The morphology of nailfold capillaries serves as a crucial physiological parameter for analyzing human health status. However, during image acquisition, factors such as the nonplanar structure of the finger, lens depth-of-field limitations, and inaccurate focusing often cause defocusing and blurring, hindering physicians' observation of capillary structures and parameter measurements. To address this issue, this study proposes a wide-field nailfold capillary image deblurring method based on an improved MIMO-UNet architecture. In this study, a nailfold capillary dataset suitable for supervised learning was successfully constructed using image registration. During the deblurring process, a semantic residual feedback mechanism was introduced, which effectively enhanced the restoration accuracy of fine structures such as capillary loop edges and morphology. Additionally, a blurred-region attention module was designed to precisely identify blurred areas in nailfold images and prioritize the restoration of challenging regions, yielding clearer and more detailed capillary images. Experimental results demonstrated that the improved model achieves 3.82% and 0.22% higher PSNR and SSIM scores, respectively, compared with the original MIMO-UNet, while reducing MSE by 60.2%. Compared with other existing deblurring methods, this approach achieved the best performance in both accuracy and structural restoration of nailfold capillary images. Furthermore, static parameter measurements comparing deblurred images with real images show that differences in apical diameter, arterial limb diameter, and venous limb diameter are less than 0.995 μm, far below the physiological variation range. In summary, the proposed method demonstrates superior performance in both static parameter measurement accuracy and detailed restoration precision for nailfold images.
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