# Quasi-multimodal-based pathophysiological feature learning for retinal disease diagnosis

arXiv: https://arxiv.org/abs/2602.03622 · HTML: https://mlsanity.com/paper/2602.03622/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 28 of its 76 references that are in the map.
- First posted on arXiv 3 Feb 2026.

## Builds on (most cited first, 28 of 28)

- [Deep Residual Learning for Image Recognition](https://mlsanity.com/paper/1512.03385/) (2015)
- [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)
- [A Unified Approach to Interpreting Model Predictions](https://mlsanity.com/paper/1705.07874/) (2017)
- [Rethinking the Inception Architecture for Computer Vision](https://mlsanity.com/paper/1512.00567/) (2015)
- [Image-to-Image Translation with Conditional Adversarial Networks](https://mlsanity.com/paper/1611.07004/) (2016)
- [CBAM: Convolutional Block Attention Module](https://mlsanity.com/paper/1807.06521/) (2018)
- [StarGAN: Unified Generative Adversarial Networks for Multi-Domain Image-to-Image Translation](https://mlsanity.com/paper/1711.09020/) (2017)
- [Asymmetric Loss For Multi-Label Classification](https://mlsanity.com/paper/2009.14119/) (2020)
- [Multi-Label Image Recognition with Graph Convolutional Networks](https://mlsanity.com/paper/1904.03582/) (2019)
- [REFUGE Challenge: A Unified Framework for Evaluating Automated Methods for Glaucoma Assessment from Fundus Photographs](https://mlsanity.com/paper/1910.03667/) (2019)
- [ResViT: Residual vision transformers for multi-modal medical image synthesis](https://mlsanity.com/paper/2106.16031/) (2021)
- [Missing MRI Pulse Sequence Synthesis using Multi-Modal Generative Adversarial Network](https://mlsanity.com/paper/1904.12200/) (2019)
- [mmFormer: Multimodal Medical Transformer for Incomplete Multimodal Learning of Brain Tumor Segmentation](https://mlsanity.com/paper/2206.02425/) (2022)
- [MedMamba: Vision Mamba for Medical Image Classification](https://mlsanity.com/paper/2403.03849/) (2024)
- [Self-supervised Feature Learning via Exploiting Multi-modal Data for Retinal Disease Diagnosis](https://mlsanity.com/paper/2007.11067/) (2020)
- [Zoom-in-Net: Deep Mining Lesions for Diabetic Retinopathy Detection](https://mlsanity.com/paper/1706.04372/) (2017)
- [DRvertGRADUATE: uncertainty-aware deep learning-based diabetic retinopathy grading in eye fundus images](https://mlsanity.com/paper/1910.11777/) (2019)
- [Cross-Modality Deep Feature Learning for Brain Tumor Segmentation](https://mlsanity.com/paper/2201.02356/) (2022)
- [Multi-Label Retinal Disease Classification using Transformers](https://mlsanity.com/paper/2207.02335/) (2022)
- [Recursive Joint Cross-Modal Attention for Multimodal Fusion in Dimensional Emotion Recognition](https://mlsanity.com/paper/2403.13659/) (2024)
- [Exploring the Transfer Learning Capabilities of CLIP in Domain Generalization for Diabetic Retinopathy](https://mlsanity.com/paper/2308.14212/) (2023)
- [Multi-Cell Multi-Task Convolutional Neural Networks for Diabetic Retinopathy Grading](https://mlsanity.com/paper/1808.10564/) (2018)
- [Multi-modal Retinal Image Registration Using a Keypoint-Based Vessel Structure Aligning Network](https://mlsanity.com/paper/2207.10506/) (2022)
- [AliFuse: Aligning and Fusing Multi-modal Medical Data for Computer-Aided Diagnosis](https://mlsanity.com/paper/2401.01074/) (2024)
- [Recursive Joint Attention for Audio-Visual Fusion in Regression based Emotion Recognition](https://mlsanity.com/paper/2304.07958/) (2023)
- [DRStageNet: Deep Learning for Diabetic Retinopathy Staging from Fundus Images](https://mlsanity.com/paper/2312.14891/) (2023)
- [Retinal Fundus Multi-Disease Image Classification using Hybrid CNN-Transformer-Ensemble Architectures](https://mlsanity.com/paper/2503.21465/) (2025)

## Abstract (arXiv)

Retinal diseases spanning a broad spectrum can be effectively identified and diagnosed using complementary signals from multimodal data. However, multimodal diagnosis in ophthalmic practice is typically challenged in terms of data heterogeneity, potential invasiveness, registration complexity, and so on. As such, a unified framework that integrates multimodal data synthesis and fusion is proposed for retinal disease classification and grading. Specifically, the synthesized multimodal data incorporates fundus fluorescein angiography (FFA), multispectral imaging (MSI), and saliency maps that emphasize latent lesions as well as optic disc/cup regions. Parallel models are independently trained to learn modality-specific representations that capture cross-pathophysiological signatures. These features are then adaptively calibrated within and across modalities to perform information pruning and flexible integration according to downstream tasks. The proposed learning system is thoroughly interpreted through visualizations in both image and feature spaces. Extensive experiments on two public datasets demonstrated the superiority of our approach over state-of-the-art ones in the tasks of multi-label classification (F1-score: 0.683, AUC: 0.953) and diabetic retinopathy grading (Accuracy:0.842, Kappa: 0.861). This work not only enhances the accuracy and efficiency of retinal disease screening but also offers a scalable framework for data augmentation across various medical imaging modalities.