arXiv:2507.19199eess.IVcs.AI2025-07被引 14

用双注意力机制提升糖尿病视网膜病变分类准确率

Enhancing Diabetic Retinopathy Classification Accuracy through Dual Attention Mechanism in Deep Learning

  • 引入全局与类别注意力模块缓解数据不平衡问题
  • 在APTOS和EYEPACS数据集上达80%以上准确率
  • 模型参数少,适合临床实时应用

自动分类糖尿病视网膜病变有助于眼科医生制定个性化治疗方案,是临床实践中的关键环节。然而,数据分布不均严重制约了深度学习模型在该任务上的泛化能力。本文将全局注意力块(GAB)与类别注意力块(CAB)融合进深度学习模型,有效缓解了糖尿病视网膜病变分类中的数据不平衡问题。所提方法基于三个预训练网络(MobileNetV3-small、EfficientNet-b0、DenseNet-169)作为主干架构。在两个公开的视网膜眼底图像数据集上进行评估:在APTOS数据集上,DenseNet-169达到83.20%平均准确率,MobileNetV3-small和EfficientNet-b0分别为82%和80%;在EYEPACS数据集上,EfficientNet-b0为80%,DenseNet-169和MobileNetV3-small分别为75.43%和76.68%。此外,实验还获得F1分数82.0%、精确率82.1%、敏感性83.0%、特异性95.5%以及卡帕系数88.2%。MobileNetV3-small在APTOS上仅需160万参数,在EYEPACS上仅0.90百万参数,显著低于其他方法。该方法性能与近期研究相当。

原文摘要 · Abstract (English)

Automatic classification of Diabetic Retinopathy (DR) can assist ophthalmologists in devising personalized treatment plans, making it a critical component of clinical practice. However, imbalanced data distribution in the dataset becomes a bottleneck in the generalization of deep learning models trained for DR classification. In this work, we combine global attention block (GAB) and category attention block (CAB) into the deep learning model, thus effectively overcoming the imbalanced data distribution problem in DR classification. Our proposed approach is based on an attention mechanism-based deep learning model that employs three pre-trained networks, namely, MobileNetV3-small, Efficientnet-b0, and DenseNet-169 as the backbone architecture. We evaluate the proposed method on two publicly available datasets of retinal fundoscopy images for DR. Experimental results show that on the APTOS dataset, the DenseNet-169 yielded 83.20% mean accuracy, followed by the MobileNetV3-small and EfficientNet-b0, which yielded 82% and 80% accuracies, respectively. On the EYEPACS dataset, the EfficientNet-b0 yielded a mean accuracy of 80%, while the DenseNet-169 and MobileNetV3-small yielded 75.43% and 76.68% accuracies, respectively. In addition, we also compute the F1-score of 82.0%, precision of 82.1%, sensitivity of 83.0%, specificity of 95.5%, and a kappa score of 88.2% for the experiments. Moreover, in our work, the MobileNetV3-small has 1.6 million parameters on the APTOS dataset and 0.90 million parameters on the EYEPACS dataset, which is comparatively less than other methods. The proposed approach achieves competitive performance that is at par with recently reported works on DR classification.

医学图像注意力机制糖尿病视网膜病变轻量化模型

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