Diabetic retinopathy is one of the most threatening complications of diabetes that leads to permanent blindness if left untreated. One of the essential challenges is early detection, which is very important for treatment success. Unfortunately, the exact identification of the diabetic retinopathy stage is notoriously tricky and requires expert human interpretation of fundus images. Simplification of the detection step is crucial and can help millions of people. Convolutional neural networks (CNN) have been successfully applied in many adjacent subjects, and for diagnosis of diabetic retinopathy itself. However, the high cost of big labeled datasets, as well as inconsistency between different doctors, impede the performance of these methods. In this paper, we propose an automatic deep-learning-based method for stage detection of diabetic retinopathy by single photography of the human fundus. Additionally, we propose the multistage approach to transfer learning, which makes use of similar datasets with different labeling. The presented method can be used as a screening method for early detection of diabetic retinopathy with sensitivity and specificity of 0.99 and is ranked 54 of 2943 competing methods (quadratic weighted kappa score of 0.925466) on APTOS 2019 Blindness Detection Dataset (13000 images).
New York University（纽约大学）；Courant Institute of Mathematical Sciences（库朗数学科学研究所）
Deep learning has been successfully applied to a variety of image classification tasks. There has been keen interest to apply deep learning in the medical domain, particularly specialties that heavily utilize imaging, such as ophthalmology. One issue that may hinder application of deep learning to the medical domain is the vast amount of data necessary to train deep neural networks (DNNs). Because of regulatory and privacy issues associated with medicine, and the generally proprietary nature of data in medical domains, obtaining large datasets to train DNNs is a challenge, particularly in the …
Tsinghua-Berkeley Shenzhen Institute（清华-伯克利深圳学院）；University of California, Berkeley（加州大学伯克利分校）；Affiliated Eye Hospital of Nanchang University（南昌大学附属眼科医院）
Retinal vascular diseases affect the well-being of human body and sometimes provide vital signs of otherwise undetected bodily damage. Recently, deep learning techniques have been successfully applied for detection of diabetic retinopathy (DR). The main obstacle of applying deep learning techniques to detect most other retinal vascular diseases is the limited amount of data available. In this paper, we propose a transfer learning technique that aims to utilize the feature similarities for detecting retinal vascular diseases. We choose the well-studied DR detection as a source task and identify…
In this paper, we propose two distinct solutions to the problem of Diabetic Retinopathy (DR) classification. In the first approach, we introduce a shallow neural network architecture. This model performs well on classification of the most frequent classes while fails at classifying the less frequent ones. In the second approach, we use transfer learning to re-train the last modified layer of a very deep neural network to improve the generalization ability of the model to the less frequent classes. Our results demonstrate superior abilities of transfer learning in DR classification of less freq…
University of Georgia（佐治亚大学）；Florida International University（佛罗里达国际大学）
DRDr II is a hybrid of machine learning and deep learning worlds. It builds on the successes of its antecedent, namely, DRDr, that was trained to detect, locate, and create segmentation masks for two types of lesions (exudates and microaneurysms) that can be found in the eyes of the Diabetic Retinopathy (DR) patients; and uses the entire model as a solid feature extractor in the core of its pipeline to detect the severity level of the DR cases. We employ a big dataset with over 35 thousand fundus images collected from around the globe and after 2 phases of preprocessing alongside feature extra…
Diabetic retinopathy(DR) is the main cause of blindness in diabetic patients. However, DR can easily delay the occurrence of blindness through the diagnosis of the fundus. In view of the reality, it is difficult to collect a large amount of diabetic retina data in clinical practice. This paper proposes a few-shot learning model of a deep residual network based on Earth Mover's Distance algorithm to assist in diagnosing DR. We build training and validation classification tasks for few-shot learning based on 39 categories of 1000 sample data, train deep residual networks, and obtain experience m…
