A Benchmark for Studying Diabetic Retinopathy: Segmentation, Grading, and Transferability
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Abstract (arXiv)
People with diabetes are at risk of developing an eye disease called diabetic retinopathy (DR). This disease occurs when high blood glucose levels cause damage to blood vessels in the retina. Computer-aided DR diagnosis is a promising tool for early detection of DR and severity grading, due to the great success of deep learning. However, most current DR diagnosis systems do not achieve satisfactory performance or interpretability for ophthalmologists, due to the lack of training data with consistent and fine-grained annotations. To address this problem, we construct a large fine-grained annotated DR dataset containing 2,842 images (FGADR). This dataset has 1,842 images with pixel-level DR-related lesion annotations, and 1,000 images with image-level labels graded by six board-certified ophthalmologists with intra-rater consistency. The proposed dataset will enable extensive studies on DR diagnosis. We set up three benchmark tasks for evaluation: 1. DR lesion segmentation; 2. DR grading by joint classification and segmentation; 3. Transfer learning for ocular multi-disease identification. Moreover, a novel inductive transfer learning method is introduced for the third task. Extensive experiments using different state-of-the-art methods are conducted on our FGADR dataset, which can serve as baselines for future research.
Key facts. Cited by 48 papers in the map (data through 7 Oct 2026). First posted on arXiv 22 Aug 2020.
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Citing papers per year: 2021: 5; 2022: 2; 2023: 8; 2024: 13; 2025: 9; 2026: 11.
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- 2023LVM-Med: Learning Large-Scale Self-Supervised Vision Models for Medical Imaging via Second-order Graph Matchingcited by 60
- 2023Fine-grained Visual Classification with High-temperature Refinement and Background Suppressioncited by 22
- 2025Pathology-Aware Prototype Evolution via LLM-Driven Semantic Disambiguation for Multicenter Diabetic Retinopathy Diagnosiscited by 22
- 2023Towards Generalizable Diabetic Retinopathy Grading in Unseen Domainscited by 21
- 2024Res-VMamba: Fine-Grained Food Category Visual Classification Using Selective State Space Models with Deep Residual Learningcited by 21
- 2024Self-eXplainable AI for Medical Image Analysis: A Survey and New Outlookscited by 18
- 2024Generalizing to Unseen Domains in Diabetic Retinopathy with Disentangled Representationscited by 11
- 2024ViLReF: An Expert Knowledge Enabled Vision-Language Retinal Foundation Modelcited by 7
- 2021Explainable Diabetic Retinopathy Detection and Retinal Image Generationcited by 6
- 2023On the Out of Distribution Robustness of Foundation Models in Medical Image Segmentationcited by 6
- 2021Self-Supervised Domain Adaptation for Diabetic Retinopathy Grading using Vessel Image Reconstructioncited by 5
- 2022DRG-Net: Interactive Joint Learning of Multi-lesion Segmentation and Classification for Diabetic Retinopathy Gradingcited by 3
36 more
- 2023Generating Realistic Counterfactuals for Retinal Fundus and OCT Images using Diffusion Modelscited by 3
- 2024Curriculum Fine-tuning of Vision Foundation Model for Medical Image Classification Under Label Noisecited by 3
- 2021An Attention-based Weakly Supervised framework for Spitzoid Melanocytic Lesion Diagnosis in WSIcited by 2
- 2021Automated Detection and Diagnosis of Diabetic Retinopathy: A Comprehensive Surveycited by 2
- 2021A deep learning model for classification of diabetic retinopathy in eye fundus images based on retinal lesion detectioncited by 2
