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 frequent classes compared to the shallow neural network.
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）
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 …
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…
Odessa National Polytechnic University（敖德萨国立理工大学）；Odessa I.I. Mechnikov National University（敖德萨国立梅奇尼科夫大学）；VITech Lab（维泰克实验室）
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 retinopath…
University of Georgia（佐治亚大学）；Florida International University（佛罗里达国际大学）
Medical Imaging is one of the growing fields in the world of computer vision. In this study, we aim to address the Diabetic Retinopathy (DR) problem as one of the open challenges in medical imaging. In this research, we propose a new lesion detection architecture, comprising of two sub-modules, which is an optimal solution to detect and find not only the type of lesions caused by DR, their corresponding bounding boxes, and their masks; but also the severity level of the overall case. Aside from traditional accuracy, we also use two popular evaluation criteria to evaluate the outputs of our mod…
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…
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）
Deep learning models have the capacity to fundamentally revolutionize medical imaging analysis, and they have particularly interesting applications in computer-aided diagnosis. We attempt to use deep learning neural networks to diagnose funduscopic images, visual representations of the interior of the eye. Recently, a few robust deep learning approaches have performed binary classification to infer the presence of a specific ocular disease, such as glaucoma or diabetic retinopathy. In an effort to broaden the applications of computer-aided ocular disease diagnosis, we propose a unifying model …
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…
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）
Retinopathy of prematurity (ROP) is an abnormal blood vessel development in the retina of a prematurely-born infant or an infant with low birth weight. ROP is one of the leading causes for infant blindness globally. Early detection of ROP is critical to slow down and avert the progression to vision impairment caused by ROP. Yet there is limited awareness of ROP even among medical professionals. Consequently, dataset for ROP is limited if ever available, and is in general extremely imbalanced in terms of the ratio between negative images and positive ones. In this study, we formulate the proble…
Carnegie Mellon University（卡内基梅隆大学）；INESC TEC, Porto（波尔图INESC TEC研究所）；École de Tecnologie Superieure, Montreal（蒙特利尔高等技术学院）；Faculty of Engineering, University of Porto（波尔图大学工程学院）
Diabetic Retinopathy is the leading cause of blindness in the working-age population of the world. The main aim of this paper is to improve the accuracy of Diabetic Retinopathy detection by implementing a shadow removal and color correction step as a preprocessing stage from eye fundus images. For this, we rely on recent findings indicating that application of image dehazing on the inverted intensity domain amounts to illumination compensation. Inspired by this work, we propose a Shadow Removal Layer that allows us to learn the pre-processing function for a particular task. We show that learni…
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 …
Sirindhorn International Institute of Technology, Thammasat University（泰国国立法政大学诗琳通国际技术学院）
Diabetic retinopathy is an eye-related pathology creating abnormalities and causing visual impairment, proper treatment of which requires identifying irregularities. This research uses a hemorrhage detection method and compares classification of conventional and deep features. Especially, method identifies hemorrhage connected with blood vessels or reside at retinal border and reported challenging. Initially, adaptive brightness adjustment and contrast enhancement rectify degraded images. Prospective locations of hemorrhages are estimated by a Gaussian matched filter, entropy thresholding, and…
University of Nevada, Reno（内华达大学里诺分校）；Deakin University（迪肯大学）；Houston Eye Associates（休斯顿眼科协会）；University of Nevada School of Medicine（内华达大学医学院）
