I. Introduction
The retinal vascular system can be observed non-invasively in vivo in humans [1]. In addition, changes in the vasculature are often associated with certain diseases, leading ophthalmologists and other physicians to consider fundus examination a routine clinical examination [2], [3]. Many diseases can be diagnosed and tracked [2] by observing the retinal vascular system. Pathological changes in retinal vessels can reflect either ophthalmology diseases or other systemic diseases, such as wet age-related macular degeneration and diabetes [4]. Diabetic retinopathy can lead to the growth of new blood vessels, and atherosclerosis [5] associated with wet age-related macular degeneration can cause the narrowing of blood vessels. Moreover, the retinal vascular system of each eye is unique. Without pathological changes, it does not alter throughout the lifetime. Hence, observation of the retinal vascular system can also be applied in biometrics [6], [7]. Through retinal vessel segmentation, relevant morphological information of retinal vascular trees (such as the width, length, and curvature of blood vessels) can be obtained [8]. Consequently, precise retinal vessel segmentation is significant. However, owing to the complexities of retinal vascular structures, manual inspection is subjective, time-consuming, and laborious [9], [10]. Therefore, developing an effective algorithm for the automated segmentation of retinal vessels to support ophthalmologists in clinical assessment has been of great interest.