No Arabic abstract
Diabetic retinopathy (DR) is a leading cause of vision loss in the world and numerous cutting-edge works have built powerful deep neural networks (DNNs) to automatically classify the DR cases via the retinal fundus images (RFIs). However, RFIs are usually affected by the widely existing camera exposure while the robustness of DNNs to the exposure is rarely explored. In this paper, we study this problem from the viewpoint of adversarial attack and identify a totally new task, i.e., adversarial exposure attack generating adversarial images by tuning image exposure to mislead the DNNs with significantly high transferability. To this end, we first implement a straightforward method, i.e., multiplicative-perturbation-based exposure attack, and reveal the big challenges of this new task. Then, to make the adversarial image naturalness, we propose the adversarial bracketed exposure fusion that regards the exposure attack as an element-wise bracketed exposure fusion problem in the Laplacian-pyramid space. Moreover, to realize high transferability, we further propose the convolutional bracketed exposure fusion where the element-wise multiplicative operation is extended to the convolution. We validate our method on the real public DR dataset with the advanced DNNs, e.g., ResNet50, MobileNet, and EfficientNet, showing our method can achieve high image quality and success rate of the transfer attack. Our method reveals the potential threats to the DNN-based DR automated diagnosis and can definitely benefit the development of exposure-robust automated DR diagnosis method in the future.
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 for fine-grained classification. Furthermore, in considering the distance between different grades of different DR categories, we propose a new loss function, called grading loss, which leads to improved training convergence of the proposed approach. Experimental results are provided to demonstrate the superior performance of the proposed approach.
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 retinal images. We evaluate the efficiency of the proposed classifiers in combination with preprocessing and augmentation steps on a sample dataset. Our experimental results show that neural networks in combination with preprocessing on the images can boost the classification accuracy on this dataset. Moreover the proposed models are scalable and can be used in large scale datasets for diabetic retinopathy detection. The models introduced in this paper can be used to facilitate the diagnosis and speed up the detection process.
Diabetic retinopathy (DR) is one of the leading causes of blindness. However, no specific symptoms of early DR lead to a delayed diagnosis, which results in disease progression in patients. To determine the disease severity levels, ophthalmologists need to focus on the discriminative parts of the fundus images. In recent years, deep learning has achieved great success in medical image analysis. However, most works directly employ algorithms based on convolutional neural networks (CNNs), which ignore the fact that the difference among classes is subtle and gradual. Hence, we consider automatic image grading of DR as a fine-grained classification task, and construct a bilinear model to identify the pathologically discriminative areas. In order to leverage the ordinal information among classes, we use an ordinal regression method to obtain the soft labels. In addition, other than only using a categorical loss to train our network, we also introduce the metric loss to learn a more discriminative feature space. Experimental results demonstrate the superior performance of the proposed method on two public IDRiD and DeepDR datasets.
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 out and boosted with each other, improving the classification performance. In addition, a hybrid loss function is proposed to further maximize the inter-class distance and reduce the intra-class variability. Experimental results have shown the effectiveness of the proposed architecture.
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 feature extractor to learn representations that are highly discriminative for DR grading. We also investigate different data augmentation operations in defining our contrastive prediction task. Extensive experiments are conducted on the publicly-accessible dataset EyePACS, demonstrating that our proposed framework performs outstandingly on DR grading in terms of both linear evaluation and transfer capacity evaluation.