Carrying out clinical diagnosis of retinal vascular degeneration using Fluorescein Angiography (FA) is a time consuming process and can pose significant adverse effects on the patient. Angiography requires insertion of a dye that may cause severe adverse effects and can even be fatal. Currently, there are no non-invasive systems capable of generating Fluorescein Angiography images. However, retinal fundus photography is a non-invasive imaging technique that can be completed in a few seconds. In order to eliminate the need for FA, we propose a conditional generative adversarial network (GAN) to…
Friedrich-Alexander University（弗里德里希-亚历山大大学）；International Max Planck Research School Physics of Light (IMPRS-PL)（国际马克斯·普朗克光物理研究学院（IMPRS-PL））；MIT（麻省理工学院）
Fundus photography and Optical Coherence Tomography Angiography (OCT-A) are two commonly used modalities in ophthalmic imaging. With the development of deep learning algorithms, fundus image processing, especially retinal vessel segmentation, has been extensively studied. Built upon the known operator theory, interpretable deep network pipelines with well-defined modules have been constructed on fundus images. In this work, we firstly train a modularized network pipeline for the task of retinal vessel segmentation on the fundus database DRIVE. The pretrained preprocessing module from the pipel…
Sun Yat-sen University（中山大学）；Southern University of Science and Technology（南方科技大学）
Manually annotating medical images is extremely expensive, especially for large-scale datasets. Self-supervised contrastive learning has been explored to learn feature representations from unlabeled images. However, unlike natural images, the application of contrastive learning to medical images is relatively limited. In this work, we propose a self-supervised framework, namely lesion-based contrastive learning for automated diabetic retinopathy (DR) grading. Instead of taking entire images as the input in the common contrastive learning scheme, lesion patches are employed to encourage the fea…
Multiscale Softmax Cross Entropy for Fovea Localization on Color Fundus Photography
Institute of Imaging and Computer Vision, RWTH Aachen, Germany（成像与计算机视觉研究所，RWTH亚琛，德国）；Department of Ophthalmology, RWTH Aachen, Germany（眼科部门，RWTH亚琛，德国）
Cross-Fundus Transformer for Multi-modal Diabetic Retinopathy Grading with Cataract
Academy for Engineering and Technology, Fudan University（复旦大学工程技术研究院）；School of Computer Science, Fudan University（复旦大学计算机科学技术学院）；Shanghai Eye Diseases Prevention & Treatment Center（上海眼病防治中心）；Shanghai Jiao Tong University School of Medicine（上海交通大学医学院）
PLADEMA Institute, UNICEN（国立中央布宜诺斯艾利斯省大学PLADEMA研究所）；Centro de Oftalmología Martínez（马丁内斯眼科中心）
Deep learning is currently the state-of-the-art for automated detection of referable diabetic retinopathy (DR) from color fundus photographs (CFP). While the general interest is put on improving results through methodological innovations, it is not clear how good these approaches perform compared to standard deep classification models trained with the appropriate settings. In this paper we propose to model a strong baseline for this task based on a simple and standard ResNet-18 architecture. To this end, we built on top of prior art by training the model with a standard preprocessing strategy …
Universidad Nacional de Colombia（哥伦比亚国立大学）；Fundación Oftalmológica Nacional（国家眼科基金会）；Universidad del Rosario（罗萨里奥大学）
Diabetic retinopathy (DR) is the result of a complication of diabetes affecting the retina. It can cause blindness, if left undiagnosed and untreated. An ophthalmologist performs the diagnosis by screening each patient and analyzing the retinal lesions via ocular imaging. In practice, such analysis is time-consuming and cumbersome to perform. This paper presents a model for automatic DR classification on eye fundus images. The approach identifies the main ocular lesions related to DR and subsequently diagnoses the illness. The proposed method follows the same workflow as the clinicians, provid…
Muroran Institute of Technology（室兰工业大学）；Niigata University of Healthcare and Welfare（新潟医疗福祉大学）；Konica Minolta, Inc.（柯尼卡美能达公司）
Artificial Intelligence for RObust Glaucoma Screening (AIROGS) Challenge is held for developing solutions for glaucoma screening from color fundus photography that are robust to real-world scenarios. This report describes our method submitted to the AIROGS challenge. Our method employs convolutional neural networks to classify input images to "referable glaucoma" or "no referable glaucoma". In addition, we introduce an inference-time out-of-distribution (OOD) detection method to identify ungradable images. Our OOD detection is based on an energy-based method combined with activation rectificat…
