Changes of retinal blood vessel are precursors of many serious diseases such as diabetic retinopathy, hypertension and cardiovascular diseases. Automatic segmentation of retinal blood vessels in the fundus image can better assist in the diagnosis of these diseases and has been studied by many researchers. However, the segmentation of pale vessel pixels remains a problem because of their low contrasts with surrounding pixels. This study proposes an improved multi-scale line detector to segment

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... tinal vessels. It computes the line responses of vessels in multi-scale windows and takes the maximum as the response value, which can enhance the responses of pale vessel pixels near strong vessels or dark background pixels. Experimental results on the publicly available database DRIVE demonstrate that the proposed method can detect pale vessel pixels better. It achieves 75.28% in sensitivity and 94.47% in accuracy, which outperforms the state-of-the-art unsupervised methods. Compared with the supervised methods it also gets better sensitivity and comparable accuracy.