Adversarial Exposure Attack on Diabetic Retinopathy Imagery Grading

Diabetic Retinopathy (DR) is a leading cause of vision loss around the world. To help diagnose it, numerous cutting-edge works have built powerful deep neural networks (DNNs) to automatically grade DR via retinal fundus images (RFIs). However, RFIs are commonly affected by camera exposure issues that may lead to incorrect grades. The mis-graded results can potentially pose high risks to an aggravation of the condition. In this paper, we study this problem from the viewpoint of adversarial attacks. We identify and introduce a novel solution to an entirely new task, termed as adversarial exposure attack, which is able to produce natural exposure images and mislead the state-of-the-art DNNs. We validate our proposed method on a real-world public DR dataset with three DNNs, e.g., ResNet50, MobileNet, and EfficientNet, demonstrating that our method achieves high image quality and success rate in transferring the attacks. Our method reveals the potential threats to DNN-based automatic DR grading and would benefit the development of exposure-robust DR grading methods in the future.