Abstract
Age-related Macular Degeneration (AMD) is the predominant cause of blindness in developed countries, specially in elderly people. Moreover, its prevalence is increasing due to the global population ageing. In this scenario, early detection is crucial to avert later vision impairment. Nonetheless, implementing large-scale screening programmes is usually not viable, since the population at-risk is large and the analysis must be performed by expert clinicians. Also, the diagnosis of AMD is considered to be particularly difficult, as it is characterized by many different lesions that, in many cases, resemble those of other macular diseases. To overcome these issues, several works have proposed automatic methods for the detection of AMD in retinography images, the most widely used modality for the screening of the disease. Nowadays, most of these works use Convolutional Neural Networks (CNNs) for the binary classification of images into AMD and non-AMD classes. In this work, we propose a novel approach based on CNNs that simultaneously performs AMD diagnosis and the classification of its potential lesions. This latter secondary task has not yet been addressed in this domain, and provides complementary useful information that improves the diagnosis performance and helps understanding the decision. A CNN model is trained using retinography images with image-level labels for both AMD and lesion presence, which are relatively easy to obtain. The experiments conducted in several public datasets show that the proposed approach improves the detection of AMD, while achieving satisfactory results in the identification of most lesions.
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Acknowledgments
This work was funded by Instituto de Salud Carlos III, Government of Spain, and the European Regional Development Fund (ERDF) of the European Union (EU) through the DTS18/00136 research project; Ministerio de Ciencia e Innovación, Government of Spain, through RTI2018-095894-B-I00 and PID2019-108435RB-I00 research projects; Axencia Galega de Innovación (GAIN), Xunta de Galicia, ref. IN845D 2020/38; Xunta de Galicia and the European Social Fund (ESF) of the EU through the predoctoral grant contracts ref. ED481A-2017/328 and ref. ED481A 2021/140; Consellería de Cultura, Educación e Universidade, Xunta de Galicia, through Grupos de Referencia Competitiva, grant ref. ED431C 2020/24; CITIC, Centro de Investigación de Galicia ref. ED431G 2019/01, is funded by Consellería de Educación, Universidade e Formación Profesional, Xunta de Galicia, through the ERDF (80%) and Secretaría Xeral de Universidades (20%).
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Morano, J., Hervella, Á.S., Rouco, J., Novo, J., Fernández-Vigo, J.I., Ortega, M. (2022). Improving AMD Diagnosis by the Simultaneous Identification of Associated Retinal Lesions. In: Sclaroff, S., Distante, C., Leo, M., Farinella, G.M., Tombari, F. (eds) Image Analysis and Processing – ICIAP 2022. ICIAP 2022. Lecture Notes in Computer Science, vol 13231. Springer, Cham. https://doi.org/10.1007/978-3-031-06427-2_13
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