Background: The vascular tree observed in a retinal fundus image can provide clues for cardiovascular diseases. Its analysis requires the identification of vessel bifurcations and crossovers. Methods: We use a set of trainable keypoint detectors that we call Combination Of Shifted FIlter REsponses or COSFIRE filters to automatically detect vascular bifurcations in segmented retinal images. We configure a set of COSFIRE filters that are selective for a number of prototype bifurcations and demonstrate that such filters can be effectively used to detect bifurcations that are similar to the prototypical ones. The automatic configuration of such a filter selects given channels of a bank of Gabor filters and determines certain blur and shift para...