Much effort is being made by the researchers in order to detect and diagnose diabetic retinopathy (DR) accurately automatically. The disease is very dangerous as it can cause blindness suddenly if it is not continuously screened. Therefore, many computers aided diagnosis (CAD) systems have been developed to diagnose the various DR grades. Recently, many CAD systems based on deep learning (DL) methods have been adopted to get deep learning merits in diagnosing the pathological abnormalities of DR disease. In this paper, we present a full based-DL CAD system depending on multi-label classificati…
A Multi-stage Transfer Learning Framework for Diabetic Retinopathy Grading on Small Data
College of Computer Science, Inner Mongolia University（内蒙古大学计算机学院）；Baotou Medical College（包头医学院）；The First Affiliated Hospital of Baotou Medical College（包头医学院第一附属医院）
Source-free Active Domain Adaptation for Diabetic Retinopathy Grading Based on Ultra-wide-field Fundus Image
Southwest University（西南大学）；Taiyuan University（太原学院）；Taiyuan University of Technology（太原理工大学）；Shanxi Eye Hospital（山西省眼科医院）；Nanjing University of Information Science and Technology（南京信息工程大学）
Aalto University School of Science（阿尔托大学理学院）；Digifundus Ltd.（Digifundus有限公司）；Central Finland Central Hospital（中芬兰中心医院）
Diabetes is a globally prevalent disease that can cause visible microvascular complications such as diabetic retinopathy and macular edema in the human eye retina, the images of which are today used for manual disease screening. This labor-intensive task could greatly benefit from automatic detection using deep learning technique. Here we present a deep learning system that identifies referable diabetic retinopathy comparably or better than presented in the previous studies, although we use only a small fraction of images (<1/4) in training but are aided with higher image resolutions. We also …
Universitat Rovira i Virgili（罗维拉-威尔吉利大学）；University Hospital Sant Joan de Reus（雷乌斯圣约翰大学医院）；Institut d’Investigació Sanitària Pere Virgili (IISPV)（佩雷·比尔吉利健康研究所（IISPV））
Interpretability is a key factor in the design of automatic classifiers for medical diagnosis. Deep learning models have been proven to be a very effective classification algorithm when trained in a supervised way with enough data. The main concern is the difficulty of inferring rationale interpretations from them. Different attempts have been done in last years in order to convert deep learning classifiers from high confidence statistical black box machines into self-explanatory models. In this paper we go forward into the generation of explanations by identifying the independent causes that …
Deep neural network models have been proven to be very successful in image classification tasks, also for medical diagnosis, but their main concern is its lack of interpretability. They use to work as intuition machines with high statistical confidence but unable to give interpretable explanations about the reported results. The vast amount of parameters of these models make difficult to infer a rationale interpretation from them. In this paper we present a diabetic retinopathy interpretable classifier able to classify retine images into the different levels of disease severity and of explaini…
Introducing automated Diabetic Retinopathy (DR) diagnosis into Ethiopia is still a challenging task, despite recent reports that present trained Deep Learning (DL) based DR classifiers surpassing manual graders. This is mainly because of the expensive cost of conventional retinal imaging devices used in DL based classifiers. Current approaches that provide mobile based binary classification of DR, and the way towards a cheaper and offline multi-class classification of DR will be discussed in this paper.
In this paper, an ensemble-based method for the screening of diabetic retinopathy (DR) is proposed. This approach is based on features extracted from the output of several retinal image processing algorithms, such as image-level (quality assessment, pre-screening, AM/FM), lesion-specific (microaneurysms, exudates) and anatomical (macula, optic disc) components. The actual decision about the presence of the disease is then made by an ensemble of machine learning classifiers. We have tested our approach on the publicly available Messidor database, where 90% sensitivity, 91% specificity and 90% a…
Manipal Institute of Technology（马尼帕尔理工学院）；Manipal Academy of Higher Education（马尼帕尔高等教育学院）
Deep Ensemble Convolutional Neural Networks has become a methodology of choice for analyzing medical images with a diagnostic performance comparable to a physician, including the diagnosis of Diabetic Retinopathy. However, commonly used techniques are deterministic and are therefore unable to provide any estimate of predictive uncertainty. Quantifying model uncertainty is crucial for reducing the risk of misdiagnosis. A reliable architecture should be well-calibrated to avoid over-confident predictions. To address this, we propose a UATTA-ENS: Uncertainty-Aware Test-Time Augmented Ensemble Tec…
