Abstract

Extracting information from individual risk factors provides an effective way to identify diabetes risk and associated complications, such as retinopathy, at an early stage. Deep learning and machine learning algorithms are being utilized to extract information from individual risk factors to improve early-stage diagnosis. This study proposes a deep neural network (DNN) combined with recursive feature elimination (RFE) to provide early prediction of diabetic retinopathy (DR) based on individual risk factors. The proposed model uses RFE to remove irrelevant features and DNN to classify the diseases. A publicly available dataset was utilized to predict DR during initial stages, for the proposed and several current best-practice models. The proposed model achieved 82.033% prediction accuracy, which was a significantly better performance than the current models. Thus, important risk factors for retinopathy can be successfully extracted using RFE. In addition, to evaluate the proposed prediction model robustness and generalization, we compared it with other machine learning models and datasets (nephropathy and hypertension–diabetes). The proposed prediction model will help improve early-stage retinopathy diagnosis based on individual risk factors.

Highlights

  • Diabetes is a chronic disease associated with abnormal blood glucose (BG) levels

  • We investigated the impact of the top k features for deep neural network (DNN) accuracy

  • We found a five-hidden-layers network with different neurons each, rectified linear unit (ReLU) as activation function, and SGD as weight optimization were the best parameters for the DNN

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Summary

Introduction

Diabetes is a chronic disease associated with abnormal blood glucose (BG) levels. Patients with type 1 diabetes (T1D) cannot control their BG naturally due to lacking insulin secretion, while for type 2 diabetes (T2D), the body cannot utilize its produced insulin [1,2]. T1D patients must administer insulin via injection or an insulin pump to achieve a near-normal glucose metabolism [3]. For T2D patients, a healthy diet, physical exercise, and drug administration are suggested to control BG levels and prevent many complications. Diabetes patients commonly develop acute complications, such as hypoglycemia (BG < 70 mg/dL) and hyperglycemia (BG > 180 mg/dL) if they fail to carefully self-manage. Diabetic retinopathy (DR) is the most common ocular complication from diabetes and the leading cause of visual impairment among

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