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arXiv 2510.07277cs.CV

评估针对糖尿病黄斑水肿检测的眼底专用基础模型

Evaluating Fundus-Specific Foundation Models for Diabetic Macular Edema Detection

Yatiris Group(Yatiris集团);PLADEMA Institute(PLADEMA研究所);UNICEN(UNICEN大学);Tandil, Argentina(阿根廷坦迪尔)

Franco Javier Arellano, José Ignacio Orlando

AI总结:

本文对比RETFound、FLAIR两款眼底专用基础模型与EfficientNetB0,在三个数据集上开展DME检测实验,发现轻量级CNN表现更优,基础模型在该任务中无明显优势。

摘要:

糖尿病黄斑水肿(DME)是糖尿病视网膜病变(DR)患者视力丧失的主要原因。尽管深度学习在从眼底图像自动检测该病症方面已展现出良好效果,但由于标注数据有限,其应用仍面临挑战。基础模型(FM)作为替代方案已出现,但目前尚不清楚它们能否应对DME检测这一特定任务。本文系统比较了不同基础模型与标准迁移学习方法在该任务中的表现,具体在IDRiD、MESSIDOR-2和OCT-and-Eye-FundusImages(OEFI)三个数据集上,对比了两款最流行的视网膜图像基础模型——RETFound和FLAIR,以及EfficientNetB0主干网络,涵盖不同训练方案与评估设置。结果显示,尽管基础模型规模庞大,但在该任务中并未始终优于微调后的卷积神经网络(CNN);特别是EfficientNet-B0在各类评估设置中始终取得具有竞争力或更优的性能,其中FLAIR是表现最具竞争力的基础模型,始终优于RETFound。这些发现表明,即使经过微调,基础模型在DME检测这类细粒度眼科任务中也未必具备优势,凸显了轻量级卷积神经网络在数据稀缺环境中可作为强大基线模型。

英文摘要:

Diabetic Macular Edema (DME) is a leading cause of vision loss among patients with Diabetic Retinopathy (DR). While deep learning has shown promising results for automatically detecting this condition from fundus images, its application remains challenging due the limited availability of annotated data. Foundation Models (FM) have emerged as an alternative solution. However, it is unclear if they can cope with DME detection in particular. In this paper, we systematically compare different FM and standard transfer learning approaches for this task. Specifically, we compare the two most popular FM for retinal images-RETFound and FLAIR-and an EfficientNetB0 backbone, across different training regimes and evaluation settings in IDRiD, MESSIDOR-2 and OCT-and-Eye-FundusImages (OEFI). Results show that despite their scale, FM do not consistently outperform fine-tuned CNNs in this task. In particular, EfficientNet-B0 consistently achieves competitive or superior performance across evaluation settings, with FLAIR being the most competitive foundation model, consistently outperforming RETFound. These findings suggest that FMs do not necessarily provide an advantage for fine-grained ophthalmic tasks such as DME detection, even after fine-tuning, highlighting lightweight CNNs as strong baselines in data-scarce environments.

机构、总结、中文摘要均由AI分析而来,可能存在错误,请以论文正文为准。

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