Retinal blood vessel segmentation influences a lot of blood vessel-related disorders such as diabetic retinopathy, hypertension, cardiovascular and cerebrovascular disorders, etc. It is found that vessel segmentation using a convolutional neural network (CNN) showed increased accuracy in feature extraction and vessel segmentation compared to the classical segmentation algorithms. CNN does not need any artificial handcrafted features to train the network. In the proposed deep neural network (DNN), a better pre-processing technique and multilevel/multiscale deep supervision (DS) layers are being incorporated for proper segmentation of retinal blood vessels. From the first four layers of the VGG-16 model, multilevel/multiscale deep supervision layers are formed by convolving vessel-specific Gaussian convolutions with two different scale initializations. These layers output the activation maps that are capable to learn vessel-specific features at multiple scales, levels, and depth. Furthermore, the receptive field of these maps is increased to obtain the symmetric feature maps that provide the refined blood vessel probability map. This map is completely free from the optic disc, boundaries, and non-vessel background. The segmented results are tested on Digital Retinal Images for Vessel Extraction (DRIVE), STructured Analysis of the Retina (STARE), High-Resolution Fundus (HRF), and real-world retinal datasets to evaluate its performance. This proposed model achieves better sensitivity values of 0.8282, 0.8979 and 0.8655 in DRIVE, STARE and HRF datasets with acceptable specificity and accuracy performance metrics.

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