Institute of Computer Science, Foundation for Research and Technology Hellas (FORTH), 70013, Heraklion, Greece.
Department of Electrical and Computer Engineering, Hellenic Mediterranean University, 71004, Heraklion, Greece.
Comput Biol Med. 2021 Aug;135:104599. doi: 10.1016/j.compbiomed.2021.104599. Epub 2021 Jun 25.
Diabetic Retinopathy is a retina disease caused by diabetes mellitus and it is the leading cause of blindness globally. Early detection and treatment are necessary in order to delay or avoid vision deterioration and vision loss. To that end, many artificial-intelligence-powered methods have been proposed by the research community for the detection and classification of diabetic retinopathy on fundus retina images. This review article provides a thorough analysis of the use of deep learning methods at the various steps of the diabetic retinopathy detection pipeline based on fundus images. We discuss several aspects of that pipeline, ranging from the datasets that are widely used by the research community, the preprocessing techniques employed and how these accelerate and improve the models' performance, to the development of such deep learning models for the diagnosis and grading of the disease as well as the localization of the disease's lesions. We also discuss certain models that have been applied in real clinical settings. Finally, we conclude with some important insights and provide future research directions.
糖尿病视网膜病变是一种由糖尿病引起的视网膜疾病,是全球致盲的主要原因。为了延缓或避免视力恶化和视力丧失,早期检测和治疗是必要的。为此,研究界提出了许多基于眼底视网膜图像的人工智能方法,用于糖尿病视网膜病变的检测和分类。本文综述了基于眼底图像的糖尿病视网膜病变检测管道的各个步骤中深度学习方法的使用情况。我们讨论了该管道的几个方面,包括研究界广泛使用的数据集、所采用的预处理技术以及这些技术如何加速和提高模型的性能,到用于疾病诊断和分级以及疾病病变定位的此类深度学习模型的开发。我们还讨论了一些已应用于实际临床环境的模型。最后,我们得出一些重要的见解并提供未来的研究方向。