Abstract
Diabetic retinopathy (DR) is one of the most severe complications of diabetes and the leading cause of vision loss and even blindness. Retinal screening contributes to early detection and treatment of diabetic retinopathy. This eye disease has five stages, namely normal, mild, moderate, severe and proliferative diabetic retinopathy. Usually, highly trained ophthalmologists are capable of manually identifying the presence or absence of retinopathy in retinal images. Several automated deep learning (DL) based approaches have been proposed and they have been proven to be a powerful tool for DR detection and classification. However, these approaches are usually biased by the cardinality of each grade set, as the overall accuracy benefits the largest sets in detriment of smaller ones. In this paper, we applied several state-of-the-art DL approaches, using a 5-fold cross-validation technique. The experiments were conducted on a balanced DDR dataset containing 31330 retina fundus images by completing the small grade sets with samples from other well known datasets. This balanced dataset increases robustness of training and testing tasks as they used samples from several origins and obtained with different equipment. The results confirm the bias introduced by using imbalanced datasets in automatic diabetic retinopathy grading.
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References
Alyoubi, W.L., Abulkhair, M.F., Shalash, W.M.: Diabetic retinopathy fundus image classification and lesions localization system using deep learning. Sensors 21(11), 3704 (2021)
Alyoubi, W.L., Shalash, W.M., Abulkhair, M.F.: Diabetic retinopathy detection through deep learning techniques: a review. Inform. Med. Unlocked 20, 100377 (2020)
Asia Pacific Tele-Ophthalmology Society: Aptos 2019 blindness detection (2019). https://www.kaggle.com/competitions/aptos2019-blindness-detection. Accessed 4 Apr 2022
Baker, N., Lu, H., Erlikhman, G., Kellman, P.J.: Local features and global shape information in object classification by deep convolutional neural networks. Vision Res. 172, 46–61 (2020)
Bhatia, K., Arora, S., Tomar, R.: Diagnosis of diabetic retinopathy using machine learning classification algorithm. In: 2016 2nd International Conference on Next Generation Computing Technologies, pp. 347–351 (2016)
Bodapati, J.D., et al.: Blended multi-modal deep ConvNet features for diabetic retinopathy severity prediction. Electronics 9(6), 914 (2020)
Chollet, F.: Xception: deep learning with depthwise separable convolutions. In: 2017 IEEE Conference on Computer Vision and Pattern Recognition, pp. 1800–1807 (2017)
Dai, L., et al.: A deep learning system for detecting diabetic retinopathy across the disease spectrum. Nat. Commun. 12(1), 3242 (2021)
Decencière, E., et al.: Feedback on a publicly distributed image database: the Messidor database. Image Anal. Stereol. 33(3), 231–234 (2014)
Dekhil, O., Naglah, A., Shaban, M., Ghazal, M., Taher, F., Elbaz, A.: Deep learning based method for computer aided diagnosis of diabetic retinopathy. In: 2019 IEEE International Conference on Imaging Systems and Techniques (IST), pp. 1–4 (2019)
Deng, J., Dong, W., Socher, R., Li, L., Li, K., Fei-Fei, L.: Imagenet: a large-scale hierarchical image database. In: 2009 IEEE Conference on Computer Vision and Pattern Recognition, pp. 248–255 (2009)
EyePACS: Diabetic retinopathy detection (2015). https://www.kaggle.com/c/diabetic-retinopathy-detection. Accessed 4 Apr 2022
Gargeya, R., Leng, T.: Automated identification of diabetic retinopathy using deep learning. Ophthalmology 124(7), 962–969 (2017)
He, K., Zhang, X., Ren, S., Sun, J.: Deep residual learning for image recognition. In: 2016 IEEE Conference on Computer Vision and Pattern Recognition (CVPR), pp. 770–778 (2016)
Hu, J., Shen, L., Sun, G.: Squeeze-and-excitation networks. In: Conference on Computer Vision and Pattern Recognition, pp. 7132–7141 (2018)
