REFUGE2 Challenge: A Treasure Trove for Multi-Dimension Analysis and Evaluation in Glaucoma Screening
Not on the map. Why?
Abstract (arXiv)
With the rapid development of artificial intelligence (AI) in medical image processing, deep learning in color fundus photography (CFP) analysis is also evolving. Although there are some open-source, labeled datasets of CFPs in the ophthalmology community, large-scale datasets for screening only have labels of disease categories, and datasets with annotations of fundus structures are usually small in size. In addition, labeling standards are not uniform across datasets, and there is no clear information on the acquisition device. Here we release a multi-annotation, multi-quality, and multi-device color fundus image dataset for glaucoma analysis on an original challenge -- Retinal Fundus Glaucoma Challenge 2nd Edition (REFUGE2). The REFUGE2 dataset contains 2000 color fundus images with annotations of glaucoma classification, optic disc/cup segmentation, as well as fovea localization. Meanwhile, the REFUGE2 challenge sets three sub-tasks of automatic glaucoma diagnosis and fundus structure analysis and provides an online evaluation framework. Based on the characteristics of multi-device and multi-quality data, some methods with strong generalizations are provided in the challenge to make the predictions more robust. This shows that REFUGE2 brings attention to the characteristics of real-world multi-domain data, bridging the gap between scientific research and clinical application.
Key facts. Cited by 37 papers in the map (data through 7 Oct 2026). Builds on 31 of its 76 references that are in the map. First posted on arXiv 18 Feb 2022.
Builds on
31 of 76 references.
References · 31
- 2015Deep Residual Learning for Image Recognitioncited by 51,809
- 2015U-Net: Convolutional Networks for Biomedical Image Segmentationcited by 19,604
- 2014Very Deep Convolutional Networks for Large-Scale Image Recognitioncited by 15,267
- 2017Mask R-CNNcited by 7,259
- 2016Densely Connected Convolutional Networkscited by 6,691
- 2019EfficientNet: Rethinking Model Scaling for Convolutional Neural Networkscited by 6,415
- 2016DeepLab: Semantic Image Segmentation with Deep Convolutional Nets, Atrous Convolution, and Fully Connected CRFscited by 3,239
- 2016Aggregated Residual Transformations for Deep Neural Networkscited by 2,540
- 2016Pyramid Scene Parsing Networkcited by 2,472
- 2017Rethinking Atrous Convolution for Semantic Image Segmentationcited by 2,154
- 2019Deep High-Resolution Representation Learning for Visual Recognitioncited by 1,417
- 2019Deep High-Resolution Representation Learning for Human Pose Estimationcited by 1,339
19 more
- 2021Transformers in Vision: A Surveycited by 1,009
- 2018Learning to Adapt Structured Output Space for Semantic Segmentationcited by 584
- 2019Res2Net: A New Multi-scale Backbone Architecturecited by 468
- 2020ResNeSt: Split-Attention Networkscited by 445
- 2019CSPNet: A New Backbone that can Enhance Learning Capability of CNNcited by 381
- 2019REFUGE Challenge: A Unified Framework for Evaluating Automated Methods for Glaucoma Assessment from Fundus Photographscited by 226
- 2019CE-Net: Context Encoder Network for 2D Medical Image Segmentationcited by 219
- 2018Joint Optic Disc and Cup Segmentation Based on Multi-label Deep Network and Polar Transformationcited by 73
- 2021Source-Free Domain Adaptive Fundus Image Segmentation with Denoised Pseudo-Labelingcited by 61
- 2019Evaluation of Retinal Image Quality Assessment Networks in Different Color-spacescited by 57
- 2019Boundary and Entropy-driven Adversarial Learning for Fundus Image Segmentationcited by 46
- 2022GAMMA Challenge:Glaucoma grAding from Multi-Modality imAgescited by 45
- 2019Patch-based Output Space Adversarial Learning for Joint Optic Disc and Cup Segmentationcited by 44
- 2022ADAM Challenge: Detecting Age-related Macular Degeneration from Fundus Imagescited by 25
- 2020AGE Challenge: Angle Closure Glaucoma Evaluation in Anterior Segment Optical Coherence Tomographycited by 15
- 2021Few-Shot Domain Adaptation with Polymorphic Transformerscited by 14
- 2020Leveraging Undiagnosed Data for Glaucoma Classification with Teacher-Student Learningcited by 12
- 2020Two-stage framework for optic disc localization and glaucoma classification in retinal fundus images using deep learningcited by 11
- 2019CFEA: Collaborative Feature Ensembling Adaptation for Domain Adaptation in Unsupervised Optic Disc and Cup Segmentationcited by 10
Built on by
Citing papers per year: 2022: 1; 2023: 2; 2024: 8; 2025: 16; 2026: 10.
