TriFTM-Net: Tri-Path Fourier-Temporal Modulation Network for macular edema pathology segmentation and reconstruction in high-precision intraoperative navigation

Ophthalmic diseases such significantly impair the vision of numerous individuals globally. Accurate and real-time 3D reconstruction of macular edema and retinal tears is crucial for improving surgical efficiency and success rates. However, lesion areas often exhibit considerable noise and high heterogeneity, and the imaging devices employed may introduce electronic noise and artifacts. Current 2D medical image segmentation techniques fail to achieve optimal outcomes. To overcome these challenges, we propose the Tri-Path Fourier-Temporal Modulation Network (TriFTM-Net). TriFTM-Net synergistically integrates spatial, frequency, and spatiotemporal features. This design effectively augments both feature representation and extraction. TriFTM-Net comprises three critical modules: the Tri-Path Spectral Hierarchical Encoder (TPSHE), which amplifies feature representation by integrating tri-path features; the Feature Re-Modulation (FRM), which reduces noise interference and enhances feature extraction; and the Hierarchical Feature Reconstruction Module (HFRM), which improves detail preservation in upsampled images. Comparative analysis with thirteen baseline methods demonstrates that our approach achieves the highest Dice scores, IoU, and Kappa coefficient on the OIMHS dataset.Our code is publicly available at https://github.com/IMOP-lab/TriFTM-Net.