Deep learning for diabetic retinopathy detection and classification based on fundus images: A review

Diabetic Retinopathy is a retina disease caused by diabetes mellitus and it is the leading cause of blindness globally. Early detection and treatment are necessary in order to delay or avoid vision deterioration and vision loss. To that end, many artificial-intelligence-powered methods have been proposed by the research community for the detection and classification of diabetic retinopathy on fundus retina images. This review article provides a thorough analysis of the use of deep learning methods at the various steps of the diabetic retinopathy detection pipeline based on fundus images. We discuss several aspects of that pipeline, ranging from the datasets that are widely used by the research community, the preprocessing techniques employed and how these accelerate and improve the models' performance, to the development of such deep learning models for the diagnosis and grading of the disease as well as the localization of the disease's lesions. We also discuss certain models that have been applied in real clinical settings. Finally, we conclude with some important insights and provide future research directions.

[1]  Manoj Raju,et al.  Development of a Deep Learning Algorithm for Automatic Diagnosis of Diabetic Retinopathy , 2017, MedInfo.

[2]  Christof Koch,et al.  A Model of Saliency-Based Visual Attention for Rapid Scene Analysis , 2009 .

[3]  S. Resnikoff,et al.  The number of ophthalmologists in practice and training worldwide: a growing gap despite more than 200 000 practitioners , 2012, British Journal of Ophthalmology.

[4]  Matthew D. Davis,et al.  Proposed international clinical diabetic retinopathy and diabetic macular edema disease severity scales. , 2003, Ophthalmology.

[5]  Pedro Costa,et al.  Improving Lesion Segmentation for Diabetic Retinopathy Using Adversarial Learning , 2019, ICIAR.

[6]  Wei Zhang,et al.  Automated identification and grading system of diabetic retinopathy using deep neural networks , 2019, Knowl. Based Syst..

[7]  Linqiang Pan,et al.  Cell-Like P Systems With Channel States and Symport/Antiport Rules , 2016, IEEE Transactions on NanoBioscience.

[8]  Ronald A. Rensink The Dynamic Representation of Scenes , 2000 .

[9]  Prachi Gharpure,et al.  Diabetic retinopathy detection using deep convolutional neural networks , 2016, 2016 International Conference on Computing, Analytics and Security Trends (CAST).

[10]  Tahmina Nasrin Poly,et al.  Deep learning algorithms for detection of diabetic retinopathy in retinal fundus photographs: A systematic review and meta-analysis , 2020, Comput. Methods Programs Biomed..

[11]  Yan Liang,et al.  Deep convolutional neural networks for diabetic retinopathy detection by image classification , 2018, Comput. Electr. Eng..

[12]  Misgina Tsighe Hagos,et al.  Transfer Learning based Detection of Diabetic Retinopathy from Small Dataset , 2019, ArXiv.

[13]  Guisong Liu,et al.  Detection of Microaneurysms in Fundus Images Based on an Attention Mechanism , 2019, Genes.

[14]  Lei Zhang,et al.  Exudate-based diabetic macular edema recognition in retinal images using cascaded deep residual networks , 2018, Neurocomputing.

[15]  Matthew B. Blaschko,et al.  An ensemble deep learning based approach for red lesion detection in fundus images , 2017, Comput. Methods Programs Biomed..

[16]  Max A. Viergever,et al.  Ridge-based vessel segmentation in color images of the retina , 2004, IEEE Transactions on Medical Imaging.

[17]  Lin Li,et al.  Microaneurysm detection in fundus images using small image patches and machine learning methods , 2017, 2017 IEEE International Conference on Bioinformatics and Biomedicine (BIBM).

[18]  George Papandreou,et al.  Encoder-Decoder with Atrous Separable Convolution for Semantic Image Segmentation , 2018, ECCV.

[19]  Stephen J. Aldington,et al.  Prospective evaluation of an artificial intelligence-enabled algorithm for automated diabetic retinopathy screening of 30 000 patients , 2020, British Journal of Ophthalmology.

[20]  P. Balamurugan,et al.  Classifying Diabetic Retinopathy Images Using Induced Deep Region of Interest Extraction , 2019, 2019 12th International Congress on Image and Signal Processing, BioMedical Engineering and Informatics (CISP-BMEI).

[21]  Alan W. Stitt,et al.  The pathology associated with diabetic retinopathy , 2017, Vision Research.

[22]  Xiyu Liu,et al.  Deep membrane systems for multitask segmentation in diabetic retinopathy , 2019, Knowl. Based Syst..