37 papers.
Sort:
By area:
- 2025MedAgent-Pro: Towards Evidence-based Multi-modal Medical Diagnosis via Reasoning Agentic Workflowcited by 71
- 2023AIROGS: Artificial Intelligence for RObust Glaucoma Screening Challengecited by 35
- 2025LLM-based Agentic Reasoning Frameworks: A Survey from Methods to Scenarioscited by 25
- 2024A Survey of Medical Vision-and-Language Applications and Their Techniquescited by 11
- 2026Evolving Medical Imaging Agents via Experience-driven Self-skill Discoverycited by 10
- 2025Recent Advances in Medical Imaging Segmentation: A Surveycited by 8
- 2024MedUniSeg: 2D and 3D Medical Image Segmentation via a Prompt-driven Universal Modelcited by 7
- 2024SegICL: A Multimodal In-context Learning Framework for Enhanced Segmentation in Medical Imagingcited by 5
- 2024MedUHIP: Towards Human-In-the-Loop Medical Segmentationcited by 5
- 2025You Point, I Learn: Online Adaptation of Interactive Segmentation Models for Handling Distribution Shifts in Medical Imagingcited by 5
- 2025RetinaLogos: Fine-Grained Synthesis of High-Resolution Retinal Images Through Captionscited by 5
- 2023SynFundus-1M: A High-quality Million-scale Synthetic fundus images Dataset with Fifteen Types of Annotationcited by 4
25 more
- 2024VascX Models: Model Ensembles for Retinal Vascular Analysis from Color Fundus Imagescited by 4
- 2026Diffusion Model as a Generalist Segmentation Learnercited by 4
- 2022Calibrate the inter-observer segmentation uncertainty via diagnosis-first principlecited by 3
- 2024Towards Collective Intelligence: Uncertainty-aware SAM Adaptation for Ambiguous Medical Image Segmentationcited by 3
- 2025GONet: A Generalizable Deep Learning Model for Glaucoma Detectioncited by 3
- 2025Flow Stochastic Segmentation Networkscited by 3
- 2025SAM2LoRA: Composite Loss-Guided, Parameter-Efficient Finetuning of SAM2 for Retinal Fundus Segmentationcited by 3
- 2025Predicting Diabetic Macular Edema Treatment Responses Using OCT: Dataset and Methods of APTOS Competitioncited by 2
- 2025Semantics versus Identity: A Divide-and-Conquer Approach towards Adjustable Medical Image De-Identificationcited by 2
- 2024ETSCL: An Evidence Theory-Based Supervised Contrastive Learning Framework for Multi-modal Glaucoma Gradingcited by 1
- 2024SPA: Efficient User-Preference Alignment against Uncertainty in Medical Image Segmentationcited by 1
- 2025Proxy Prompt: Endowing SAM and SAM 2 with Auto-Interactive-Prompt for Medical Segmentationcited by 1
- 2025PSScreen: Partially Supervised Multiple Retinal Disease Screeningcited by 1
- 2025Why Text Prevails: Vision May Undermine Multimodal Medical Decision Makingcited by 1
- 2026Weakly Supervised Segmentation as Semantic-Based Regularizationcited by 1
- 2025FunduSAM: A Specialized Deep Learning Model for Enhanced Optic Disc and Cup Segmentation in Fundus Imagescited by 0
- 2025PSScreen V2: Partially Supervised Multiple Retinal Disease Screeningcited by 0
- 2025A Dual-Mode ViT-Conditioned Diffusion Framework with an Adaptive Conditioning Bridge for Breast Cancer Segmentationcited by 0
- 2026MieDB-100k: A Comprehensive Dataset for Medical Image Editingcited by 0
- 2026Few-Shot Distribution-Aligned Flow Matching for Data Synthesis in Medical Image Segmentationcited by 0
- 2026MedFlowSeg: Flow Matching for Medical Image Segmentation with Frequency-Aware Attentioncited by 0
- 2026Scientific Domain Knowledge Improves Vision-Language Fundus Modelscited by 0
- 2026Learning Emergent Modular Representations in Multi-modality Medical Vision Foundation Modelscited by 0
