gaze into the Details: Locality-Sensitive Enhancement for OCTA Retinal Vessel Segmentation

arXiv: https://arxiv.org/abs/2605.20651 · HTML: https://mlsanity.com/paper/2605.20651/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 18 of its 49 references that are in the map.
- First posted on arXiv 20 May 2026.

## Builds on (most cited first, 18 of 18)

- [Attention Is All You Need](https://mlsanity.com/paper/1706.03762/) (2017)
- [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)
- [Swin-Unet: Unet-like Pure Transformer for Medical Image Segmentation](https://mlsanity.com/paper/2105.05537/) (2021)
- [Twins: Revisiting the Design of Spatial Attention in Vision Transformers](https://mlsanity.com/paper/2104.13840/) (2021)
- [CE-Net: Context Encoder Network for 2D Medical Image Segmentation](https://mlsanity.com/paper/1903.02740/) (2019)
- [UTNet: A Hybrid Transformer Architecture for Medical Image Segmentation](https://mlsanity.com/paper/2107.00781/) (2021)
- [DUNet: A deformable network for retinal vessel segmentation](https://mlsanity.com/paper/1811.01206/) (2018)
- [ROSE: A Retinal OCT-Angiography Vessel Segmentation Dataset and New Model](https://mlsanity.com/paper/2007.05201/) (2020)
- [CS2-Net: Deep Learning Segmentation of Curvilinear Structures in Medical Imaging](https://mlsanity.com/paper/2010.07486/) (2020)
- [OCTA-500: A Retinal Dataset for Optical Coherence Tomography Angiography Study](https://mlsanity.com/paper/2012.07261/) (2020)
- [SpikePoint: An Efficient Point-based Spiking Neural Network for Event Cameras Action Recognition](https://mlsanity.com/paper/2310.07189/) (2023)
- [Rethinking Efficient and Effective Point-based Networks for Event Camera Classification and Regression: EventMamba](https://mlsanity.com/paper/2405.06116/) (2024)
- [Synthetic optical coherence tomography angiographs for detailed retinal vessel segmentation without human annotations](https://mlsanity.com/paper/2306.10941/) (2023)
- [SAM-OCTA: A Fine-Tuning Strategy for Applying Foundation Model to OCTA Image Segmentation Tasks](https://mlsanity.com/paper/2309.11758/) (2023)
- [An Accurate and Efficient Neural Network for OCTA Vessel Segmentation and a New Dataset](https://mlsanity.com/paper/2309.09483/) (2023)
- [Patch Matters: Training-free Fine-grained Image Caption Enhancement via Local Perception](https://mlsanity.com/paper/2504.06666/) (2025)

## Abstract (arXiv)

Existing deep learning frameworks for Optical Coherence Tomography Angiography (OCTA) vessel segmentation are largely derived from the U-Net architecture, which serves as the foundation for most current designs. However, most of these methods focus only on holistic representation, struggling to address the problem of low local contrast unique to OCTA, which leads to vessel discontinuities and loss of detail. To address these problems, we propose LSENet, which builds upon the U-Net architecture by introducing three core innovative modules: To address vessel discontinuities, we introduce the Patch Information Enhance module (PIE), which replaces standard skip connections to execute patch-wise attention. To mitigate detail loss, the Multiscale Feature Fusion module (MFF) is proposed to feed the PIE module rich, multi-scale information by extracting visually interpretable features from both the original input and preceding layers. Finally, the Connectivity Refinement Decoder (CRD) is designed to refine features from all levels and utilize a large kernel in the final convolutional layer to reduce fragmentation. Experiments on three public datasets (OCTA-500, ROSE-1, and ROSSA) demonstrate that our proposed LSENet achieves state-of-the-art performance while requiring fewer parameters.