- 2022Evaluating the Quality and Diversity of DCGAN-based Generatively Synthesized Diabetic Retinopathy Imagerycited by 2
- 2024CoBooM: Codebook Guided Bootstrapping for Medical Image Representation Learningcited by 2
- 2024Enhancing Diabetic Retinopathy Diagnosis: A Lightweight CNN Architecture for Efficient Exudate Detection in Retinal Fundus Imagescited by 2
- 2025Fairness in Augmented Graph Learning: A Surveycited by 2
- 2025In-hoc Concept Representations to Regularise Deep Learning in Medical Imagingcited by 2
- 2023Supervised Domain Adaptation for Recognizing Retinal Diseases from Wide-Field Fundus Imagescited by 1
- 2025Native Intelligence Emerges from Large-Scale Clinical Practice: A Retinal Foundation Model with Deployment Efficiencycited by 1
- 2026A General Model for Retinal Segmentation and Quantificationcited by 1
- 2026Fully Differentiable Bidirectional Dual-Task Synergistic Learning for Semi-Supervised 3D Medical Image Segmentationcited by 1
- 2026Managing Diabetic Retinopathy with Deep Learning: A Data Centric Overviewcited by 1
- 2026Towards Clinically Interpretable Ophthalmic VQA via Spatially-Grounded Lesion Evidencecited by 1
- 2023Efficient Pyramid Channel Attention Network for Pathological Myopia Recognitioncited by 0
- 2023Shadow loss: Memory-linear deep metric learning for efficient trainingcited by 0
- 2024Cross-Dataset Generalization For Retinal Lesions Segmentationcited by 0
- 2024Lesion-aware network for diabetic retinopathy diagnosiscited by 0
- 2024Looking into Concept Explanation Methods for Diabetic Retinopathy Classificationcited by 0
- 2024Multi-style conversion for semantic segmentation of lesions in fundus images by adversarial attackscited by 0
- 2024Divergent Domains, Convergent Grading: Enhancing Generalization in Diabetic Retinopathy Gradingcited by 0
- 2024Cross Feature Fusion of Fundus Image and Generated Lesion Map for Referable Diabetic Retinopathy Classificationcited by 0
- 2025Low-Rank Adaptive Structural Priors for Generalizable Diabetic Retinopathy Gradingcited by 0
- 2025CLIPin: A Non-contrastive Plug-in to CLIP for Multimodal Semantic Alignmentcited by 0
- 2025From Retinal Pixels to Patients: Evolution of Deep Learning Research in Diabetic Retinopathy Screeningcited by 0
- 2025Semi-Supervised Multi-Task Learning for Interpretable Quality As- sessment of Fundus Imagescited by 0
- 2025TWLR: Text-Guided Weakly-Supervised Lesion Localization and Severity Regression for Explainable Diabetic Retinopathy Gradingcited by 0
- 2026Learning to Fuse and Reconstruct Multi-View Graphs for Diabetic Retinopathy Gradingcited by 0
- 2026Weakly Supervised Patch Annotation for Improved Screening of Diabetic Retinopathycited by 0
- 2026Human Knowledge Integrated Multi-modal Learning for Single Source Domain Generalizationcited by 0
- 2026EyeWorld: A Generative World Model of Ocular State and Dynamicscited by 0
- 2026Ranking-Guided Semi-Supervised Domain Adaptation for Severity Classificationcited by 0
- 2026PRISM-DR: Per-lesion Retinal Inference with Specialist Models for Diabetic Retinopathycited by 0
- 2026PARAGraph: Pathology-Anatomy-Aware Hierarchical Graph for Diabetic Retinopathy Gradingcited by 0
- 2026PARAGraph: Pathology-Anatomy-Aware Hierarchical Graph for Diabetic Retinopathy Grading8 Aug 2026
- 2026PRISM-DR: Per-lesion Retinal Inference with Specialist Models for Diabetic Retinopathy22 Jul 2026
- 2026Towards Clinically Interpretable Ophthalmic VQA via Spatially-Grounded Lesion Evidence21 May 2026
- 2026Managing Diabetic Retinopathy with Deep Learning: A Data Centric Overview2 Apr 2026