[23]  Ian J. Goodfellow,et al.  NIPS 2016 Tutorial: Generative Adversarial Networks , 2016, ArXiv.

[24]  Aïda Valls,et al.  A Deep Learning Interpretable Classifier for Diabetic Retinopathy Disease Grading , 2017, Neurocomputing.

[25]  Bolei Zhou,et al.  Learning Deep Features for Discriminative Localization , 2015, 2016 IEEE Conference on Computer Vision and Pattern Recognition (CVPR).

[26]  Andrew Zisserman,et al.  Deep Inside Convolutional Networks: Visualising Image Classification Models and Saliency Maps , 2013, ICLR.

[27]  Ling Shao,et al.  Collaborative Learning of Semi-Supervised Segmentation and Classification for Medical Images , 2019, 2019 IEEE/CVF Conference on Computer Vision and Pattern Recognition (CVPR).

[28]  S. Harding,et al.  Epidemiology of diabetic retinopathy and maculopathy in Africa: a systematic review , 2013, Diabetic medicine : a journal of the British Diabetic Association.

[30]  Chan Zhang,et al.  A Lightweight Neural Network for Hard Exudate Segmentation of Fundus Image , 2019, ICANN.

[31]  Xiaogang Wang,et al.  Zoom-in-Net: Deep Mining Lesions for Diabetic Retinopathy Detection , 2017, MICCAI.

[32]  Enhua Wu,et al.  Squeeze-and-Excitation Networks , 2017, IEEE Transactions on Pattern Analysis and Machine Intelligence.

[33]  Xiaogang Wang,et al.  Residual Attention Network for Image Classification , 2017, 2017 IEEE Conference on Computer Vision and Pattern Recognition (CVPR).

[34]  Daniel L. Rubin,et al.  Regulatory Frameworks for Development and Evaluation of Artificial Intelligence–Based Diagnostic Imaging Algorithms: Summary and Recommendations , 2020, Journal of the American College of Radiology.

[35]  Early Treatment Diabetic Retinopathy Study design and baseline patient characteristics. ETDRS report number 7. , 1991, Ophthalmology.

[36]  Haibo Mi,et al.  Deep Convolutional Neural Network-Based Early Automated Detection of Diabetic Retinopathy Using Fundus Image , 2017, Molecules.

[37]  Kang Yang,et al.  An Interpretable Ensemble Deep Learning Model for Diabetic Retinopathy Disease Classification , 2019, 2019 41st Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC).

[38]  Wang-Q Lim,et al.  Compactly Supported Shearlets , 2010, 1009.4359.

[39]  Mong-Li Lee,et al.  Enhanced Detection of Referable Diabetic Retinopathy via DCNNs and Transfer Learning , 2018, ACCV Workshops.

[40]  Li Chen,et al.  BiRA-Net: Bilinear Attention Net for Diabetic Retinopathy Grading , 2019, 2019 IEEE International Conference on Image Processing (ICIP).

[41]  Su Ruan,et al.  A review: Deep learning for medical image segmentation using multi-modality fusion , 2019, Array.

[42]  Bernhard Kainz,et al.  A Survey on Active Learning and Human-in-the-Loop Deep Learning for Medical Image Analysis , 2019, Medical Image Anal..

[43]  Somshubra Majumdar,et al.  Microaneurysm detection using fully convolutional neural networks , 2018, Comput. Methods Programs Biomed..

[44]  Yanjun Liu,et al.  Computational power of tissue P systems for generating control languages , 2014, Inf. Sci..

[45]  Guy Cazuguel,et al.  FEEDBACK ON A PUBLICLY DISTRIBUTED IMAGE DATABASE: THE MESSIDOR DATABASE , 2014 .

[46]  João Paulo Papa,et al.  Exudate detection in fundus images using deeply-learnable features , 2019, Comput. Biol. Medicine.

[47]  Hamid Reza Pourreza,et al.  A novel method for retinal exudate segmentation using signal separation algorithm , 2016, Comput. Methods Programs Biomed..

[48]  Xinjian Chen,et al.  Automatic detection of microaneurysms in retinal fundus images , 2017, Comput. Medical Imaging Graph..

[49]  Sobha Sivaprasad,et al.  Prevalence of diabetic retinopathy in various ethnic groups: a worldwide perspective. , 2012, Survey of ophthalmology.

