Strategy for Rapid Diabetic Retinopathy Exposure Based on Enhanced Feature Extraction Processing
M. Kumarasamy College of Engineering（M. Kumarasamy工程学院）；Saveetha Institute of Medical and Technical Sciences（Saveetha医学与技术学院）；Saveetha School of Engineering（Saveetha工程学院）
In the modern world, one of the most severe eye infections brought on by diabetes is known as diabetic retinopathy, which will result in retinal damage, and, thus, lead to blindness. Diabetic retinopathy can be well treated with early diagnosis. Retinal fundus images of humans are used to screen for lesions in the retina. However, detecting DR in the early stages is challenging due to the minimal symptoms. Furthermore, the occurrence of diseases linked to vascular anomalies brought on by DR aids in diagnosing the condition. Nevertheless, the resources required for manually identifying the lesions are high. Similarly, training for Convolutional Neural Networks is more time-consuming. This proposed research aims to improve diabetic retinopathy diagnosis by developing an enhanced deep learning model for timely DR identification that is potentially more accurate than existing CNN-based models. The proposed model will detect various lesions from retinal images in the early stages. First, characteristics are retrieved from the retinal fundus picture and put into the EDLM for classification. For dimensionality reduction, EDLM is used. Additionally, the classification and feature extraction processes are optimized using the stochastic gradient descent optimizer. The EDLM effectiveness is assessed on the KAG GLE dataset with 3459 retinal images, and results are compared over VGG16, VGG19, RESNET18, RESNET34, and RESNET50.
Department of Computer Science & Engineering, Priyadarshini Institute of Engineering & Technology（普里达尔希尼工程技术学院计算机科学与工程系）
Diabetic Retinopathy is a critical health problem influences 100 million individuals worldwide, and these figures are expected to rise, particularly in Asia. Diabetic Retinopathy is a chronic eye disease which can lead to irreversible vision loss. Considering the visual complexity of retinal images, the early-stage diagnosis of Diabetic Retinopathy can be challenging for human experts. However, Early detection of Diabetic Retinopathy can significantly help to avoid permanent vision loss. The capability of computer-aided detection systems to accurately and efficiently detect the diabetic retino…
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…
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…
Montclair State University（蒙特克莱尔州立大学）；Austin Peay State University（奥斯汀佩伊州立大学）
Diabetic retinopathy (DR) is a retinal microvascular condition that emerges in diabetic patients. DR will continue to be a leading cause of blindness worldwide, with a predicted 191.0 million globally diagnosed patients in 2030. Microaneurysms, hemorrhages, exudates, and cotton wool spots are common signs of DR. However, they can be small and hard for human eyes to detect. Early detection of DR is crucial for effective clinical treatment. Existing methods to classify images require much time for feature extraction and selection, and are limited in their performance. Convolutional Neural Networ…
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…
Research and Technology Development Center（研究与技术开发中心）；Sharda University（夏尔达大学）
Early diagnosis of diabetic retinopathy for treatment of the disease has been failing to reach diabetic people living in rural areas. Shortage of trained ophthalmologists, limited availability of healthcare centers, and expensiveness of diagnostic equipment are among the reasons. Although many deep learning-based automatic diagnosis of diabetic retinopathy techniques have been implemented in the literature, these methods still fail to provide a point-of-care diagnosis. This raises the need for an independent diagnostic of diabetic retinopathy that can be used by a non-expert. Recently the usag…
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…
Exploring Deep Learning and Ultra-Widefield Imaging for Diabetic Retinopathy and Macular Edema