Massachusetts General Hospital（麻省总医院）；Harvard Medical School（哈佛医学院）；Singapore Eye Research Institute（新加坡眼科研究所）；Duke-NUS Medical School（杜克-新加坡国立大学医学院）；Institute for Molecular and Clinical Ophthalmology（分子与临床眼科研究所）；National University of Singapore（新加坡国立大学）
In this paper, we propose an explainable and interpretable diabetic retinopathy (ExplainDR) classification model based on neural-symbolic learning. To gain explainability, a highlevel symbolic representation should be considered in decision making. Specifically, we introduce a human-readable symbolic representation, which follows a taxonomy style of diabetic retinopathy characteristics related to eye health conditions to achieve explainability. We then include humanreadable features obtained from the symbolic representation in the disease prediction. Experimental results on a diabetic retinopa…
Detecting diabetic retinopathy severity through fundus images using an ensemble of classifiers
Technical University of Cluj-Napoca（克卢日-纳波卡技术大学）；“Iuliu Hatieganu” University of Medicine and Pharmacy（“尤利乌·哈采加努”医药大学）；Emergency County Hospital（急诊县医院）
Federated Learning for Diabetic Retinopathy Diagnosis: Enhancing Accuracy and Generalizability in Under-Resourced Regions
High Technology High School（高新技术高中）；Massachusetts Eye and Ear Harvard Medical School（马萨诸塞眼耳医院哈佛医学院）；Harvard Medical School（哈佛医学院）；Harvard Ophthalmology AI Lab（哈佛眼科人工智能实验室）
Technische Universität Kaiserslautern（凯泽斯劳滕工业大学）；German Research Center for Artificial Intelligence GmbH (DFKI)（德国人工智能研究中心（DFKI））；Osaka Prefecture University（大阪府立大学）；National University of Science and Technology (NUST)（国立科技大学（NUST））；Opthalmology Clinic（眼科诊所）
Visual artefacts of early diabetic retinopathy in retinal fundus images are usually small in size, inconspicuous, and scattered all over retina. Detecting diabetic retinopathy requires physicians to look at the whole image and fixate on some specific regions to locate potential biomarkers of the disease. Therefore, getting inspiration from ophthalmologist, we propose to combine coarse-grained classifiers that detect discriminating features from the whole images, with a recent breed of fine-grained classifiers that discover and pay particular attention to pathologically significant regions. To …
Deep learning-based models are developed to automatically detect if a retina image is `referable' in diabetic retinopathy (DR) screening. However, their classification accuracy degrades as the input images distributionally shift from their training distribution. Further, even if the input is not a retina image, a standard DR classifier produces a high confident prediction that the image is `referable'. Our paper presents a Dirichlet Prior Network-based framework to address this issue. It utilizes an out-of-distribution (OOD) detector model and a DR classification model to improve generalizabil…
Department of Computer Science, Aalto University（阿尔托大学计算机科学系）；The Alan Turing Institute（艾伦图灵研究所）；University of Warwick（华威大学）；University College London（伦敦大学学院）；Department of Electrical Engineering and Automation, Aalto University（阿尔托大学电气工程与自动化系）；Central Finland Health Care District（芬兰中部医疗保健区）
Automatic classification of diabetic retinopathy from retinal images has been widely studied using deep neural networks with impressive results. However, there is a clinical need for estimation of the uncertainty in the classifications, a shortcoming of modern neural networks. Recently, approximate Bayesian deep learning methods have been proposed for the task but the studies have only considered the binary referable/non-referable diabetic retinopathy classification applied to benchmark datasets. We present novel results by systematically investigating a clinical dataset and a clinically relev…
UNIÃO DE ENSINO DO SUDOESTE DO PARANÁ – UNISEP（巴拉那州西南部教育联盟（UNISEP））；FACULDADE EDUCACIONAL DE FRANCISCO BELTRÃO – FEFB（弗朗西斯科贝尔特朗教育学院（FEFB））
Many people are affected by diabetes around the world. This disease may have type 1 and 2. Diabetes brings with it several complications including diabetic retinopathy, which is a disease that if not treated correctly can lead to irreversible damage in the patient's vision. The earlier it is detected, the better the chances that the patient will not lose vision. Methods of automating manual procedures are currently in evidence and the diagnostic process for retinopathy is manual with the physician analyzing the patient's retina on the monitor. The practice of image recognition can aid this det…
