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Artificial Intelligence in Health





                                        ORIGINAL RESEARCH ARTICLE
                                        Deep learning-powered segmentation and

                                        classification of diabetic retinopathy for
                                        enhanced diagnostic precision



                                        Manoj Saligrama Harisha , Arya Arun Bhosale* , and M. Narender

                                        Department of Computer Science and Engineering, The National Institute of Engineering, Mysuru,
                                        Karnataka, India



                                        Abstract

                                        This study addresses the critical challenge of diabetic retinopathy (DR), a severe
                                        complication of diabetes  that potentially leads to  blindness.  We introduce  a novel
                                        approach to DR detection using transfer learning, leveraging a single fundus
                                        photograph to automatically identify the disease’s stage. DR progresses through four
                                        stages, posing challenges for early detection, with existing methods often inefficient
                                        and prone to disagreements among clinicians. The proposed approach demonstrated
                                        in the APTOS 2019 Blindness Detection Competition employs convolutional neural
                                        networks  (CNNs)  and  achieved  a  high  quadratic  weighted  kappa  score  of  0.92546,
                                        highlighting its effectiveness in automatic DR detection and emphasizing the need for
                                        timely intervention. This paper first reviews related work, spanning classical computer
                                        vision methods to deep learning approaches, with a focus on CNNs. Transfer learning
            *Corresponding author:      with CNN architectures is explored, showcasing promising results from various studies.
            Arya Arun Bhosale
            (2020cs_aryaarunbhosale_a@nie.  Identifying two critical gaps in existing literature, the research emphasizes the need
            ac.in)                      for comprehensive exploration into integrating pre-trained large language models
                                        (LLMs) with segmented image inputs for generating test/treatment recommendations.
            Citation: Harisha MS, Bhosale  AA,
            Narender M. Deep learning-  In addition, understanding the dynamic interactions among integrated components,
            powered segmentation and    including lesion segmentations, disease classification, and LLMs within web applications,
            classification of diabetic retinopathy   remains essential. The objectives of the study include developing a comprehensive DR
            for enhanced diagnostic precision.
            Artif Intell Health. 2024;1(4):30-42.   detection methodology, exploring and implementing model integration, evaluating
            doi:10.36922/aih.2783       performance through competition ranking, contributing significantly to DR detection
            Received: January 19, 2024  methodologies, and identifying research gaps. The study encompasses revolutionizing
                                        DR detection by integrating cutting-edge technologies, focusing on transfer learning
            Accepted: April 1, 2024
                                        and various model integrations within web applications. The methodology covers data
            Published Online: September 6,   pre-processing, augmentation, segmentation using U-Net neural network architecture,
            2024                        and a detailed training process. The U-Net model demonstrates efficient segmentation
            Copyright: © 2024 Author(s).   of retinal structures with high accuracy and an impressive frames-per-second rate. The
            This is an Open-Access article   results highlight the model’s effectiveness in segmenting blood vessels, hard exudates,
            distributed under the terms of the
            Creative Commons Attribution   soft exudates, hemorrhages, microaneurysms, and the optical disc, with high Jaccard, F1,
            License, permitting distribution,   recall, precision, and accuracy scores. These findings underscore the model’s potential
            and reproduction in any medium,   to enhance diagnostic capabilities in retinal pathology assessment, promising improved
            provided the original work is
            properly cited.             patient outcomes through timely diagnosis and intervention in combating DR.
            Publisher’s Note: AccScience
            Publishing remains neutral with   Keywords: Diabetic retinopathy; Deep learning; Segmentation; Transfer learning;
            regard to jurisdictional claims in
            published maps and institutional   Convolutional neural networks; Lesion segmentations; Disease classification; U-Net architecture
            affiliations.


            Volume 1 Issue 4 (2024)                         30                               doi:10.36922/aih.2783
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