BiometricsAI, Universidad Autónoma de Madrid, Madrid, Spain（生物度量AI，马德里自治大学，马德里，西班牙）；Department of Mathematics, Universidad de Las Palmas de Gran Canaria, Spain（数学系，拉斯帕尔马斯大Canaria大学，西班牙）；HCTLab Research Group, Universidad Autónoma de Madrid, Madrid, Spain（HCTLab研究组，马德里自治大学，马德里，西班牙）
Fr. Conceicao Rodrigues Institute of Technology, Vashi（康塞桑·罗德里格斯神父理工学院，瓦希）
With the prevalence of Diabetes, the Diabetes Mellitus Retinopathy (DR) is becoming a major health problem across the world. The long-term medical complications arising due to DR have a significant impact on the patient as well as the society, as the disease mostly affects individuals in their most productive years. Early detection and treatment can help reduce the extent of damage to the patients. The rise of Convolutional Neural Networks for predictive analysis in the medical field paves the way for a robust solution to DR detection. This paper studies the performance of several highly effic…
Rochester Institute of Technology（罗切斯特理工学院）；Drexel University（德雷塞尔大学）；University of Rochester（罗切斯特大学）
Widespread outreach programs using remote retinal imaging have proven to decrease the risk from diabetic retinopathy, the leading cause of blindness in the US. However, this process still requires manual verification of image quality and grading of images for level of disease by a trained human grader and will continue to be limited by the lack of such scarce resources. Computer-aided diagnosis of retinal images have recently gained increasing attention in the machine learning community. In this paper, we introduce a set of neural networks for diabetic retinopathy classification of fundus reti…
Department of Computer Science & Engineering, Priyadarshini Institute of Engineering & Technology（普里雅达希尼工程技术学院计算机科学与工程系）
Diabetic Retinopathy is a global health problem, influences 100 million individuals worldwide, and in the next few decades, these incidences are expected to reach epidemic proportions. Diabetic Retinopathy is a subtle eye disease that can cause sudden, irreversible vision loss. The early-stage Diabetic Retinopathy diagnosis can be challenging for human experts, considering the visual complexity of fundus photography retinal images. However, Early Stage detection of Diabetic Retinopathy can significantly alter the severe vision loss problem. The competence of computer-aided detection systems to…
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…
From Retinal Pixels to Patients: Evolution of Deep Learning Research in Diabetic Retinopathy Screening
Fraunhofer IAIS - Department of Media Engineering, Germany（弗劳恩霍夫研究所媒体工程部门）；University of Bonn - Department of Computer Science, Germany（波恩大学计算机科学系）；University Hospital Bonn - Department of Ophthalmology, Germany（波恩大学医院眼科部门）；Lamarr Institute for Machine Learning and Artificial Intelligence, Germany（拉马尔人工智能与机器学习研究所）
Diabetic Retinopathy (DR) has become one of the leading causes of vision impairment in working-aged people and is a severe problem worldwide. However, most of the works ignored the ordinal information of labels. In this project, we propose a novel design MTCSNN, a Multi-task Clinical Siamese Neural Network for Diabetic Retinopathy severity prediction task. The novelty of this project is to utilize the ordinal information among labels and add a new regression task, which can help the model learn more discriminative feature embedding for fine-grained classification tasks. We perform comprehensiv…
Institute for Infocomm Research, Agency for Science, Technology and Research（新加坡科技研究局资讯通信研究院）；Institute of Systems Science, National University of Singapore（新加坡国立大学系统科学研究院）
Diabetes is one of the most common disease in individuals. \textit{Diabetic retinopathy} (DR) is a complication of diabetes, which could lead to blindness. Automatic DR grading based on retinal images provides a great diagnostic and prognostic value for treatment planning. However, the subtle differences among severity levels make it difficult to capture important features using conventional methods. To alleviate the problems, a new deep learning architecture for robust DR grading is proposed, referred to as SEA-Net, in which, spatial attention and channel attention are alternatively carried o…
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.
