# Discriminative Kernel Convolution Network for Multi-Label Ophthalmic Disease Detection on Imbalanced Fundus Image Dataset

arXiv: https://arxiv.org/abs/2207.07918 · HTML: https://mlsanity.com/paper/2207.07918/

## Key facts

- Cited by 6 papers in the map (data through 14 Oct 2026).
- Builds on 16 of its 43 references that are in the map.
- First posted on arXiv 16 Jul 2022.

## Builds on (most cited first, 16 of 16)

- [Deep Residual Learning for Image Recognition](https://mlsanity.com/paper/1512.03385/) (2015)
- [Very Deep Convolutional Networks for Large-Scale Image Recognition](https://mlsanity.com/paper/1409.1556/) (2014)
- [Grad-CAM: Visual Explanations from Deep Networks via Gradient-based Localization](https://mlsanity.com/paper/1610.02391/) (2016)
- [Densely Connected Convolutional Networks](https://mlsanity.com/paper/1608.06993/) (2016)
- [Going Deeper with Convolutions](https://mlsanity.com/paper/1409.4842/) (2014)
- [MobileNets: Efficient Convolutional Neural Networks for Mobile Vision Applications](https://mlsanity.com/paper/1704.04861/) (2017)
- [Encoder-Decoder with Atrous Separable Convolution for Semantic Image Segmentation](https://mlsanity.com/paper/1802.02611/) (2018)
- [Pyramid Scene Parsing Network](https://mlsanity.com/paper/1612.01105/) (2016)
- [Multi-Scale Context Aggregation by Dilated Convolutions](https://mlsanity.com/paper/1511.07122/) (2015)
- [A systematic study of the class imbalance problem in convolutional neural networks](https://mlsanity.com/paper/1710.05381/) (2017)
- [Joint Optic Disc and Cup Segmentation Based on Multi-label Deep Network and Polar Transformation](https://mlsanity.com/paper/1801.00926/) (2018)
- [Applications of Deep Learning in Fundus Images: A Review](https://mlsanity.com/paper/2101.09864/) (2021)
- [Disc-aware Ensemble Network for Glaucoma Screening from Fundus Image](https://mlsanity.com/paper/1805.07549/) (2018)
- [A Benchmark of Ocular Disease Intelligent Recognition: One Shot for Multi-disease Detection](https://mlsanity.com/paper/2102.07978/) (2021)
- [Clinically Verified Hybrid Deep Learning System for Retinal Ganglion Cells Aware Grading of Glaucomatous Progression](https://mlsanity.com/paper/2010.03872/) (2020)
- [From Patch to Image Segmentation using Fully Convolutional Networks -- Application to Retinal Images](https://mlsanity.com/paper/1904.03892/) (2019)

## Built on by (most cited first, 6 of 6)

- [dFLMoE: Decentralized Federated Learning via Mixture of Experts for Medical Data Analysis](https://mlsanity.com/paper/2503.10412/) (2025)
- [FairDiffusion: Enhancing Equity in Latent Diffusion Models via Fair Bayesian Perturbation](https://mlsanity.com/paper/2412.20374/) (2024)
- [Semantics versus Identity: A Divide-and-Conquer Approach towards Adjustable Medical Image De-Identification](https://mlsanity.com/paper/2507.21703/) (2025)
- [Explainable AI: Comparative Analysis of Normal and Dilated ResNet Models for Fundus Disease Classification](https://mlsanity.com/paper/2407.05440/) (2024)
- [Disentangling Co-Occurring Retinal Pathologies with Saliency-Guided Sparse Expert Routing](https://mlsanity.com/paper/2608.09752/) (2026)
- [Learning When to Recur: Token-Adaptive Recursion for Imbalanced Ophthalmic Domain Incremental Learning](https://mlsanity.com/paper/2609.32785/) (2026)

## Abstract (arXiv)

It is feasible to recognize the presence and seriousness of eye disease by investigating the progressions in retinal biological structure. Fundus examination is a diagnostic procedure to examine the biological structure and anomaly of the eye. Ophthalmic diseases like glaucoma, diabetic retinopathy, and cataract are the main reason for visual impairment around the world. Ocular Disease Intelligent Recognition (ODIR-5K) is a benchmark structured fundus image dataset utilized by researchers for multi-label multi-disease classification of fundus images. This work presents a discriminative kernel convolution network (DKCNet), which explores discriminative region-wise features without adding extra computational cost. DKCNet is composed of an attention block followed by a squeeze and excitation (SE) block. The attention block takes features from the backbone network and generates discriminative feature attention maps. The SE block takes the discriminative feature maps and improves channel interdependencies. Better performance of DKCNet is observed with InceptionResnet backbone network for multi-label classification of ODIR-5K fundus images with 96.08 AUC, 94.28 F1-score and 0.81 kappa score. The proposed method splits the common target label for an eye pair based on the diagnostic keyword. Based on these labels oversampling and undersampling is done to resolve class imbalance. To check the biasness of proposed model towards training data, the model trained on ODIR dataset is tested on three publicly available benchmark datasets. It is found to give good performance on completely unseen fundus images also.
