Diabetic retinopathy classification using a multi-attention residual refinement architecture.

Journal: Scientific reports
Published Date:

Abstract

Diabetic Retinopathy (DR) is a complication caused by diabetes that can destroy the retina, leading to blurred vision and even blindness. We propose a multi-attention residual refinement architecture that enhances conventional CNN performance through three strategic modifications: class-specific multi-attention for diagnostic feature weighting, space-to-depth preprocessing for improved spatial information preservation, and Squeeze-and-Excitation blocks for enhanced representational capacity. Our framework demonstrates universal applicability across different CNN architectures (ResNet, DenseNet, EfficientNet, MobileNet), consistently achieving 2-5% performance improvements on the EyePACS dataset while maintaining computational efficiency. The attention mechanism provides interpretable visualizations that align with clinical pathological patterns, validating the model's diagnostic reasoning.

Authors

  • Zijian Wang
    School of Medical Informatics Engineering, Anhui University of Chinese Medicine, Hefei, Anhui 230012, China.
  • Yi Wang
    Department of Neurology, Children's Hospital of Fudan University, National Children's Medical Center, Shanghai, China.
  • Chun Ma
    School of Medical Information Engineering, Anhui University of Chinese Medicine, Hefei, China.
  • Xuan Bao
    School of Medical Information Engineering, Anhui University of Chinese Medicine, Hefei, China.
  • Ya Li
    a State Key Laboratory of Applied Organic Chemistry, College of Chemistry and Chemical Engineering , Lanzhou University , Lanzhou , People's Republic of China.