Turner Institute for Brain and Mental Health, Monash University（莫纳什大学特纳大脑与心理健康研究所）；Wellcome Centre for Human Neuroimaging, UCL（伦敦大学学院惠康人类神经成像中心）；Information Technology University (ITU) Punjab（旁遮普信息技术大学）
In recent years, deep learning (DL) techniques have provided state-of-the-art performance on different medical imaging tasks. However, the availability of good quality annotated medical data is very challenging due to involved time constraints and the availability of expert annotators, e.g., radiologists. In addition, DL is data-hungry and their training requires extensive computational resources. Another problem with DL is their black-box nature and lack of transparency on its inner working which inhibits causal understanding and reasoning. In this paper, we jointly address these challenges b…
Recently, diabetic retinopathy (DR) screening utilizing ultra-wide optical coherence tomography angiography (UW-OCTA) has been used in clinical practices to detect signs of early DR. However, developing a deep learning-based DR analysis system using UW-OCTA images is not trivial due to the difficulty of data collection and the absence of public datasets. By realistic constraints, a model trained on small datasets may obtain sub-par performance. Therefore, to help ophthalmologists be less confused about models' incorrect decisions, the models should be robust even in data scarcity settings. To …
Universidad Nacional de Colombia（哥伦比亚国立大学）；Universidad del Rosario（罗萨里奥大学）
Diabetic Retinopathy (DR) is one of the microvascular complications of Diabetes Mellitus, which remains as one of the leading causes of blindness worldwide. Computational models based on Convolutional Neural Networks represent the state of the art for the automatic detection of DR using eye fundus images. Most of the current work address this problem as a binary classification task. However, including the grade estimation and quantification of predictions uncertainty can potentially increase the robustness of the model. In this paper, a hybrid Deep Learning-Gaussian process method for DR diagn…
LaTIM UMR 1101, Inserm（法国国家健康与医学研究院LaTIM UMR 1101实验室）；University of Western Brittany（西布列塔尼大学）；University of Electronic Science and Technology of China（电子科技大学）；IMT Atlantique（大西洋国立高等矿业电信学院）
Diabetic Retinopathy (DR) is a severe complication of diabetes that can cause blindness. Although effective treatments exist (notably laser) to slow the progression of the disease and prevent blindness, the best treatment remains prevention through regular check-ups (at least once a year) with an ophthalmologist. Optical Coherence Tomography Angiography (OCTA) allows for the visualization of the retinal vascularization, and the choroid at the microvascular level in great detail. This allows doctors to diagnose DR with more precision. In recent years, algorithms for DR diagnosis have emerged al…
We proposed a deep learning method for interpretable diabetic retinopathy (DR) detection. The visual-interpretable feature of the proposed method is achieved by adding the regression activation map (RAM) after the global averaging pooling layer of the convolutional networks (CNN). With RAM, the proposed model can localize the discriminative regions of an retina image to show the specific region of interest in terms of its severity level. We believe this advantage of the proposed deep learning model is highly desired for DR detection because in practice, users are not only interested with high …
Institute of Technical Education & Research, S‘O’A (Deemed to be University)（S‘O’A（被视为大学）技术教育与研究学院）
Blindness in diabetic patients caused by retinopathy (characterized by an increase in the diameter and new branches of the blood vessels inside the retina) is a grave concern. Many efforts have been made for the early detection of the disease using various image processing techniques on retinal images. However, most of the methods are plagued with the false detection of the blood vessel pixels. Given that, here, we propose a modified matched filter with the first derivative of Gaussian. The method uses the top-hat transform and contrast limited histogram equalization. Further, we segment the m…
Shanghai Jiao Tong University（上海交通大学）；The Hong Kong University of Science and Technology（香港科技大学）；Shanghai Jiao Tong University Affiliated Sixth People’s Hospital（上海交通大学附属第六人民医院）；VUNO Inc.（VUNO公司）；Johannes Kepler University Linz（林茨约翰·开普勒大学）；Fudan University（复旦大学）；Inserm（法国国家健康与医学研究院）；University of Western Brittany（西布列塔尼大学）
Commack High School（康马克高中）；Camp Illumina（Illumina 训练营）；Glenda Dawson High School（格伦达·道森高中）；Mira Loma High School（米拉洛马高中）；Ward Melville High School（沃德·梅尔维尔高中）