German Research Center for Artificial Intelligence (DFKI)（德国人工智能研究中心）；Dongguk University（东国大学）；Stanford University（斯坦福大学）；Oldenburg University（奥尔登堡大学）
This paper investigates the problem of domain adaptation for diabetic retinopathy (DR) grading. We learn invariant target-domain features by defining a novel self-supervised task based on retinal vessel image reconstructions, inspired by medical domain knowledge. Then, a benchmark of current state-of-the-art unsupervised domain adaptation methods on the DR problem is provided. It can be shown that our approach outperforms existing domain adaption strategies. Furthermore, when utilizing entire training data in the target domain, we are able to compete with several state-of-the-art approaches in…
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 leading causes of blindness in the working-age population of developed countries, caused by a side effect of diabetes that reduces the blood supply to the retina. Deep neural networks have been widely used in automated systems for DR classification on eye fundus images. However, these models need a large number of annotated images. In the medical domain, annotations from experts are costly, tedious, and time-consuming; as a result, a limited number of annotated images are available. This paper presents a semi-supervised method that leverages unlabeled im…
This paper addresses the problem of identifying two main types of lesions - Exudates and Microaneurysms - caused by Diabetic Retinopathy (DR) in the eyes of diabetic patients. We make use of Convolutional Neural Networks (CNNs) and Transfer Learning to locate and generate high-quality segmentation mask for each instance of the lesion that can be found in the patients' fundus images. We create our normalized database out of e-ophtha EX and e-ophtha MA and tweak Mask R-CNN to detect small lesions. Moreover, we employ data augmentation and the pre-trained weights of ResNet101 to compensate for ou…
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 …
The Chinese University of Hong Kong（香港中文大学）；Tsing Hua University（清华大学）；SenseTime Group Limited（商汤集团有限公司）；Sir Run Run Shaw Hospital（邵逸夫医院）
We propose a convolution neural network based algorithm for simultaneously diagnosing diabetic retinopathy and highlighting suspicious regions. Our contributions are two folds: 1) a network termed Zoom-in-Net which mimics the zoom-in process of a clinician to examine the retinal images. Trained with only image-level supervisions, Zoomin-Net can generate attention maps which highlight suspicious regions, and predicts the disease level accurately based on both the whole image and its high resolution suspicious patches. 2) Only four bounding boxes generated from the automatically learned attentio…
University of Waterloo（滑铁卢大学）；University of Guelph（圭尔夫大学）；Canadian Institute of Advanced Research (CIFAR)（加拿大高等研究院）；Vector Institute（向量研究院）
Objective: Radiomics-driven Computer Aided Diagnosis (CAD) has shown considerable promise in recent years as a potential tool for improving clinical decision support in medical oncology, particularly those based around the concept of Discovery Radiomics, where radiomic sequencers are discovered through the analysis of medical imaging data. One of the main limitations with current CAD approaches is that it is very difficult to gain insight or rationale as to how decisions are made, thus limiting their utility to clinicians. Methods: In this study, we propose CLEAR-DR, a novel interpretable CAD …
COMSATS University Islamabad（伊斯兰堡 COMSATS 大学）；Deakin University（迪肯大学）；Victoria University（维多利亚大学）
Diabetic retinopathy refers to the pathology of the retina induced by diabetes and is one of the leading causes of preventable blindness in the world. Early detection of diabetic retinopathy is critical to avoid vision problem through continuous screening and treatment. In traditional clinical practice, the involved lesions are manually detected using photographs of the fundus. However, this task is cumbersome and time-consuming and requires intense effort due to the small size of lesion and low contrast of the images. Thus, computer-assisted diagnosis of diabetic retinopathy based on the dete…
Reliable microaneurysm detection in digital fundus images is still an open issue in medical image processing. We propose an ensemble-based framework to improve microaneurysm detection. Unlike the well-known approach of considering the output of multiple classifiers, we propose a combination of internal components of microaneurysm detectors, namely preprocessing methods and candidate extractors. We have evaluated our approach for microaneurysm detection in an online competition, where this algorithm is currently ranked as first and also on two other databases. Since microaneurysm detection is d…
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…
