Pyramid Network With Quality-Aware Contrastive Loss for Retinal Image Quality Assessment

Captured retinal images vary greatly in quality. Low-quality images increase the risk of misdiagnosis. This motivates to design effective retinal image quality assessment (RIQA) methods. Current deep learning-based methods usually classify the image into three levels of "Good", "Usable", and "Reject", while ignoring the quantitative feedback for more detailed quality scores. This study proposes a unified RIQA framework, named QAC-Net, that can evaluate the quality of retinal images in both qualitative and quantitative manners. To improve the prediction accuracy, QAC-Net focuses on extracting discriminative features by using two strategies. On the one hand, it adopts a pyramid network structure that simultaneously inputs the scaled images to learn quality-aware features at different scales and purify the feature representation through a consistency loss. On the other hand, to improve feature representation, it utilizes a quality-aware contrastive (QAC) loss that considers quality relationships between different images. The QAC losses for qualitative and quantitative evaluation tasks have different forms in view of the task differences. Considering the shortage of datasets for the quantitative evaluation task, we construct a dataset with 2,300 authentically distorted retinal images, each of which is annotated with a numerical quality score through subjective experiments. Experimental results on public and our constructed datasets show that our QAC-Net is competent for the RIQA tasks with considerable performance.