In this work, deep learning algorithms are used to classify fundus images in terms of diabetic retinopathy severity. Six different combinations of two model architectures, the Dense Convolutional Network-121 and the Residual Neural Network-50 and three image types, RGB, Green, and High Contrast, were tested to find the highest performing combination. We achieved an average validation loss of 0.17 and a max validation accuracy of 85 percent. By testing out multiple combinations, certain combinations of parameters performed better than others, though minimal variance was found overall. Green fil…
Evaluation of Bayesian deep learning (BDL) methods is challenging. We often seek to evaluate the methods' robustness and scalability, assessing whether new tools give `better' uncertainty estimates than old ones. These evaluations are paramount for practitioners when choosing BDL tools on-top of which they build their applications. Current popular evaluations of BDL methods, such as the UCI experiments, are lacking: Methods that excel with these experiments often fail when used in application such as medical or automotive, suggesting a pertinent need for new benchmarks in the field. We propose…
Beihang University（北京航空航天大学）；Peng Cheng Laboratory（鹏城实验室）；RIKEN AIP（理化学研究所人工智能研究中心）；University of Tokyo（东京大学）；Ningbo Institute of Industrial Technology, CAS（中国科学院宁波工业技术研究院）
Though deep learning has shown successful performance in classifying the label and severity stage of certain diseases, most of them give few explanations on how to make predictions. Inspired by Koch's Postulates, the foundation in evidence-based medicine (EBM) to identify the pathogen, we propose to exploit the interpretability of deep learning application in medical diagnosis. By determining and isolating the neuron activation patterns on which diabetic retinopathy (DR) detector relies to make decisions, we demonstrate the direct relation between the isolated neuron activation and lesions for…
Institute of Systems Science, National University of Singapore（新加坡国立大学系统科学研究所）；University of Electronic Science and Technology of China（电子科技大学）；Wuhan University of Science and Technology（武汉科技大学）；Hubei Province Key Laboratory of Intelligent Information Processing and Real-time Industrial System（湖北省智能信息处理与实时工业系统重点实验室）
Diabetic retinopathy (DR) is a common retinal disease that leads to blindness. For diagnosis purposes, DR image grading aims to provide automatic DR grade classification, which is not addressed in conventional research methods of binary DR image classification. Small objects in the eye images, like lesions and microaneurysms, are essential to DR grading in medical imaging, but they could easily be influenced by other objects. To address these challenges, we propose a new deep learning architecture, called BiRA-Net, which combines the attention model for feature extraction and bilinear model fo…
FQPDR: Federated Quantum Neural Network for Privacy-preserving Early Detection of Diabetic Retinopathy
Department of Computer Science and Engineering, Maulana Abul Kalam Azad University of Technology, West Bengal（计算机科学与工程系，穆拉纳·阿布·卡尔·拉马纳特技术大学，西孟加拉邦）；Department of Computer Science and Engineering, MCKV Institute of Engineering, West Bengal（计算机科学与工程系，MCKV工程学院，西孟加拉邦）；Department of Computer Science and Engineering, OmDayal Group of Institutions, West Bengal（计算机科学与工程系，OmDayal学院集团，西孟加拉邦）
Casey Eye Institute, Oregon Health & Science University（俄勒冈健康与科学大学凯西眼科研究所）；Department of Biomedical Engineering, Oregon Health & Science University（俄勒冈健康与科学大学生物医学工程系）
Objective: Optical coherence tomography (OCT) and its angiography (OCTA) have several advantages for the early detection and diagnosis of diabetic retinopathy (DR). However, automated, complete DR classification frameworks based on both OCT and OCTA data have not been proposed. In this study, a convolutional neural network (CNN) based method is proposed to fulfill a DR classification framework using en face OCT and OCTA. Methods: A densely and continuously connected neural network with adaptive rate dropout (DcardNet) is designed for the DR classification. In addition, adaptive label smoothing…
Diabetic Retinopathy (DR) is among the worlds leading vision loss causes in diabetic patients. DR is a microvascular disease that affects the eye retina, which causes vessel blockage and therefore cuts the main source of nutrition for the retina tissues. Treatment for this visual disorder is most effective when it is detected in its earliest stages, as severe DR can result in irreversible blindness. Nonetheless, DR identification requires the expertise of Ophthalmologists which is often expensive and time-consuming. Therefore, automatic detection systems were introduced aiming to facilitate th…
SRM Institute of Science and Technology（SRM科学技术研究所）
