Automatic diagnosis of multiple lesions in fundus images based on dual attention mechanism

Jiamin Gong, Liufei Guo, Jiewei Jiang, Che-Ming Wu, Mengjie Pei, Wei Liu
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Abstract

Glaucomatous optic neuropathy (GON), retinal exudates and retinal hemorrhage are the main basis for the diagnosis of fundus diseases. Traditional methods can diagnose fundus diseases and their severity, but there are few studies on the characteristics of fundus diseases, which cannot give a reasonable explanation for the diagnosis of fundus diseases. Therefore, a convolutional neural network based on dual attention mechanism was proposed to realize automatic diagnosis of multiple fundus lesions with high accuracy. Convolutional neural network uses a residual structure with jumping connections, and channels and spatial attention mechanisms are embedded after each group of convolution to improve the accuracy of fundus lesions diagnosis. The model was tested on the clinical data of Ningbo Eye Hospital Affiliated to Wenzhou Medical University. The diagnostic accuracy of GON, retinal exudates and retinal hemorrhage were 98.17%, 97.49% and 97.15%, respectively. The experimental results showed that: the model showed good feature extraction ability and diagnostic performance in multi-lesion diagnosis of fundus, which provided reference value for subsequent medical artificial intelligence diagnosis research.
基于双注意机制的眼底图像多病变自动诊断
青光眼视神经病变(GON)、视网膜渗出物和视网膜出血是诊断眼底疾病的主要依据。传统的方法可以诊断眼底疾病及其严重程度,但对眼底疾病特点的研究较少,无法为眼底疾病的诊断提供合理的解释。为此,提出一种基于双注意机制的卷积神经网络,实现对眼底多发病变的高精度自动诊断。卷积神经网络采用具有跳跃连接的残差结构,在每组卷积后嵌入通道和空间注意机制,以提高眼底病变诊断的准确性。采用温州医科大学附属宁波眼科医院的临床数据对模型进行检验。GON、视网膜渗出液和视网膜出血的诊断准确率分别为98.17%、97.49%和97.15%。实验结果表明:该模型在眼底多病变诊断中表现出良好的特征提取能力和诊断性能,为后续医学人工智能诊断研究提供参考价值。
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