[50]  Somshubra Majumdar,et al.  Exudate segmentation using fully convolutional neural networks and inception modules , 2018, Medical Imaging.

[51]  A.D. Hoover,et al.  Locating blood vessels in retinal images by piecewise threshold probing of a matched filter response , 2000, IEEE Transactions on Medical Imaging.

[52]  Allan Hanbury,et al.  Metrics for evaluating 3D medical image segmentation: analysis, selection, and tool , 2015, BMC Medical Imaging.

[53]  Darvin Yi,et al.  Automated Detection of Diabetic Retinopathy using Deep Learning , 2018, AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science.

[54]  A. Rakhlin Diabetic Retinopathy detection through integration of Deep Learning classification framework , 2017, bioRxiv.

[55]  Heikki Kälviäinen,et al.  DIARETDB 0 : Evaluation Database and Methodology for Diabetic Retinopathy Algorithms , 2007 .

[56]  G. Quellec,et al.  Automated analysis of retinal images for detection of referable diabetic retinopathy. , 2013, JAMA ophthalmology.

[57]  Ming‐Cheng Tai,et al.  Detection of Diabetic Retinopathy Using Bichannel Convolutional Neural Network , 2020, Journal of ophthalmology.

[58]  G. Bresnick,et al.  A screening approach to the surveillance of patients with diabetes for the presence of vision-threatening retinopathy. , 2000, Ophthalmology.

[59]  Behzad Aliahmad,et al.  Fundus images analysis using deep features for detection of exudates, hemorrhages and microaneurysms , 2018, BMC Ophthalmology.

[60]  K. Dou,et al.  Prevalence of diabetes among men and women in China. , 2010, The New England journal of medicine.

[61]  A. Mehrotra,et al.  Evaluation of Artificial Intelligence–Based Grading of Diabetic Retinopathy in Primary Care , 2018, JAMA network open.

[62]  Tien Yin Wong,et al.  Artificial intelligence using deep learning to screen for referable and vision-threatening diabetic retinopathy in Africa: a clinical validation study. , 2019, The Lancet. Digital health.

[63]  Kuntal Ghosh,et al.  Automatic detection and classification of diabetic retinopathy stages using CNN , 2017, 2017 4th International Conference on Signal Processing and Integrated Networks (SPIN).

[64]  Chandan Chakraborty,et al.  Detection of Hard Exudates in Retinal Fundus Images Using Deep Learning , 2018, 2018 IEEE International Conference on System, Computation, Automation and Networking (ICSCA).

[65]  Tao Li,et al.  Lesion Detection and Grading of Diabetic Retinopathy via Two-Stages Deep Convolutional Neural Networks , 2017, MICCAI.

[66]  Su-Lin Lee,et al.  Intravascular Imaging and Computer Assisted Stenting, and Large-Scale Annotation of Biomedical Data and Expert Label Synthesis , 2017, Lecture Notes in Computer Science.

[67]  Jonathan Krause,et al.  Grader variability and the importance of reference standards for evaluating machine learning models for diabetic retinopathy , 2017, Ophthalmology.

[68]  B. Klein,et al.  Global Prevalence and Major Risk Factors of Diabetic Retinopathy , 2012, Diabetes Care.

[69]  V. Sudha,et al.  Diabetic Retinopathy Detection , 2020, International Journal of Engineering and Advanced Technology.

[70]  Subhashini Venugopalan,et al.  Development and Validation of a Deep Learning Algorithm for Detection of Diabetic Retinopathy in Retinal Fundus Photographs. , 2016, JAMA.

[71]  In-So Kweon,et al.  CBAM: Convolutional Block Attention Module , 2018, ECCV.

[72]  Frans Coenen,et al.  Convolutional Neural Networks for Diabetic Retinopathy , 2016, MIUA.

[73]  M. Abràmoff,et al.  Improved Automated Detection of Diabetic Retinopathy on a Publicly Available Dataset Through Integration of Deep Learning. , 2016, Investigative ophthalmology & visual science.

[74]  Guy Cazuguel,et al.  TeleOphta: Machine learning and image processing methods for teleophthalmology , 2013 .

[75]  M. Abràmoff,et al.  Pivotal trial of an autonomous AI-based diagnostic system for detection of diabetic retinopathy in primary care offices , 2018, npj Digital Medicine.

[76]  Joni-Kristian Kämäräinen,et al.  The DIARETDB1 Diabetic Retinopathy Database and Evaluation Protocol , 2007, BMVC.