- 2026MedRSI: Recursive Self-Improvement for Medical Agents via Clinically Aligned Self-Evolutioncited by 0
- 2026EyeVQA: Benchmarking Ophthalmic Vision-Language Models from Recognition to Spatial Groundingcited by 0
- 2026EyeVQA: Benchmarking Ophthalmic Vision-Language Models from Recognition to Spatial Grounding26 Sep 2026
- 2026MedRSI: Recursive Self-Improvement for Medical Agents via Clinically Aligned Self-Evolution21 Sep 2026
- 2026Learning Emergent Modular Representations in Multi-modality Medical Vision Foundation Models21 May 2026
- 2026Weakly Supervised Segmentation as Semantic-Based Regularization13 May 2026
- 2026Scientific Domain Knowledge Improves Vision-Language Fundus Models4 May 2026
- 2026Diffusion Model as a Generalist Segmentation Learner27 Apr 2026
- 2026MedFlowSeg: Flow Matching for Medical Image Segmentation with Frequency-Aware Attention21 Apr 2026
- 2026Few-Shot Distribution-Aligned Flow Matching for Data Synthesis in Medical Image Segmentation3 Apr 2026
- 2026Evolving Medical Imaging Agents via Experience-driven Self-skill Discovery6 Mar 2026
- 2026MieDB-100k: A Comprehensive Dataset for Medical Image Editing10 Feb 2026
- 2025Why Text Prevails: Vision May Undermine Multimodal Medical Decision Making15 Dec 2025
- 2025A Dual-Mode ViT-Conditioned Diffusion Framework with an Adaptive Conditioning Bridge for Breast Cancer Segmentation8 Nov 2025
25 more
- 2025PSScreen V2: Partially Supervised Multiple Retinal Disease Screening26 Oct 2025
- 2025SAM2LoRA: Composite Loss-Guided, Parameter-Efficient Finetuning of SAM2 for Retinal Fundus Segmentation11 Oct 2025
- 2025LLM-based Agentic Reasoning Frameworks: A Survey from Methods to Scenarios25 Aug 2025
- 2025PSScreen: Partially Supervised Multiple Retinal Disease Screening14 Aug 2025
- 2025Semantics versus Identity: A Divide-and-Conquer Approach towards Adjustable Medical Image De-Identification25 Jul 2025
- 2025Flow Stochastic Segmentation Networks24 Jul 2025
- 2025RetinaLogos: Fine-Grained Synthesis of High-Resolution Retinal Images Through Captions19 May 2025
- 2025Recent Advances in Medical Imaging Segmentation: A Survey14 May 2025
- 2025Predicting Diabetic Macular Edema Treatment Responses Using OCT: Dataset and Methods of APTOS Competition9 May 2025
- 2025MedAgent-Pro: Towards Evidence-based Multi-modal Medical Diagnosis via Reasoning Agentic Workflow21 Mar 2025
- 2025You Point, I Learn: Online Adaptation of Interactive Segmentation Models for Handling Distribution Shifts in Medical Imaging9 Mar 2025
- 2025GONet: A Generalizable Deep Learning Model for Glaucoma Detection26 Feb 2025
- 2025FunduSAM: A Specialized Deep Learning Model for Enhanced Optic Disc and Cup Segmentation in Fundus Images10 Feb 2025
- 2025Proxy Prompt: Endowing SAM and SAM 2 with Auto-Interactive-Prompt for Medical Segmentation5 Feb 2025
- 2024SPA: Efficient User-Preference Alignment against Uncertainty in Medical Image Segmentation23 Nov 2024
- 2024A Survey of Medical Vision-and-Language Applications and Their Techniques19 Nov 2024
- 2024MedUniSeg: 2D and 3D Medical Image Segmentation via a Prompt-driven Universal Model8 Oct 2024
- 2024VascX Models: Model Ensembles for Retinal Vascular Analysis from Color Fundus Images24 Sep 2024
- 2024MedUHIP: Towards Human-In-the-Loop Medical Segmentation3 Aug 2024
- 2024ETSCL: An Evidence Theory-Based Supervised Contrastive Learning Framework for Multi-modal Glaucoma Grading19 Jul 2024
- 2024SegICL: A Multimodal In-context Learning Framework for Enhanced Segmentation in Medical Imaging25 Mar 2024
