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
This study presents four deep‑learning pipelines—two‑dimensional and three‑dimensional—for segmenting age‑related macular degeneration (AMD) and diabetic macular edema (DME) lesions in optical coherence tomography (OCT) images. The models achieve Dice scores between 0.76 and 0.82 and demonstrate strong volumetric and surface calibration (r_vol, r_surf ≥ 0.97) on an in‑domain validation set. Generalization was assessed on the OLIVES clinical cohort using proxy metrics such as biomarker AUROC, central subfield thickness correlation, and longitudinal concordance, showing that the predictions still track clinical biomarkers outside the training distribution, albeit with reduced strength.
By Lucia Sundberg, Zhihao Zhao, M. Ali Nasseri
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
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
arXiv:2509.25549v3 Announce Type: replace-cross
Abstract: Choroidal nevi are common benign pigmented lesions in the eye, with a small risk of transforming into melanoma. Early detection is critical t...
By Mohammadmahdi Eshragh, Emad A. Mohammed, Behrouz Far, Ezekiel Weis, Carol L Shields, Sandor R Ferenczy, Trafford Crump
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