DRStageNet: Deep Learning for Diabetic Retinopathy Staging from Fundus Images
Technion, Israel Institute of Technology（以色列理工学院）；Massachusetts Institute of Technology（麻省理工学院）；Beth Israel Deaconess Medical Center（贝斯以色列女执事医疗中心）；Harvard T.H. Chan School of Public Health（哈佛大学陈曾熙公共卫生学院）；São Paulo Federal University（圣保罗联邦大学）
Manarat International University（玛纳拉特国际大学）；Bangladesh University of Engineering and Technology（孟加拉国工程技术大学）
Diabetic Retinopathy (DR) is a constantly deteriorating disease, being one of the leading causes of vision impairment and blindness. Subtle distinction among different grades and existence of many significant small features make the task of recognition very challenging. In addition, the present approach of retinopathy detection is a very laborious and time-intensive task, which heavily relies on the skill of a physician. Automated detection of diabetic retinopathy is essential to tackle these problems. Early-stage detection of diabetic retinopathy is also very important for diagnosis, which ca…
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…
Visulytix Ltd（维视利泰有限公司）；Instituto Mexicano de Oftalmología（墨西哥眼科研究所）；Instituto de la Retina del Bajío（巴希奥视网膜研究所）；Mater Dei Hospital（圣母医院）；King’s College Hospital NHS Foundation Trust（国王学院医院国民保健信托基金）
Objectives: To evaluate the performance of an Artificial Intelligence (AI) system (Pegasus, Visulytix Ltd., UK), at the detection of Diabetic Retinopathy (DR) from images captured by a handheld portable fundus camera. Methods: A cohort of 6,404 patients (~80% with diabetes mellitus) was screened for retinal diseases using a handheld portable fundus camera (Pictor Plus, Volk Optical Inc., USA) at the Mexican Advanced Imaging Laboratory for Ocular Research. The images were graded for DR by specialists according to the Scottish DR grading scheme. The performance of the AI system was evaluated, re…
Heritage Institute of Technology（遗产理工学院）；Tata Consultancy Services（塔塔咨询服务公司）
Diabetic Retinopathy (DR) is a complication of long-standing, unchecked diabetes and one of the leading causes of blindness in the world. This paper focuses on improved and robust methods to extract some of the features of DR, viz. Blood Vessels and Exudates. Blood vessels are segmented using multiple morphological and thresholding operations. For the segmentation of exudates, k-means clustering and contour detection on the original images are used. Extensive noise reduction is performed to remove false positives from the vessel segmentation algorithm's results. The localization of Optic Disc …
Southern University of Science and Technology（南方科技大学）；The University of British Columbia（不列颠哥伦比亚大学）；The University of Hong Kong（香港大学）；The University of Queensland（昆士兰大学）
Although deep learning based diabetic retinopathy (DR) classification methods typically benefit from well-designed architectures of convolutional neural networks, the training setting also has a non-negligible impact on the prediction performance. The training setting includes various interdependent components, such as objective function, data sampling strategy and data augmentation approach. To identify the key components in a standard deep learning framework (ResNet-50) for DR grading, we systematically analyze the impact of several major components. Extensive experiments are conducted on a …
Cross Feature Fusion of Fundus Image and Generated Lesion Map for Referable Diabetic Retinopathy Classification
Sungkyunkwan University（成均馆大学）；College of Computing and Informatics, Sungkyunkwan University（成均馆大学计算与信息学院）；Dept. of Electrical and Computer Engineering, Sungkyunkwan University（成均馆大学电气与计算机工程系）
Aristotle University of Thessaloniki（塞萨洛尼基亚里士多德大学）
Diabetic Retinopathy (DR) is a leading cause of vision loss globally. Yet despite its prevalence, the majority of affected people lack access to the specialized ophthalmologists and equipment required for assessing their condition. This can lead to delays in the start of treatment, thereby lowering their chances for a successful outcome. Machine learning systems that automatically detect the disease in eye fundus images have been proposed as a means of facilitating access to DR severity estimates for patients in remote regions or even for complementing the human expert's diagnosis. In this pap…
Indian Institute of Technology Kharagpur（印度理工学院卡拉格普尔分校）