- 2026Ranking-Guided Semi-Supervised Domain Adaptation for Severity Classification2 Apr 2026
- 2026EyeWorld: A Generative World Model of Ocular State and Dynamics14 Mar 2026
- 2026Human Knowledge Integrated Multi-modal Learning for Single Source Domain Generalization12 Mar 2026
- 2026Weakly Supervised Patch Annotation for Improved Screening of Diabetic Retinopathy4 Mar 2026
- 2026Learning to Fuse and Reconstruct Multi-View Graphs for Diabetic Retinopathy Grading25 Feb 2026
- 2026Fully Differentiable Bidirectional Dual-Task Synergistic Learning for Semi-Supervised 3D Medical Image Segmentation10 Feb 2026
- 2026A General Model for Retinal Segmentation and Quantification31 Jan 2026
- 2025Native Intelligence Emerges from Large-Scale Clinical Practice: A Retinal Foundation Model with Deployment Efficiency16 Dec 2025
36 more
- 2025TWLR: Text-Guided Weakly-Supervised Lesion Localization and Severity Regression for Explainable Diabetic Retinopathy Grading15 Dec 2025
- 2025Pathology-Aware Prototype Evolution via LLM-Driven Semantic Disambiguation for Multicenter Diabetic Retinopathy Diagnosis27 Nov 2025
- 2025Semi-Supervised Multi-Task Learning for Interpretable Quality As- sessment of Fundus Images17 Nov 2025
- 2025From Retinal Pixels to Patients: Evolution of Deep Learning Research in Diabetic Retinopathy Screening14 Nov 2025
- 2025In-hoc Concept Representations to Regularise Deep Learning in Medical Imaging19 Aug 2025
- 2025CLIPin: A Non-contrastive Plug-in to CLIP for Multimodal Semantic Alignment8 Aug 2025
- 2025Fairness in Augmented Graph Learning: A Survey30 Apr 2025
- 2025Low-Rank Adaptive Structural Priors for Generalizable Diabetic Retinopathy Grading27 Apr 2025
- 2024Curriculum Fine-tuning of Vision Foundation Model for Medical Image Classification Under Label Noise29 Nov 2024
- 2024Cross Feature Fusion of Fundus Image and Generated Lesion Map for Referable Diabetic Retinopathy Classification6 Nov 2024
- 2024Divergent Domains, Convergent Grading: Enhancing Generalization in Diabetic Retinopathy Grading4 Nov 2024
- 2024Multi-style conversion for semantic segmentation of lesions in fundus images by adversarial attacks17 Oct 2024
- 2024Looking into Concept Explanation Methods for Diabetic Retinopathy Classification4 Oct 2024
- 2024Self-eXplainable AI for Medical Image Analysis: A Survey and New Outlooks3 Oct 2024
- 2024ViLReF: An Expert Knowledge Enabled Vision-Language Retinal Foundation Model20 Aug 2024
- 2024Lesion-aware network for diabetic retinopathy diagnosis14 Aug 2024
- 2024Enhancing Diabetic Retinopathy Diagnosis: A Lightweight CNN Architecture for Efficient Exudate Detection in Retinal Fundus Images13 Aug 2024
- 2024CoBooM: Codebook Guided Bootstrapping for Medical Image Representation Learning8 Aug 2024
- 2024Generalizing to Unseen Domains in Diabetic Retinopathy with Disentangled Representations10 Jun 2024
- 2024Cross-Dataset Generalization For Retinal Lesions Segmentation14 May 2024
- 2024Res-VMamba: Fine-Grained Food Category Visual Classification Using Selective State Space Models with Deep Residual Learning24 Feb 2024
- 2023Shadow loss: Memory-linear deep metric learning for efficient training23 Nov 2023
- 2023Generating Realistic Counterfactuals for Retinal Fundus and OCT Images using Diffusion Models20 Nov 2023
- 2023On the Out of Distribution Robustness of Foundation Models in Medical Image Segmentation18 Nov 2023
- 2023Efficient Pyramid Channel Attention Network for Pathological Myopia Recognition17 Sep 2023
- 2023Towards Generalizable Diabetic Retinopathy Grading in Unseen Domains10 Jul 2023
- 2023LVM-Med: Learning Large-Scale Self-Supervised Vision Models for Medical Imaging via Second-order Graph Matching20 Jun 2023
