Deep Learning Fundus Image Analysis for Diabetic Retinopathy and Macular Edema Grading.

Journal: Scientific reports
Published Date:

Abstract

Diabetes is a globally prevalent disease that can cause visible microvascular complications such as diabetic retinopathy and macular edema in the human eye retina, the images of which are today used for manual disease screening and diagnosis. This labor-intensive task could greatly benefit from automatic detection using deep learning technique. Here we present a deep learning system that identifies referable diabetic retinopathy comparably or better than presented in the previous studies, although we use only a small fraction of images (<1/4) in training but are aided with higher image resolutions. We also provide novel results for five different screening and clinical grading systems for diabetic retinopathy and macular edema classification, including state-of-the-art results for accurately classifying images according to clinical five-grade diabetic retinopathy and for the first time for the four-grade diabetic macular edema scales. These results suggest, that a deep learning system could increase the cost-effectiveness of screening and diagnosis, while attaining higher than recommended performance, and that the system could be applied in clinical examinations requiring finer grading.

Authors

  • Jaakko Sahlsten
    Dept. of Computer Science, Aalto University School of Science, Espoo, 00076, Finland.
  • Joel Jaskari
    Dept. of Computer Science, Aalto University School of Science, Espoo, 00076, Finland.
  • Jyri Kivinen
    Dept. of Computer Science, Aalto University School of Science, Espoo, 00076, Finland.
  • Lauri Turunen
    Digifundus Ltd., Tietotie 2, 90460, Oulunsalo, Finland.
  • Esa Jaanio
    Digifundus Ltd., Tietotie 2, 90460, Oulunsalo, Finland.
  • Kustaa Hietala
    Central Finland Central Hospital, Keskussairaalantie 19, 40620, Jyväskylä, Finland.
  • Kimmo Kaski
    Dept. of Computer Science, Aalto University School of Science, Espoo, 00076, Finland. kimmo.kaski@aalto.fi.