[77]  Qin Li,et al.  Retinopathy Online Challenge: Automatic Detection of Microaneurysms in Digital Color Fundus Photographs , 2010, IEEE Transactions on Medical Imaging.

[78]  M. Janghorbani,et al.  Incidence of and risk factors for proliferative retinopathy and its association with blindness among diabetes clinic attenders , 2000, Ophthalmic epidemiology.

[79]  U. Rajendra Acharya,et al.  Automated segmentation of exudates, haemorrhages, microaneurysms using single convolutional neural network , 2017, Inf. Sci..

[80]  Hamidreza Pourreza,et al.  Microaneurysm detection in fundus images using a two-step convolutional neural network , 2019, BioMedical Engineering OnLine.

[81]  Sven Loncaric,et al.  Diabetic retinopathy image database(DRiDB): A new database for diabetic retinopathy screening programs research , 2013, 2013 8th International Symposium on Image and Signal Processing and Analysis (ISPA).

[82]  Antoni Mauricio,et al.  Detection of Diabetic Retinopathy Based on a Convolutional Neural Network Using Retinal Fundus Images , 2017, ICANN.

[83]  Tien Yin Wong,et al.  ORIGA-light: An online retinal fundus image database for glaucoma analysis and research , 2010, 2010 Annual International Conference of the IEEE Engineering in Medicine and Biology.

[84]  Sheikh Muhammad Saiful Islam,et al.  Deep Learning based Early Detection and Grading of Diabetic Retinopathy Using Retinal Fundus Images , 2018, ArXiv.

[85]  Pablo Andrés Arbeláez,et al.  Automatic diabetic retinopathy classification , 2017, Symposium on Medical Information Processing and Analysis.

[86]  Muhammad Hussain,et al.  Deep Learning based Computer-Aided Diagnosis Systems for Diabetic Retinopathy: A Survey , 2018, Artif. Intell. Medicine.

[87]  Jonathan Krause,et al.  Deep Learning vs. Human Graders for Classifying Severity Levels of Diabetic Retinopathy in a Real-World Nationwide Screening Program , 2018, ArXiv.

[88]  Kemal Adem,et al.  Exudate detection for diabetic retinopathy with circular Hough transformation and convolutional neural networks , 2018, Expert Syst. Appl..

[89]  Jayanthi Sivaswamy,et al.  Retinal Image Synthesis for CAD Development , 2018, ICIAR.

[90]  M. Fukuda Clinical arrangement of classification of diabetic retinopathy. , 1983, The Tohoku journal of experimental medicine.

[91]  M. Corbetta,et al.  Control of goal-directed and stimulus-driven attention in the brain , 2002, Nature Reviews Neuroscience.

[92]  M. Abràmoff,et al.  Artificial intelligence for diabetic retinopathy screening: a review , 2019, Eye.

[93]  E. Finkelstein,et al.  Development and Validation of a Deep Learning System for Diabetic Retinopathy and Related Eye Diseases Using Retinal Images From Multiethnic Populations With Diabetes , 2017, JAMA.

[94]  Li Fei-Fei,et al.  ImageNet: A large-scale hierarchical image database , 2009, CVPR.

[95]  Pheng-Ann Heng,et al.  CANet: Cross-Disease Attention Network for Joint Diabetic Retinopathy and Diabetic Macular Edema Grading , 2019, IEEE Transactions on Medical Imaging.

[96]  Minh N. Do,et al.  Ieee Transactions on Image Processing the Contourlet Transform: an Efficient Directional Multiresolution Image Representation , 2022 .

[97]  S. Sivaprasad,et al.  Diabetic retinopathy: pathogenesis, clinical grading, management and future developments , 2013, Diabetic medicine : a journal of the British Diabetic Association.

[98]  Bunyarit Uyyanonvara,et al.  An Ensemble Classification-Based Approach Applied to Retinal Blood Vessel Segmentation , 2012, IEEE Transactions on Biomedical Engineering.

[99]  Farida Cheriet,et al.  A Multitask Learning Architecture for Simultaneous Segmentation of Bright and Red Lesions in Fundus Images , 2018, MICCAI.

[100]  Tom Fawcett,et al.  An introduction to ROC analysis , 2006, Pattern Recognit. Lett..

[101]  Ümit Budak,et al.  A novel microaneurysms detection approach based on convolutional neural networks with reinforcement sample learning algorithm , 2017, Health Inf. Sci. Syst..

