Organoids, as in vitro 3D cultures with structures and functional characteristics similar to corresponding tissues, offer crucial biotechnological support for physiology, pathology, and drug testing. In the field of organoid imaging, the primary approach involves observing the dynamic changes in organoid morphology and movement during cultivation. Currently, there are limited and somewhat restrictive methods for organoid image analysis. Common techniques, such as those based on fluorescence staining, can impact organoid viability. Methods relying on bounding-box detection and tracking fail to capture organoid morphological characteristics, while threshold-based or deep neural network methods often suffer from segmentation inaccuracies. this paper presents the MacrOrga model, which is based on a combination of a multi-axis attention mechanism and convolutional residual networks. MacrOrga represents an innovative approach to organoid segmentation. MacrOrga effectively captures long-distance pixel relationships within organoid images, facilitating precise organoid segmentation. It demonstrates robust generalization capabilities across various datasets. Based on the results of the exact segmentation, the tracking of individual organoids is achieved using the Kuhn– Munkres algorithm to minimize the cost matrix of organoid assignment. The combination of precise segmentation and tracking functions offers a contactless, automated monitoring method for organoids in drug experiments, physiological assessments, and other research applications.