Diabetic retinopathy (DR) is the most common form of diabetic eye disease. Retinopathy can affect all diabetic patients and becomes particularly dangerous, increasing the risk of blindness, if it is left untreated. The success rate of its curability solemnly depends on diagnosis at an early stage. The development of automated computer aided disease diagnosis tools could help in faster detection of symptoms with a wider reach and reasonable cost. This paper proposes a method for the automated segmentation of retinal lesions and optic disk in fundus images using a deep fully convolutional neural…
Automatic diabetic retinopathy (DR) grading based on fundus photography has been widely explored to benefit the routine screening and early treatment. Existing researches generally focus on single-field fundus images, which have limited field of view for precise eye examinations. In clinical applications, ophthalmologists adopt two-field fundus photography as the dominating tool, where the information from each field (i.e.,macula-centric and optic disc-centric) is highly correlated and complementary, and benefits comprehensive decisions. However, automatic DR grading based on two-field fundus …
Australian e-Health Research Centre, CSIRO（澳大利亚电子健康研究中心，联邦科学与工业研究组织）；ACRV, The Australian National University（澳大利亚机器人视觉中心，澳大利亚国立大学）；University of California, Berkeley（加州大学伯克利分校）
Purpose To develop a computer based method for the automated assessment of image quality in the context of diabetic retinopathy (DR) to guide the photographer. Methods A deep learning framework was trained to grade the images automatically. A large representative set of 7000 color fundus images were used for the experiment which were obtained from the EyePACS that were made available by the California Healthcare Foundation. Three retinal image analysis experts were employed to categorize these images into Accept and Reject classes based on the precise definition of image quality in the context…
Netaji Subhas Institute of Technology（内塔吉·苏巴斯技术学院）；Pandit Deendayal Energy University（潘迪特·迪恩达亚尔能源大学）；National Institute of Technology Delhi（德里国立理工学院）；AMC MET Medical College（AMC MET医学院）
Patients with long-standing diabetes often fall prey to Diabetic Retinopathy (DR) resulting in changes in the retina of the human eye, which may lead to loss of vision in extreme cases. The aim of this study is two-fold: (a) create deep learning models that were trained to grade degraded retinal fundus images and (b) to create a browser-based application that will aid in diagnostic procedures by highlighting the key features of the fundus image. In this research work, we have emulated the images plagued by distortions by degrading the images based on multiple different combinations of Light Tr…
Fundus2Video: Cross-Modal Angiography Video Generation from Static Fundus Photography with Clinical Knowledge Guidance
The Hong Kong Polytechnic University（香港理工大学）；Clemson University（克莱姆森大学）；École Polytechnique Fédérale de Lausanne (EPFL)（洛桑联邦理工学院）；Monash University（莫纳什大学）；Sun Yat-sen University（中山大学）
Artificial Intelligence Group, Baidu（百度人工智能组）；Institute of Automation, Chinese Academy of Sciences（中国科学院自动化研究所）；University of Science and Technology of China（中国科学技术大学）
Diabetic retinopathy (DR) grading from fundus images has attracted increasing interest in both academic and industrial communities. Most convolutional neural network (CNN) based algorithms treat DR grading as a classification task via image-level annotations. However, these algorithms have not fully explored the valuable information in the DR-related lesions. In this paper, we present a robust framework, which collaboratively utilizes patch-level and image-level annotations, for DR severity grading. By an end-to-end optimization, this framework can bi-directionally exchange the fine-grained le…
Replication studies are essential for validation of new methods, and are crucial to maintain the high standards of scientific publications, and to use the results in practice. We have attempted to replicate the main method in 'Development and validation of a deep learning algorithm for detection of diabetic retinopathy in retinal fundus photographs' published in JAMA 2016; 316(22). We re-implemented the method since the source code is not available, and we used publicly available data sets. The original study used non-public fundus images from EyePACS and three hospitals in India for training.…
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…
Khalifa University（哈利法大学）；National University of Sciences and Technology（国立科技大学）