[102]  Rajiv Raman,et al.  Prevalence and risk factors for diabetic retinopathy in rural India. Sankara Nethralaya Diabetic Retinopathy Epidemiology and Molecular Genetic Study III (SN-DREAMS III), report no 2 , 2014, BMJ Open Diabetes Research and Care.

[103]  Lin Li,et al.  A Deep Learning Method for Microaneurysm Detection in Fundus Images , 2016, 2016 IEEE First International Conference on Connected Health: Applications, Systems and Engineering Technologies (CHASE).

[104]  Chia-Hung Yeh,et al.  Transforming Retinal Photographs to Entropy Images in Deep Learning to Improve Automated Detection for Diabetic Retinopathy , 2018, Journal of ophthalmology.

[105]  Fei Wang,et al.  Deep Learning in Medicine-Promise, Progress, and Challenges. , 2019, JAMA internal medicine.

[106]  Bin Li,et al.  Detection of exudates in fundus photographs with imbalanced learning using conditional generative adversarial network. , 2018, Biomedical optics express.

[107]  Ross B. Girshick,et al.  Mask R-CNN , 2017, 1703.06870.

[108]  Daniel P. Huttenlocher,et al.  Comparing Images Using the Hausdorff Distance , 1993, IEEE Trans. Pattern Anal. Mach. Intell..

[109]  A. Keech,et al.  Biomarkers in Diabetic Retinopathy. , 2015, The review of diabetic studies : RDS.

[110]  Fei-Fei Li,et al.  ImageNet: A large-scale hierarchical image database , 2009, 2009 IEEE Conference on Computer Vision and Pattern Recognition.

[111]  Amjad J. Humaidi,et al.  Review of deep learning: concepts, CNN architectures, challenges, applications, future directions , 2021, Journal of Big Data.

[112]  Julien Cohen-Adad,et al.  Spinal cord grey matter segmentation challenge , 2017, NeuroImage.

[113]  Kai Wang,et al.  L-Seg: An end-to-end unified framework for multi-lesion segmentation of fundus images , 2019, Neurocomputing.

[114]  Rishab Gargeya,et al.  Automated Identification of Diabetic Retinopathy Using Deep Learning. , 2017, Ophthalmology.

[115]  J. Shaw,et al.  Global estimates of the prevalence of diabetes for 2010 and 2030. , 2010, Diabetes research and clinical practice.

[116]  Tien Yin Wong,et al.  Relationship of Retinal Vascular Caliber With Diabetes and Retinopathy , 2008, Diabetes Care.

[117]  Daniel Rubin,et al.  Retinal Lesion Detection With Deep Learning Using Image Patches , 2018, Investigative ophthalmology & visual science.

[118]  Alan W. Stitt,et al.  Endothelial Progenitor Cells in Diabetic Retinopathy , 2014, Front. Endocrinol..

[119]  Franco Scarselli,et al.  A Two Stage GAN for High Resolution Retinal Image Generation and Segmentation , 2019, ArXiv.

[120]  Sven Loncaric,et al.  Detection of exudates in fundus photographs using deep neural networks and anatomical landmark detection fusion , 2016, Comput. Methods Programs Biomed..

[121]  Shahaboddin Shamshirband,et al.  A Deep Learning Ensemble Approach for Diabetic Retinopathy Detection , 2019, IEEE Access.

[122]  Jakob Grauslund,et al.  Deep Learning-Based Algorithms in Screening of Diabetic Retinopathy: A Systematic Review of Diagnostic Performance. , 2019, Ophthalmology. Retina.

[123]  Hamid Safi,et al.  Early detection of diabetic retinopathy. , 2018, Survey of ophthalmology.

[124]  Di Xiao,et al.  Exudate detection for diabetic retinopathy with convolutional neural networks , 2017, 2017 39th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC).

[125]  Wei-bang Chen,et al.  Diabetic Retinopathy Stage Classification Using Convolutional Neural Networks , 2018, 2018 IEEE International Conference on Information Reuse and Integration (IRI).

[126]  Ivana Galinovic,et al.  On the usage of average Hausdorff distance for segmentation performance assessment: hidden error when used for ranking , 2021, European Radiology Experimental.

[127]  Rupali Syal,et al.  Modified U-Net architecture for semantic segmentation of diabetic retinopathy images , 2020 .

[128]  Ling Shao,et al.  DR-GAN: Conditional Generative Adversarial Network for Fine-Grained Lesion Synthesis on Diabetic Retinopathy Images , 2019, IEEE Journal of Biomedical and Health Informatics.

