Automatic Diagnosis of Diabetic Retinopathy from Fundus Images Using Neuro-Evolutionary Algorithms.

Due to the presence of high glucose levels, diabetes mellitus (DM) is a widespread disease that can damage blood vessels in the retina and lead to loss of the visual system. To combat this disease, called Diabetic Retinopathy (DR), retinography, using images of the fundus of the retina, is the most used method for the diagnosis of Diabetic Retinopathy. The Deep Learning (DL) area achieved high performance for the classification of retinal images and even achieved almost the same human performance in diagnostic tasks. However, the performance of DL architectures is highly dependent on the optimal configuration of the hyperparameters. In this article, we propose the use of Neuroevolutionary Algorithms to optimize the hyperparameters corresponding to the DL model for the diagnosis of DR. The results obtained prove that the proposed method outperforms the results obtained by the classical approach.

A Trust-Based Methodology to Evaluate Deep Learning Models for Automatic Diagnosis of Ocular Toxoplasmosis from Fundus Images.

In the automatic diagnosis of ocular toxoplasmosis (OT), Deep Learning (DL) has arisen as a powerful and promising approach for diagnosis. However, despite the good performance of the models, decision rules should be interpretable to elicit trust from the medical community. Therefore, the development of an evaluation methodology to assess DL models based on interpretability methods is a challenging task that is necessary to extend the use of AI among clinicians. In this work, we propose a novel methodology to quantify the similarity between the decision rules used by a DL model and an ophthalmologist, based on the assumption that doctors are more likely to trust a prediction that was based on decision rules they can understand. Given an eye fundus image with OT, the proposed methodology compares the segmentation mask of OT lesions labeled by an ophthalmologist with the attribution matrix produced by interpretability methods. Furthermore, an open dataset that includes the eye fundus images and the segmentation masks is shared with the community. The proposal was tested on three different DL architectures. The results suggest that complex models tend to perform worse in terms of likelihood to be trusted while achieving better results in sensitivity and specificity.