Lesion-attention pyramid network for diabetic retinopathy grading

As one of the most common diabetic complications, diabetic retinopathy (DR) can cause retinal damage, vision loss and even blindness. Automated DR grading technology has important clinical significance, which can help ophthalmologists achieve rapid and early diagnosis. With the popularity of deep learning, DR grading based on the convolutional neural networks (CNNs) has become the mainstream method. Unfortunately, although the CNN-based method can achieve satisfactory diagnostic accuracy, it lacks significant clinical information. In this paper, a lesion-attention pyramid network (LAPN) is presented. The pyramid network integrates the subnetworks with different resolutions to get multi-scale features. In order to take the lesion regions in the high-resolution image as the diagnostic evidence, the low-resolution network calculates the lesion activation map (using the weakly-supervised localization method) and guides the high-resolution network to concentrate on the lesion regions. Furthermore, a lesion attention module (LAM) is designed to capture the complementary relationship between the high-resolution features and the low-resolution features, and to fuse the lesion activation map. Experiment results show that the proposed scheme outperforms other existing approaches, and the proposed method can provide lesion activation map with lesion consistency as an additional evidence for clinical diagnosis.