MDAN-UNet: Multi-Scale and Dual Attention Enhanced Nested U-Net Architecture for Segmentation of Optical Coherence Tomography Images

Optical coherence tomography (OCT) is an optical high-resolution imaging technique for ophthalmic diagnosis. In this paper, we take advantages of multi-scale input, multi-scale side output and dual attention mechanism and present an enhanced nested U-Net architecture (MDAN-UNet), a new powerful fully convolutional network for automatic end-to-end segmentation of OCT images. We have evaluated two versions of MDAN-UNet (MDAN-UNet-16 and MDAN-UNet-32) on two publicly available benchmark datasets which are the Duke Diabetic Macular Edema (DME) dataset and the RETOUCH dataset, in comparison with other state-of-the-art segmentation methods. Our experiment demonstrates that MDAN-UNet-32 achieved the best performance, followed by MDAN-UNet-16 with smaller parameter, for multi-layer segmentation and multi-fluid segmentation respectively.