[129]  Linqiang Pan,et al.  Cell-Like P Systems With Channel States and Symport/Antiport Rules. , 2016, IEEE transactions on nanobioscience.

[130]  Muhammad Haris,et al.  Application of deep learning for retinal image analysis: A review , 2020, Comput. Sci. Rev..

[131]  Michael Elad,et al.  Submitted to Ieee Transactions on Image Processing Image Decomposition via the Combination of Sparse Representations and a Variational Approach , 2022 .

[132]  N. Otsu A threshold selection method from gray level histograms , 1979 .

[133]  Yuan Luo,et al.  Detection of Diabetic Retinopathy using Deep Neural Network , 2018, 2018 IEEE 23rd International Conference on Digital Signal Processing (DSP).

[134]  Fabrice Mériaudeau,et al.  Indian Diabetic Retinopathy Image Dataset (IDRiD): A Database for Diabetic Retinopathy Screening Research , 2018, Data.

[135]  R. Klein,et al.  The Wisconsin epidemiological study of diabetic retinopathy: a review. , 1989, Diabetes/metabolism reviews.

[136]  G. Corrado,et al.  Using a Deep Learning Algorithm and Integrated Gradients Explanation to Assist Grading for Diabetic Retinopathy. , 2019, Ophthalmology.

[137]  Gwénolé Quellec,et al.  Deep image mining for diabetic retinopathy screening , 2016, Medical Image Anal..

[138]  Oindrila Saha,et al.  Fully Convolutional Neural Network for Semantic Segmentation of Anatomical Structure and Pathologies in Colour Fundus Images Associated with Diabetic Retinopathy , 2019, ArXiv.

[139]  Thomas Brox,et al.  U-Net: Convolutional Networks for Biomedical Image Segmentation , 2015, MICCAI.

[140]  Wenying Yang,et al.  Prevalence of diabetes among men and women in China. , 2010, The New England journal of medicine.

[141]  Early detection and timely treatment can prevent or delay diabetic retinopathy. , 2016, Diabetes research and clinical practice.

[142]  A. Fawzi,et al.  Imaging and Biomarkers in Diabetic Macular Edema and Diabetic Retinopathy , 2019, Current Diabetes Reports.

[143]  Shenghua Gao,et al.  Multi-Cell Multi-Task Convolutional Neural Networks for Diabetic Retinopathy Grading , 2018, 2018 40th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC).

[144]  Haixia Zhang,et al.  Multi-scale Stepwise Training Strategy of Convolutional Neural Networks for Diabetic Retinopathy Severity Assessment , 2019, 2019 International Joint Conference on Neural Networks (IJCNN).

[145]  Hanung Adi Nugroho,et al.  Deep learning-based Diabetic Retinopathy assessment on embedded system , 2017, 2017 39th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC).

[146]  Fabio A. González,et al.  Training Deep Convolutional Neural Networks with Active Learning for Exudate Classification in Eye Fundus Images , 2017, CVII-STENT/LABELS@MICCAI.

[147]  Bian Wu,et al.  A Framework for Identifying Diabetic Retinopathy Based on Anti-noise Detection and Attention-Based Fusion , 2018, MICCAI.

[148]  Shuguang Cui,et al.  Learning Mutually Local-Global U-Nets For High-Resolution Retinal Lesion Segmentation In Fundus Images , 2019, 2019 IEEE 16th International Symposium on Biomedical Imaging (ISBI 2019).

[149]  Keshab K. Parhi,et al.  DREAM: Diabetic Retinopathy Analysis Using Machine Learning , 2014, IEEE Journal of Biomedical and Health Informatics.

[150]  Alan W. Stitt,et al.  Vascular stem cells and ischaemic retinopathies , 2011, Progress in Retinal and Eye Research.

[151]  Song Guo,et al.  Diagnostic assessment of deep learning algorithms for diabetic retinopathy screening , 2019, Inf. Sci..

[152]  András Hajdu,et al.  Fusion of Deep Convolutional Neural Networks for Microaneurysm Detection in Color Fundus Images , 2018, 2018 40th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC).

[153]  Gernot A. Fink,et al.  Weakly-supervised localization of diabetic retinopathy lesions in retinal fundus images , 2017, 2017 IEEE International Conference on Image Processing (ICIP).

[154]  Andreas K. Maier,et al.  Robust Vessel Segmentation in Fundus Images , 2013, Int. J. Biomed. Imaging.