# Attention Based Glaucoma Detection: A Large-scale Database and CNN Model

arXiv: https://arxiv.org/abs/1903.10831 · HTML: https://mlsanity.com/paper/1903.10831/

## Key facts

- Cited by 76 papers in the map (data through 14 Oct 2026).
- First posted on arXiv 26 Mar 2019.

## Built on by (most cited first, 30 of 76)

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- [Harvard Glaucoma Detection and Progression: A Multimodal Multitask Dataset and Generalization-Reinforced Semi-Supervised Learning](https://mlsanity.com/paper/2308.13411/) (2023)
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- [A Hierarchical Conditional Random Field-based Attention Mechanism Approach for Gastric Histopathology Image Classification](https://mlsanity.com/paper/2102.10499/) (2021)
- [Deep learning on fundus images detects glaucoma beyond the optic disc](https://mlsanity.com/paper/2103.11895/) (2021)
- [Attention Mechanisms in Medical Image Segmentation: A Survey](https://mlsanity.com/paper/2305.17937/) (2023)
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## Abstract (arXiv)

Recently, the attention mechanism has been successfully applied in convolutional neural networks (CNNs), significantly boosting the performance of many computer vision tasks. Unfortunately, few medical image recognition approaches incorporate the attention mechanism in the CNNs. In particular, there exists high redundancy in fundus images for glaucoma detection, such that the attention mechanism has potential in improving the performance of CNN-based glaucoma detection. This paper proposes an attention-based CNN for glaucoma detection (AG-CNN). Specifically, we first establish a large-scale attention based glaucoma (LAG) database, which includes 5,824 fundus images labeled with either positive glaucoma (2,392) or negative glaucoma (3,432). The attention maps of the ophthalmologists are also collected in LAG database through a simulated eye-tracking experiment. Then, a new structure of AG-CNN is designed, including an attention prediction subnet, a pathological area localization subnet and a glaucoma classification subnet. Different from other attention-based CNN methods, the features are also visualized as the localized pathological area, which can advance the performance of glaucoma detection. Finally, the experiment results show that the proposed AG-CNN approach significantly advances state-of-the-art glaucoma detection.