- 2023Supervised Domain Adaptation for Recognizing Retinal Diseases from Wide-Field Fundus Images14 May 2023
- 2023Fine-grained Visual Classification with High-temperature Refinement and Background Suppression11 Mar 2023
- 2022DRG-Net: Interactive Joint Learning of Multi-lesion Segmentation and Classification for Diabetic Retinopathy Grading30 Dec 2022
- 2022Evaluating the Quality and Diversity of DCGAN-based Generatively Synthesized Diabetic Retinopathy Imagery10 Aug 2022
- 2021A deep learning model for classification of diabetic retinopathy in eye fundus images based on retinal lesion detection14 Oct 2021
- 2021Self-Supervised Domain Adaptation for Diabetic Retinopathy Grading using Vessel Image Reconstruction20 Jul 2021
- 2021Explainable Diabetic Retinopathy Detection and Retinal Image Generation1 Jul 2021
- 2021Automated Detection and Diagnosis of Diabetic Retinopathy: A Comprehensive Survey30 Jun 2021
- 2021An Attention-based Weakly Supervised framework for Spitzoid Melanocytic Lesion Diagnosis in WSI20 Apr 2021
- 2023Fine-grained Visual Classification with High-temperature Refinement and Background Suppressioncited by 22
- 2025Pathology-Aware Prototype Evolution via LLM-Driven Semantic Disambiguation for Multicenter Diabetic Retinopathy Diagnosiscited by 22
- 2023Towards Generalizable Diabetic Retinopathy Grading in Unseen Domainscited by 21
- 2024Self-eXplainable AI for Medical Image Analysis: A Survey and New Outlookscited by 18
- 2024Generalizing to Unseen Domains in Diabetic Retinopathy with Disentangled Representationscited by 11
- 2021Explainable Diabetic Retinopathy Detection and Retinal Image Generationcited by 6
- 2023On the Out of Distribution Robustness of Foundation Models in Medical Image Segmentationcited by 6
- 2021Self-Supervised Domain Adaptation for Diabetic Retinopathy Grading using Vessel Image Reconstructioncited by 5
- 2022DRG-Net: Interactive Joint Learning of Multi-lesion Segmentation and Classification for Diabetic Retinopathy Gradingcited by 3
- 2024Curriculum Fine-tuning of Vision Foundation Model for Medical Image Classification Under Label Noisecited by 3
- 2021An Attention-based Weakly Supervised framework for Spitzoid Melanocytic Lesion Diagnosis in WSIcited by 2
- 2021Automated Detection and Diagnosis of Diabetic Retinopathy: A Comprehensive Surveycited by 2
12 most cited of 43 All 43 (JSON)
- 2026PARAGraph: Pathology-Anatomy-Aware Hierarchical Graph for Diabetic Retinopathy Grading8 Aug 2026
- 2026PRISM-DR: Per-lesion Retinal Inference with Specialist Models for Diabetic Retinopathy22 Jul 2026
- 2026Towards Clinically Interpretable Ophthalmic VQA via Spatially-Grounded Lesion Evidence21 May 2026
- 2026Managing Diabetic Retinopathy with Deep Learning: A Data Centric Overview2 Apr 2026
- 2026Ranking-Guided Semi-Supervised Domain Adaptation for Severity Classification2 Apr 2026
- 2026Human Knowledge Integrated Multi-modal Learning for Single Source Domain Generalization12 Mar 2026
- 2026Weakly Supervised Patch Annotation for Improved Screening of Diabetic Retinopathy4 Mar 2026
- 2026Learning to Fuse and Reconstruct Multi-View Graphs for Diabetic Retinopathy Grading25 Feb 2026
- 2026Fully Differentiable Bidirectional Dual-Task Synergistic Learning for Semi-Supervised 3D Medical Image Segmentation10 Feb 2026
- 2026A General Model for Retinal Segmentation and Quantification31 Jan 2026
- 2025Native Intelligence Emerges from Large-Scale Clinical Practice: A Retinal Foundation Model with Deployment Efficiency16 Dec 2025
- 2025TWLR: Text-Guided Weakly-Supervised Lesion Localization and Severity Regression for Explainable Diabetic Retinopathy Grading15 Dec 2025
12 newest of 43 All 43 (JSON)