Diabetic Retinopathy (DR) is a severe complication that may lead to retinal vascular damage and is one of the leading causes of vision impairment and blindness. DR broadly is classified into two stages - non-proliferative (NPDR), where there are almost no symptoms, except a few microaneurysms, and proliferative (PDR) involving a huge number of microaneurysms and hemorrhages, soft and hard exudates, neo-vascularization, macular ischemia or a combination of these, making it easier to detect. More specifically, DR is usually classified into five levels, labeled 0-4, from 0 indicating no DR to 4 w…
Bayesian deep learning seeks to equip deep neural networks with the ability to precisely quantify their predictive uncertainty, and has promised to make deep learning more reliable for safety-critical real-world applications. Yet, existing Bayesian deep learning methods fall short of this promise; new methods continue to be evaluated on unrealistic test beds that do not reflect the complexities of downstream real-world tasks that would benefit most from reliable uncertainty quantification. We propose the RETINA Benchmark, a set of real-world tasks that accurately reflect such complexities and …
National Institute of Technology Karnataka（卡纳塔克邦国家技术研究所）
Diabetic retinopathy (DR) is a severe complication of diabetes that can cause permanent blindness. Timely diagnosis and treatment of DR are critical to avoid total loss of vision. Manual diagnosis is time consuming and error-prone. In this paper, we propose a novel deep learning based method for automatic screening of retinal fundus images to detect and classify DR based on the severity. The method uses a dual-path configuration of deep neural networks to achieve the objective. In the first step, a modified UNet++ based retinal vessel segmentation is used to create a fundus image that emphasis…
The conventional spatial convolution layers in the Convolutional Neural Networks (CNNs) are computationally expensive at the point where the training time could take days unless the number of layers, the number of training images or the size of the training images are reduced. The image size of 256x256 pixels is commonly used for most of the applications of CNN, but this image size is too small for applications like Diabetic Retinopathy (DR) classification where the image details are important for accurate classification. This research proposed Frequency Domain Convolution (FDC) and Frequency …
Diabetic retinopathy (DR) is a diabetes complication that affects eyes. DR is a primary cause of blindness in working-age people and it is estimated that 3 to 4 million people with diabetes are blinded by DR every year worldwide. Early diagnosis have been considered an effective way to mitigate such problem. The ultimate goal of our research is to develop novel machine learning techniques to analyze the DR images generated by the fundus camera for automatically DR diagnosis. In this paper, we focus on identifying small lesions on DR fundus images. The results from our analysis, which include t…
This paper presents a multitask deep learning model to detect all the five stages of diabetic retinopathy (DR) consisting of no DR, mild DR, moderate DR, severe DR, and proliferate DR. This multitask model consists of one classification model and one regression model, each with its own loss function. Noting that a higher severity level normally occurs after a lower severity level, this dependency is taken into consideration by concatenating the classification and regression models. The regression model learns the inter-dependency between the stages and outputs a score corresponding to the seve…
Ramón y Cajal University Hospital（拉蒙·卡哈尔大学医院）；Ramón y Cajal Health Research Institute (IRYCIS)（拉蒙·卡哈尔健康研究所（IRYCIS））；University of Alcalá de Henares（阿尔卡拉·德·埃纳雷斯大学）；Thirona（Thirona公司）
Background: To determine the ability of a commercially available deep learning system, RetCAD v.1.3.1 (Thirona, Nijmegen, The Netherlands) for the automatic detection of referable diabetic retinopathy (DR) on a dataset of colour fundus images acquired during routine clinical practice in a tertiary hospital screening program, analyzing the reduction of workload that can be released incorporating this artificial intelligence-based technology. Methods: Evaluation of the software was performed on a dataset of 7195 nonmydriatic fundus images from 6325 eyes of 3189 diabetic patients attending our sc…
Detection of diabetic retinopathy using longitudinal self-supervised learning
LaTIM UMR 1101, Inserm（LaTIM UMR 1101 法国国家健康与医学研究院）；University of Western Brittany（西布列塔尼大学）；IMT Atlantique（大西洋电信学院）；Lariboisière Hospital, AP-HP（拉里布瓦西耶医院（巴黎公共医疗集团））；CHRU Brest（布雷斯特大学医疗中心）
