Abstract

Diabetic Retinopathy (DR) is a leading cause of vision loss in the world. In the past few years, artificial intelligence (AI) based approaches have been used to detect and grade DR. Early detection enables appropriate treatment and thus prevents vision loss. For this purpose, both fundus and optical coherence tomography (OCT) images are used to image the retina. Next, Deep-learning (DL)-/machine-learning (ML)-based approaches make it possible to extract features from the images and to detect the presence of DR, grade its severity and segment associated lesions. This review covers the literature dealing with AI approaches to DR such as ML and DL in classification and segmentation that have been published in the open literature within six years (2016–2021). In addition, a comprehensive list of available DR datasets is reported. This list was constructed using both the PICO (P-Patient, I-Intervention, C-Control, O-Outcome) and Preferred Reporting Items for Systematic Review and Meta-analysis (PRISMA) 2009 search strategies. We summarize a total of 114 published articles which conformed to the scope of the review. In addition, a list of 43 major datasets is presented.

Highlights

  • Diabetic retinopathy (DR) is a major cause of irreversible visual impairment and blindness worldwide [1]

  • Different leads obtained from GitHub and other online forums are employed in this overview

  • This study provides essential steps for DR detection based on the presence of lesions that could be more interpretable than Deep Convolutional Neural Networks (DCNNs) which act as black boxes [86,87,88]

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Summary

Introduction

Diabetic retinopathy (DR) is a major cause of irreversible visual impairment and blindness worldwide [1]. This etiology of DR is due to chronic high blood glucose levels, which cause retinal capillary damage, and mainly affects the working-age population. DR begins at a mild level with no apparent visual symptoms but it can progress to severe and proliferated levels and progression of the disease can lead to blindness. Early diagnosis and regular screening can decrease the risk of visual loss to 57.0% as well as decreasing the cost of treatment [2]. There are several standard DR grading systems such as the Early Treatment Diabetic

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