Abstract

Vision loss happens due to diabetic retinopathy (DR) in severe stages. Thus, an automatic detection method applied to diagnose DR in an earlier phase may help medical doctors to make better decisions. DR is considered one of the main risks, leading to blindness. Computer-Aided Diagnosis systems play an essential role in detecting features in fundus images. Fundus images may include blood vessels, exudates, micro-aneurysm, hemorrhages, and neovascularization. In this paper, our model combines automatic detection for the diabetic retinopathy classification with localization methods depending on weakly-supervised learning. The model has four stages; in stage one, various preprocessing techniques are applied to smooth the data set. In stage two, the network had gotten deeply to the optic disk segment for eliminating any exudate's false prediction because the exudates had the same color pixel as the optic disk. In stage three, the network is fed through training data to classify each label. Finally, the layers of the convolution neural network are re-edited, and used to localize the impact of DR on the patient's eye. The framework tackles the matching technique between two essential concepts where the classification problem depends on the supervised learning method. While the localization problem was obtained by the weakly supervised method. An additional layer known as weakly supervised sensitive heat map (WSSH) was added to detect the ROI of the lesion at a test accuracy of 98.65%, while comparing with Class Activation Map that involved weakly supervised technology achieved 0.954. The main purpose is to learn a representation that collect the central localization of discriminative features in a retina image. CNN-WSSH model is able to highlight decisive features in a single forward pass for getting the best detection of lesions.

Highlights

  • The World Health Organization (WHO) considers Diabetic Retinopathy (DR) a high-priority disease as it is fatal and likely to result in complications

  • non-proliferative DR (NPDR) is subdivided into classes: 0: No apparent retinopathy 1: Mild: small outpunching in the tiny blood vessels’ appear in the retina. 2: Moderate: The disease’s progression causes damage to the blood vessels that nourish the retina, resulting in swelling, sight distort, and lose their ability to transport blood. 3: Severe Numerous hemorrhages and microaneurysms: occur within 4 quadrants of the retina, the cotton wool spots appear in 2 or more quadrants and intraretinal microvascular abnormalities are present in at least 1 quadrant of the retina

  • The parameter initialization methods are set to train the whole network by using the momentum optimizer, while MESSIDOR31 dataset was described and published in 2008

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Summary

Introduction

The World Health Organization (WHO) considers Diabetic Retinopathy (DR) a high-priority disease as it is fatal and likely to result in complications. Soft exudates (SE) or Cotton Wool Spots (CWS) appear due to the arteriole occlusion This debris accumulation has a different shape appears as woolly white lesions in the Retinal Nerve Fiber Layer (RNFL). Hard exudates (HE) are vivid yellow or white-colored entities on the retina These entities appear waxy with sharp edges against the background from blood vessels. 4: PDR is an advanced stage of DR It happens when flimsy and fragile blood vessels grow peculiarly from the retina into the vitreous, which is considered the leading cause of blindness problem. PDR can be characterized by neovascularization on the retina and the posterior surface of the vitreous and can lead to retinal d­ etachment[3,4] These new blood vessel developments are abnormal and lead to blood leaking inside the retina. Blood leaks are referred to as "dot-and-blot" hemorrhages

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