Huang, G., Liu, Z., Van Der Maaten, L., Weinberger, K.Q.: Densely connected convolutional networks. In: IEEE Conference on Computer Vision and Pattern Recognition (CVPR), pp. 2261–2269 (2017)
Li, T., Gao, Y., Wang, K., Guo, S., Liu, H., Kang, H.: Diagnostic assessment of deep learning algorithms for diabetic retinopathy screening. Inf. Sci. 501, 511–522 (2019)
Lu, J., Xu, Y., Chen, M., Luo, Y.: A coarse-to-fine fully convolutional neural network for fundus vessel segmentation. Symmetry 10(11), 607 (2018)
Majumder, S., Kehtarnavaz, N.: Multitasking deep learning model for detection of five stages of diabetic retinopathy. IEEE Access 9, 123220–123230 (2021)
Porwal, P., Pachade, S., Kokare, M., et al.: IDRiD: diabetic retinopathy - segmentation and grading challenge. Med. Image Anal. 59, 101561 (2020)
Pratt, H., Coenen, F., Broadbent, D.M., Harding, S.P., Zheng, Y.: Convolutional neural networks for diabetic retinopathy. Procedia Comput. Sci. 90, 200–205 (2016)
Qummar, S., et al.: A deep learning ensemble approach for diabetic retinopathy detection. IEEE Access 7, 150530–150539 (2019)
Redmon, J., Farhadi, A.: YOLOv3: an incremental improvement. arXiv:1804.02767 (2018)
Rocha, D.A., Ferreira, F., Peixoto, Z.: Diabetic retinopathy classification using VGG16 neural network. Res. Biomed. Eng. 38, 761–772 (2022)
Simonyan, K., Zisserman, A.: Very deep convolutional networks for large-scale image recognition. In: International Conference on Learning Representations, pp. 1–14 (2015)
Szegedy, C., Ioffe, S., Vanhoucke, V., Alemi, A.: Inception-v4, inceptionresnet and the impact of residual connections on learning. In: Proceedings of the Thirty-First AAAI Conference on Artificial Intelligence, pp. 4278–4284 (2017)
Szegedy, C., Vanhoucke, V., Ioffe, S., Shlens, J., Wojna, Z.: Rethinking the inception architecture for computer vision. In: 2016 IEEE Conference on Computer Vision and Pattern Recognition (CVPR), pp. 2818–2826 (2016)
Tan, M., Le, Q.: EfficientNet: rethinking model scaling for convolutional neural networks. In: Proceedings of the 36th International Conference on Machine Learning, vol. 97, pp. 6105–6114 (2019)
Taylor, R., Batey, D.: Handbook of Retinal Screening in Diabetes: Diagnosis and Management, 2nd edn. Wiley-Blackwell, New York (2012)
Teo, Z., et al.: Diabetic retinopathy and projection of burden through 2045: systematic review and meta-analysis. Ophthalmology 128(11), 1580–1591 (2021)
Tsiknakis, N., et al.: Deep learning for diabetic retinopathy detection and classification based on fundus images: a review. Comput. Biol. Med. 135, 104599 (2021)
Wan, S., Liang, Y., Zhang, Y.: Deep convolutional neural networks for diabetic retinopathy detection by image classification. Comput. Electr. Eng. 72, 274–282 (2018)
Wilkinson, C., et al.: Proposed international clinical diabetic retinopathy and diabetic macular edema disease severity scales. Ophthalmology 110(9), 1677–1682 (2003)
World Health Organization: World report on vision - Licence: CC BY-NC-SA 3.0 IGO (2019). https://www.who.int/publications/i/item/9789241516570. Accessed 26 Apr 2022
Zago, G.T., Andreão, R.V., Dorizzi, B., Teatini Salles, E.O.: Diabetic retinopathy detection using red lesion localization and convolutional neural networks. Comput. Biol. Med. 116, 103537 (2020)
Acknowledgments
The authors are grateful to the Foundation for Science and Technology (FCT, Portugal) for financial support through national funds FCT/MCTES (PIDDAC) to CeDRI (UIDB/05757/2020 and UIDP/05757/2020) and SusTEC (LA/P/0007/2021).
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Monteiro, F.C., Rufino, J. (2022). Is Diabetic Retinopathy Grading Biased by Imbalanced Datasets?. In: Pereira, A.I., Košir, A., Fernandes, F.P., Pacheco, M.F., Teixeira, J.P., Lopes, R.P. (eds) Optimization, Learning Algorithms and Applications. OL2A 2022. Communications in Computer and Information Science, vol 1754. Springer, Cham. https://doi.org/10.1007/978-3-031-23236-7_4
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