arXiv Machine Learning

Counterfactual Explainability Framework With CycleGAN And Counterfactual-Classifier Alignnment Score for Retinal Disease Classification

arXiv:2607. 21068v1 Announce Type: new Abstract: Automated detection of vision impairing retina-based ocular conditions from fundus images is important for early screening, timely referral and reducing dependency on specialist-only assessment, for which neural network-based deep learning (DL) models have been widely utilized.

arXiv Machine Learning
Sep 17

Interpretable Retinal Disease Prediction Using Biology-Informed Heterogeneous Graph Representations

The paper introduces a biology-informed heterogeneous graph representation that models retinal vessel segments, intercapillary areas, and the foveal avascular zone to predict diabetic retinopathy stages from OCTA images. This graph-based approach reframes staging as a graph-level classification task solved with a graph neural network, achieving AUC-ROC values up to 84% and outperforming biomarker-based classifiers, CNNs, and vision transformers. The method also provides detailed, interpretable explanations by precisely localizing abnormal vessels and non-perfusion areas.

By Laurin Lux, Alexander H. Berger, Maria Romeo Tricas, Richard Rosen, Alaa E. Fayed, Sobha Sivaprasada, Linus Kreitner, Jonas Weidner, Martin J. Menten, Daniel Rueckert, Johannes C. Paetzold
arXiv Machine Learning
Aug 11

Disentangling Co-Occurring Retinal Pathologies with Saliency-Guided Sparse Expert Routing

arXiv:2608. 09752v1 Announce Type: cross Abstract: Retinal fundus images frequently exhibit multiple co-occurring pathologies, yet standard deep learning classifiers apply static, identical computation to every image regardless of the underlying disease distribution.

By Nagur Shareef Shaik, Jeongwoo Park, Yeong-Jin Kim, Jaeuk Jung, Hyunjung Oh, Dong Hye Ye
arXiv Machine Learning
Aug 31

Explainable Diabetic Retinopathy Classification Using Vision Foundation Models

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 Computer Vision
Sep 3

Evaluating Fundus-Specific Foundation Models for Diabetic Macular Edema Detection

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
arXiv Computer Vision
Sep 4

Explainable Convolutional Neural Networks for Retinal Fundus Classification and Cutting-Edge Segmentation Models for Retinal Blood Vessels from Fundus Images

The paper presents a two‑pipeline framework for retinal fundus analysis that combines four‑class disease classification with vessel segmentation. It fine‑tunes eight ImageNet‑pretrained CNNs on the FIVES dataset, applies five gradient‑based explanation methods to assess model interpretability, and benchmarks ten U‑Net variants—including transformer‑based and attention‑enhanced architectures—on the FIVES and DRIVE datasets. The best classification results come from ResNet101 (94.17% accuracy), while the strongest segmentation performance is achieved by Attention U‑Net with a ResNet101V2 backbone, improving DRIVE IoU from 60.80% to 64.83%.

By Fatema Tuj Johora Faria, Mukaffi Bin Moin, Pronay Debnath, Asif Iftekher Fahim, Faisal Muhammad Shah
arXiv AI
Jun 16

EyeMVP: OCT-Informed Fundus Representation Learning via Paired CFP--OCT Pretraining

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