Diabetic retinopathy (DR) and diabetic macular edema (DME) are the major causes of blindness in humans. This study proposes to leverage the ResNeSt network to focus on the close relationship between DR and DME, and use it to achieve their joint grading to improve grading accuracy. Specifically, common features and unique features of DR and DME are extracted by using different stages of ResNeSt. Subsequently, a mutual attention module for feature fusion is employed to realize their respective grading. On the Messidor dataset, by using both ResNeSt network and the mutual attention module, the grading accuracies of DR and DME were 95.6% and 95.0%, respectively, and the joint accuracy was 86.7%. In contrast, when only the ResNeSt network was used, the grading accuracies of the two were 95.0% and 90.8%, respectively. On the IDRiD dataset, the joint accuracy of the two reached 66.3%. The results on the datasets indicate that the proposed joint grading of DR and DME based on the ResNeSt network can improve grading accuracy.
[1] 陈瑜倩, 吕东辉, 宋安平, 等. 基于深度学习的糖尿病足伤口TEXAS分期研究[J]. 应用科学学报, 2024, 42(3): 437-446. Chen Y Q, Lyu D H, Song A P, et al. TEXAS staging of diabetic foot wounds based on deep learning approach [J]. Journal of Applied Sciences, 2024, 42(3): 437-446. (in Chinese)
[2] 刘利丽. 糖尿病性黄斑水肿与患者外周血全血细胞计数的相关性研究[D]. 南充: 川北医学院, 2023.
[3] Wang Y L, Yu M, Hu B J, et al. Deep learning-based detection and stage grading for optimising diagnosis of diabetic retinopathy [J]. Diabetes-Metabolism Research and Reviews, 2021, 37(4): e3445.
[4] 梁礼明, 董信, 何安军, 等. 融合注意力线性特征多样化的DR分级模型[J]. 光电子· 激光, 2024, 35(6): 612-622. Liang L L, Dong X, He A J, et al. DR grading model of fusing attention linear feature diversification [J]. Optoelectronics · Laser, 2024, 35(6): 612-622. (in Chinese)
[5] Cheena M, Sakuntala M, Biswaranjan A, et al. Using deep learning architectures for detection and classification of diabetic retinopathy [J]. Sensors, 2023, 23(12): 5726-5743.
[6] Abbas Q, Daadaa Y, Rashid U, et al. HDR-EfficientNet: a classification of hypertensive and diabetic retinopathy using optimize efficientnet architecture [J]. Diagnostics, 2023, 13(20): 3236-3265.
[7] Hemanth D J, Deperlioglu O, Kose U. An enhanced diabetic retinopathy detection and classification approach using deep convolutional neural network [J]. Neural Computing and Applications, 2019, 32(3): 707-721.
[8] Jayakumari C, Lavanya V, Sumesh E P. Automated diabetic retinopathy detection and classification using ImageNet convolution neural network using fundus images [C]// International Conference on Smart Electronics and Communication, 2020: 577-582.
[9] Wang C Y, Mukundan A, Liu Y S, et al. Optical identification of diabetic retinopathy using hyperspectral imaging [J]. Journal of Personalized Medicine, 2023, 13(6): 939-950.
[10] Jaichandran R, Sivasubramanian V, Jayaprakash. Detection of diabetic retinopathy using convolutional neural networks [J]. ECS Transactions, 2022, 107: 13321-13328.
[11] Gayathri S, Gopi V P, Palanisamy P. A lightweight CNN for diabetic retinopathy classification from fundus images [J]. Biomedical Signal Processing and Control, 2020, 62: 102-115.
[12] 郑智文, 甘健侯, 周菊香, 等. 基于注意力网络推理图的细粒度图像分类[J]. 应用科学学报, 2022, 40(1): 36-46. Zheng Z W, Gan J H, Zhou J X, et al. Fine-grained image classification based on inference graph of attention network [J]. Journal of Applied Sciences, 2022, 40(1): 36-46. (in Chinese)
[13] 雷前慧, 潘丽丽, 邵伟志, 等. 基于三重注意力机制的新冠肺炎病灶分割模型[J]. 应用科学学报, 2022, 40(1): 105-115. Lei Q H, Pan L L, Shao W Z, et al. Segmentation model of covid-19 lesions based on triple attention mechanism [J]. Journal of Applied Sciences, 2022, 40(1): 105-115. (in Chinese)
[14] Zhang H, Wu C R, Zhang Z Y, et al. ResNeSt: split-attention networks [C]//IEEE/CVF Conference on Computer Vision and Pattern Recognition, 2022: 2735-2745.
[15] 蔡乾宏. 基于深度学习的眼底图像分析及糖网病病变检测技术研究[D]. 贵阳: 贵州大学, 2021.
[16] Li X M, Hu X W, Yu L Q, et al. CANet: cross-disease attention network for joint diabetic retinopathy and diabetic macular edema grading [J]. IEEE Transactions on Medical Imaging, 2020, 39(5): 1483-1493.
[17] Decenciere E, Zhang X, Cazuguel G, et al. Feedback on a publicly distributed image database: the messidor database [J]. Image Analysis & Stereology, 2014, 33(3): 231-234
[18] Porwal P, Pachade S, Kamble R, et al. Indian diabetic retinopathy image dataset (IDRiD): a database for diabetic retinopathy screening research [J]. Data, 2018, 3(3): 1-8.
[19] Sanchez C I, Niemeijer M, Dumitrescu A V, et al. Evaluation of a computer-aided diagnosis system for diabetic retinopathy screening on public data [J]. Investigative Ophthalmology & Visual Science, 2011, 52(7): 4866-4871.
[20] Hu J, Shen L, Albanie S. Squeeze-and-excitation networks [J]. IEEE Transactions on Pattern Analysis and Machine Intelligence, 2020, 42(8): 2011-2023.
[21] Li X, Wang W, Hu X. Selective kernel networks [C]//IEEE/CVF Conference on Computer Vision and Pattern Recognition, 2019: 510-519.
[22] Xie S, Girshick R, Doll'ar P, et al. Aggregated residual transformations for deep neural networks [C]//30TH IEEE Conference on Computer Vision and Pattern Recognition, 2017: 5987-5995.
[23] Pires R, Avila S, Jelinek H F, et al. Beyond lesion-based diabetic retinopathy: a direct approach for referral [J]. IEEE Journal of Biomedical and Health Informatics, 2017, 21(1): 193-200.
[24] Vo H H, Verma A. New deep neural nets for fine-grained diabetic retinopathy recognition on hybrid color space [C]//18th IEEE International Symposium on Multimedia, 2016: 209-215.
[25] Seoud L, Hurtut T, Chelbi J, et al. Red lesion detection using dynamic shape features for diabetic retinopathy screening [J]. IEEE Transactions on Medical Imaging, 2016, 35(4): 1116-1126.
[26] Al-Bander B, Al-Nuaimy W, Al-Taee M A, et al. Diabetic macular edema grading based on deep neural networks [C]//Third International Workshop on Ophthalmic Medical Image Analysis, 2016: 121-128.