- 2024Towards Collective Intelligence: Uncertainty-aware SAM Adaptation for Ambiguous Medical Image Segmentation16 Mar 2024
- 2023SynFundus-1M: A High-quality Million-scale Synthetic fundus images Dataset with Fifteen Types of Annotation1 Dec 2023
- 2023AIROGS: Artificial Intelligence for RObust Glaucoma Screening Challenge3 Feb 2023
- 2022Calibrate the inter-observer segmentation uncertainty via diagnosis-first principle5 Aug 2022
- 2025MedAgent-Pro: Towards Evidence-based Multi-modal Medical Diagnosis via Reasoning Agentic Workflowcited by 71
- 2025LLM-based Agentic Reasoning Frameworks: A Survey from Methods to Scenarioscited by 25
- 2026MedRSI: Recursive Self-Improvement for Medical Agents via Clinically Aligned Self-Evolutioncited by 0
- 2026MedRSI: Recursive Self-Improvement for Medical Agents via Clinically Aligned Self-Evolution21 Sep 2026
- 2025LLM-based Agentic Reasoning Frameworks: A Survey from Methods to Scenarios25 Aug 2025
- 2025MedAgent-Pro: Towards Evidence-based Multi-modal Medical Diagnosis via Reasoning Agentic Workflow21 Mar 2025
- 2023AIROGS: Artificial Intelligence for RObust Glaucoma Screening Challengecited by 35
- 2024A Survey of Medical Vision-and-Language Applications and Their Techniquescited by 11
- 2025Recent Advances in Medical Imaging Segmentation: A Surveycited by 8
- 2024MedUniSeg: 2D and 3D Medical Image Segmentation via a Prompt-driven Universal Modelcited by 7
- 2024SegICL: A Multimodal In-context Learning Framework for Enhanced Segmentation in Medical Imagingcited by 5
- 2024MedUHIP: Towards Human-In-the-Loop Medical Segmentationcited by 5
- 2025You Point, I Learn: Online Adaptation of Interactive Segmentation Models for Handling Distribution Shifts in Medical Imagingcited by 5
- 2025RetinaLogos: Fine-Grained Synthesis of High-Resolution Retinal Images Through Captionscited by 5
- 2023SynFundus-1M: A High-quality Million-scale Synthetic fundus images Dataset with Fifteen Types of Annotationcited by 4
- 2024VascX Models: Model Ensembles for Retinal Vascular Analysis from Color Fundus Imagescited by 4
- 2022Calibrate the inter-observer segmentation uncertainty via diagnosis-first principlecited by 3
- 2024Towards Collective Intelligence: Uncertainty-aware SAM Adaptation for Ambiguous Medical Image Segmentationcited by 3
12 most cited of 27 All 27 (JSON)
- 2026Learning Emergent Modular Representations in Multi-modality Medical Vision Foundation Models21 May 2026
- 2026Weakly Supervised Segmentation as Semantic-Based Regularization13 May 2026
- 2026MieDB-100k: A Comprehensive Dataset for Medical Image Editing10 Feb 2026
- 2025A Dual-Mode ViT-Conditioned Diffusion Framework with an Adaptive Conditioning Bridge for Breast Cancer Segmentation8 Nov 2025
- 2025PSScreen V2: Partially Supervised Multiple Retinal Disease Screening26 Oct 2025
- 2025SAM2LoRA: Composite Loss-Guided, Parameter-Efficient Finetuning of SAM2 for Retinal Fundus Segmentation11 Oct 2025
- 2025PSScreen: Partially Supervised Multiple Retinal Disease Screening14 Aug 2025
- 2025Semantics versus Identity: A Divide-and-Conquer Approach towards Adjustable Medical Image De-Identification25 Jul 2025
- 2025Flow Stochastic Segmentation Networks24 Jul 2025
- 2025RetinaLogos: Fine-Grained Synthesis of High-Resolution Retinal Images Through Captions19 May 2025
- 2025Recent Advances in Medical Imaging Segmentation: A Survey14 May 2025
- 2025Predicting Diabetic Macular Edema Treatment Responses Using OCT: Dataset and Methods of APTOS Competition9 May 2025
12 newest of 27 All 27 (JSON)