Retinal lesions play a vital role in the accurate classification of retinal abnormalities. Many researchers have proposed deep lesion-aware screening systems that analyze and grade the progression of retinopathy. However, to the best of our knowledge, no literature exploits the tendency of these systems to generalize across multiple scanner specifications and multi-modal imagery. Towards this end, this paper presents a detailed evaluation of semantic segmentation, scene parsing and hybrid deep learning systems for extracting the retinal lesions such as intra-retinal fluid, sub-retinal fluid, h…
Diabetic Retinopathy (DR) is a leading cause of blindness in working age adults. DR lesions can be challenging to identify in fundus images, and automatic DR detection systems can offer strong clinical value. Of the publicly available labeled datasets for DR, the Indian Diabetic Retinopathy Image Dataset (IDRiD) presents retinal fundus images with pixel-level annotations of four distinct lesions: microaneurysms, hemorrhages, soft exudates and hard exudates. We utilize the HEDNet edge detector to solve a semantic segmentation task on this dataset, and then propose an end-to-end system for pixel…
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…
University of Nevada, Reno（内华达大学雷诺分校）；Deakin University（迪肯大学）；Houston Eye Associates（休斯顿眼科协会）
Fluorescein Angiography (FA) is a technique that employs the designated camera for Fundus photography incorporating excitation and barrier filters. FA also requires fluorescein dye that is injected intravenously, which might cause adverse effects ranging from nausea, vomiting to even fatal anaphylaxis. Currently, no other fast and non-invasive technique exists that can generate FA without coupling with Fundus photography. To eradicate the need for an invasive FA extraction procedure, we introduce an Attention-based Generative network that can synthesize Fluorescein Angiography from Fundus imag…
University of Bournemouth（伯恩茅斯大学）；École de Technolgie Superieure de Montréal（蒙特利尔高等技术学院）；Diagnos Inc.（Diagnos公司）；CRCHUM University of Montreal Hospital Centre（蒙特利尔大学医院研究中心）
Assessing the degree of disease severity in biomedical images is a task similar to standard classification but constrained by an underlying structure in the label space. Such a structure reflects the monotonic relationship between different disease grades. In this paper, we propose a straightforward approach to enforce this constraint for the task of predicting Diabetic Retinopathy (DR) severity from eye fundus images based on the well-known notion of Cost-Sensitive classification. We expand standard classification losses with an extra term that acts as a regularizer, imposing greater penaltie…
Fundus photography is indispensable for clinical detection and management of eye diseases. Limited image contrast and field of view (FOV) are common limitations of conventional fundus cameras, making it difficult to detect subtle abnormalities at the early stages of eye diseases. Further improvements of image contrast and FOV coverage are important to improve early disease detection and reliable treatment assessment. We report here a portable fundus camera, with a wide FOV and high dynamic range (HDR) imaging capabilities. Miniaturized indirect ophthalmoscopy illumination was employed to achie…
Federated Uncertainty-Aware Aggregation for Fundus Diabetic Retinopathy Staging
Institute of High Performance Computing (IHPC)（高性能计算研究所）；Agency for Science, Technology and Research (A*STAR)（科技研究局）；College of Computer Science and Technology（计算机科学与技术学院）；Nanjing University of Aeronautics and Astronautics（南京航空航天大学）；National Key Laboratory of Fundamental Science on Synthetic Vision（合成视觉基础科学国家重点实验室）；Sichuan University（四川大学）
INESC TEC - Institute for Systems and Computer Engineering, Technology and Science（INESC TEC——系统与计算机工程、技术与科学研究院）；Faculty of Engineering of University of Porto（波尔图大学工程学院）；Hospital de Braga（布拉加医院）；Centro Hospitalar São João（圣若昂医院中心）；Faculty of Medicine of University of Porto（波尔图大学医学院）
Diabetic retinopathy (DR) grading is crucial in determining the adequate treatment and follow up of patients, but the screening process can be tiresome and prone to errors. Deep learning approaches have shown promising performance as computer-aided diagnosis(CAD) systems, but their black-box behaviour hinders the clinical application. We propose DR$\vert$GRADUATE, a novel deep learning-based DR grading CAD system that supports its decision by providing a medically interpretable explanation and an estimation of how uncertain that prediction is, allowing the ophthalmologist to measure how much t…