In this manuscript, we automate the procedure of grading of diabetic retinopathy and macular edema from fundus images using an ensemble of convolutional neural networks. The availability of limited amount of labeled data to perform supervised learning was circumvented by using transfer learning approach. The models in the ensemble were pre-trained on a large dataset comprising natural images and were later fine-tuned with the limited data for the task of choice. For an image, the ensemble of classifiers generate multiple predictions, and a max-voting based approach was utilized to attain the f…
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）
The automatic grading of diabetic retinopathy (DR) facilitates medical diagnosis for both patients and physicians. Existing researches formulate DR grading as an image classification problem. As the stages/categories of DR correlate with each other, the relationship between different classes cannot be explicitly described via a one-hot label because it is empirically estimated by different physicians with different outcomes. This class correlation limits existing networks to achieve effective classification. In this paper, we propose a Graph REsidual rE-ranking Network (GREEN) to introduce a c…
Kasetsart University（泰国农业大学）；National Electronics and Computer Technology Centre（泰国国家电子与计算机技术中心）；Tokyo Institute of Technology（东京工业大学）
This research aims to develop an efficient system for screening of diabetic retinopathy. Diabetic retinopathy is the major cause of blindness. Severity of diabetic retinopathy is recognized by some features, such as blood vessel area, exudates, haemorrhages and microaneurysms. To grade the disease the screening system must efficiently detect these features. In this paper we are proposing a simple and fast method for detection of diabetic retinopathy. We do pre-processing of grey-scale image and find all labelled connected components (blobs) in an image regardless of whether it is haemorrhages,…
Google Research（谷歌研究院）；Palo Alto Medical Foundation（帕洛阿尔托医疗基金会）；Oregon Eye Consultants（俄勒冈眼科顾问公司）
Diabetic retinopathy (DR) and diabetic macular edema are common complications of diabetes which can lead to vision loss. The grading of DR is a fairly complex process that requires the detection of fine features such as microaneurysms, intraretinal hemorrhages, and intraretinal microvascular abnormalities. Because of this, there can be a fair amount of grader variability. There are different methods of obtaining the reference standard and resolving disagreements between graders, and while it is usually accepted that adjudication until full consensus will yield the best reference standard, the …
Although deep learning research and applications have grown rapidly over the past decade, it has shown limitation in healthcare applications and its reachability to people in remote areas. One of the challenges of incorporating deep learning in medical data classification or prediction is the shortage of annotated training data in the healthcare industry. Medical data sharing privacy issues and limited patient population size can be stated as some of the reasons for training data insufficiency in healthcare. Methods to exploit deep learning applications in healthcare have been proposed and imp…
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…
Low-Rank Adaptive Structural Priors for Generalizable Diabetic Retinopathy Grading
School of Electronic and Information Engineering, Guangxi Normal University（广西师范大学电子与信息工程学院）；School of Computer Science and Engineering, Guangxi Normal University（广西师范大学计算机科学与工程学院）；University of Cambridge（剑桥大学）
Optical Coherence Tomography Angiography-OCTA dataset for the study of Diabetic Retinopathy
Symbiosis Institute of Technology, Symbiosis International (Deemed University)（共生国际（ deemed 大学）共生技术学院）；University of Technology Sydney（悉尼科技大学）；Natasha Eye Care（娜塔莎眼科护理中心）
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 …
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…
Sharda University（沙尔达大学）；Research and Technology Development Center（研究与技术开发中心）
Annotated training data insufficiency remains to be one of the challenges of applying deep learning in medical data classification problems. Transfer learning from an already trained deep convolutional network can be used to reduce the cost of training from scratch and to train with small training data for deep learning. This raises the question of whether we can use transfer learning to overcome the training data insufficiency problem in deep learning based medical data classifications. Deep convolutional networks have been achieving high performance results on the ImageNet Large Scale Visual…
Institute for Infocomm Research (I2R), Agency for Science, Technology and Research (A*STAR)（新加坡科技研究局资讯通信研究院）；National University of Singapore（新加坡国立大学）
Diabetic retinopathy (DR) is one of the most common eye conditions among diabetic patients. However, vision loss occurs primarily in the late stages of DR, and the symptoms of visual impairment, ranging from mild to severe, can vary greatly, adding to the burden of diagnosis and treatment in clinical practice. Deep learning methods based on retinal images have achieved remarkable success in automatic DR grading, but most of them neglect that the presence of diabetes usually affects both eyes, and ophthalmologists usually compare both eyes concurrently for DR diagnosis, leaving correlations bet…
