arXiv:2609.32352v2 Announce Type: replace-cross
Abstract: Vision-language models (VLMs) have shown increasing potential for medical image understanding, yet their capabilities in ophthalmic imaging r...
By Gujie Shao, Zixun Xie, Xuechun Xing, Ruixiang Wang, Ziyun Lan, Yanlin Qi, Gangyi Zhang, Yuxin Yang, Dawei Li, Haiming Tang
The paper presents an explainable diabetic retinopathy classification framework that leverages vision foundation models—DINOv2, CLIP, and Vision Transformer—combined with various transfer learning techniques such as full fine‑tuning, linear probing, and Low‑Rank Adaptation (LoRA). Using the ODIR dataset for internal validation and the APTOS dataset for external testing, DINOv2‑LoRA achieved the best internal AUROC (0.758) while DINOv2 and ViT full fine‑tuning reached the highest external AUROC (0.920). Explainability was assessed with Grad‑CAM and HiResCAM against expert‑annotated lesion masks from IDRiD, using Dice, IoU, and Pointing Game metrics, confirming that model attention aligns with clinically relevant retinal lesions.
By Abhishek Verma, Anila Krishna, Abhishek Gajanan Bankar, Juan Miguel Lopez Alcaraz
arXiv:2606. 15129v1 Announce Type: cross Abstract: Color fundus photography (CFP) is the mainstay for large-scale retinal screening, yet its diagnostic capacity is constrained by the lack of depth-resolved structural information.
By Zhuo Deng, Ruiheng Zhang, Ziheng Zhang, Weihao Gao, Yitong Li, Qian Wang, Lei Shao, Jiaoyue Dong, Zhixi Zeng, Lijian Fang, Haibo Wang, Xiaobin Lin, Tao Liu, Zhicheng Du, Zhengwei Zhang, Lin Yang, Zheng Gong, Xinyu Zhao, Zhenquan Wu, Fang Li, Zhiguang Zhou, Guoming Zhang, Sun Jing, Han Lv, Wenbin We, Lan Ma
Co-Annotator is a clinical AI system that distills expert gaze and dictation into two guidance components: a gaze‑aligned Vision Transformer that highlights fixation‑aligned areas of interest (AOIs) and an ontology‑bounded vision‑language model that pre‑fills editable biomarker summaries for retinal OCT. In controlled studies, each modality independently improved diagnostic accuracy and biomarker generation, and when combined across two academic institutions, the system increased correct diagnoses per minute by 40% and reduced comment editing time by 67% without compromising accuracy.
By Ziheng "Leo" Li, Benjamin Freeman, Akshay Raman, Kavin Aravindhan Rajkumar, Xinxin Fang, Rishabh Srivastava, Steven Feiner, Kaveri A. Thakoor
arXiv:2607. 19864v1 Announce Type: cross Abstract: Diabetic retinopathy is a leading cause of preventable blindness; its early lesions are small, low contrast, and easily missed in manual screening.
By Z\"ubeyr \"Ozeren, Tansel Uyar
arXiv:2607. 05825v1 Announce Type: cross Abstract: Background.
By Fred Mutisya, Oscar Onyango, Sarah Sitati, Syokau Ilovi, Aeesha NJ Malik, Brenda W'mosi, Brian Makini, Jalemba Aluuvala, Josiah Onyango, Rachael Kanguha Mmene, Steven Wanyee
Background: Artificial intelligence (AI)-based glaucoma detection from colour fundus photographs (CFP) offers scalable screening, but performance may decline on external datasets because of difference...
The study evaluates fundus-specific foundation models (FM) for detecting diabetic macular edema (DME) in retinal images. It compares two popular FM—RETFound and FLAIR—against a lightweight EfficientNet-B0 backbone across multiple datasets (IDRiD, MESSIDOR-2, and OCT-and-Eye-FundusImages). Results indicate that FM do not consistently outperform fine‑tuned CNNs; EfficientNet-B0 often matches or exceeds FM performance, with FLAIR being the most competitive FM.
By Franco Javier Arellano, Jos\'e Ignacio Orlando
The study developed a Vision Transformer-based deep learning model with uncertainty estimation to detect glaucoma from colour fundus photographs across multi‑ethnic populations, including those with high myopia. Using 56,483 images for training, the model achieved an internal AUROC of 98.7% and maintained high performance (AUROC 86.4–99.6%) on 16 external datasets from eight countries. In high‑myopia eyes, the model outperformed ophthalmologists and matched specialists when full clinical data were available.
By Raghavan Lavanya, Yangqin Feng, Ten Cheer Quek, Quan V. Hoang, Linda Yi-Chieh Poon, Jost B. Jonas, Ya Xing Wang, Vinay Nangia, Jin Wook Jeoung, Sehie Park, SoYeon Kim, Benjamin Y Xu, Sreenidhi Iyengar Munimadugu, Paul Mitchell, Gerald Liew, Yanin Suwan, Jirayu Hong-amata, Sahil Thakur, Monisha E Nongipur, Tina Wong, Rahat Husain, Ng Si Rui, Yamon Syn, Phey Feng Lo, Nicholas Tan Yi Qiang, Shaista Hussain, Xiaofeng Lei, Zhi Da Soh, Marco Yu, Haslina Hamzah, Zizhou Wang, Yan Wang, Liangli Zhen, Xinxing Xu, Tien-Yin Wong, Tin Aung, Rachel S Chong, Yong Liu, Ching-Yu Cheng
The study presents an interpretable AI framework for glaucoma screening using low-cost handheld retinal cameras in a West African population. Trained on 681 participants, the system achieved high performance across vessel segmentation, cup/disc segmentation, and optic nerve head feature detection, with classification AUCs of 0.85 for the handheld device and 0.93 for a tabletop camera. The model provides confidence scores and visual explanations to aid clinical interpretation.
By Charis Y. N. Chiang, Tarela Sarimiye, Adeyinka Ashaye, Martin Buist, Michael A. Hauser, Olusola Olawoye, Micha\"el J. A. Girard
arXiv:2603. 18846v3 Announce Type: replace-cross Abstract: Foundation models are used to extract transferable representations from large amounts of unlabeled data, typically via self-supervised learning (SSL).
By Samuel Ofosu Mensah, Camila Roa, Kerol Djoumessi, Philipp Berens
arXiv:2607. 03959v1 Announce Type: cross Abstract: Diabetic retinopathy (DR) is a leading cause of vision impairment worldwide, highlighting the need for accurate and accessible screening tools.
By Rashadul Hasan Badhon, Atalie Carina Thompson, Jennifer I. Lim, Theodore Leng, Minhaj Nur Alam