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QuickQual: Lightweight, Convenient Retinal Image Quality Scoring with Off-the-Shelf Pretrained Models

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Ophthalmic Medical Image Analysis (OMIA 2023)

Part of the book series: Lecture Notes in Computer Science ((LNCS,volume 14096))

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Abstract

Image quality remains a key problem for both traditional and deep learning (DL)-based approaches to retinal image analysis and identifying poor quality images can be time consuming and subjective. Thus, automated methods for retinal image quality scoring (RIQS) are needed. The current state-of-the-art is MCFNet, composed of three Densenet121 backbones each operating in a different colour space. MCFNet, and the EyeQ dataset released by the same authors, was a huge step forward for RIQS. We present QuickQual, a simple approach to RIQS, consisting of a single “off-the-shelf” ImageNet-pretrained Densenet121 backbone plus a Support Vector Machine (SVM). QuickQual performs very well, setting a new state-of-the-art for EyeQ (Accuracy: 88.50% vs 88.00% for MCFNet; AUC: 0.9687 vs 0.9588). This suggests that RIQS can be solved with generic “perceptual” features learned on natural images, as opposed to requiring DL models trained on large amounts of fundus images. Additionally, we propose a Fixed Prior linearisation scheme, that converts EyeQ from a 3-class classification to a continuous logistic regression task. For this task, we present a second model, QuickQual MEga Minified Estimator (QuickQual-MEME), that consists of only 10 parameters on top of an off-the-shelf Densenet121 and can distinguish between gradable and ungradable images with an accuracy of 89.18% (AUC: 0.9537). Code and model are available on GitHub. QuickQual is so lightweight, that the entire inference code (and even the parameters for QuickQual-MEME) is already contained in this paper.

A. Storkey and M. O. Bernabeu—Equal supervision.

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Notes

  1. 1.

    Note that for MCFNet, the original accuracy scores provided were not entirely accurate due to a bug in the evaluation code. See the note here on the Github for MCFNet: https://github.com/HzFu/EyeQ#-referenceNote: The corrected accuracy score of MCF-Net is 0.8800.” We thank the authors of MCFNet for their exceptional transparency in sharing not just code, model weights and data, but also their model’s test set predictions.

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Acknowledgements

We thank our friends and colleagues for their help and support. J.E. and this work was supported by the United Kingdom Research and Innovation (grant EP/S02431X/1), UKRI Centre for Doctoral Training in Biomedical AI at the University of Edinburgh, School of Informatics. For the purpose of open access, the author has applied a creative commons attribution (CC BY) licence to any author accepted manuscript version arising.

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Correspondence to Justin Engelmann .

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Engelmann, J., Storkey, A., Bernabeu, M.O. (2023). QuickQual: Lightweight, Convenient Retinal Image Quality Scoring with Off-the-Shelf Pretrained Models. In: Antony, B., Chen, H., Fang, H., Fu, H., Lee, C.S., Zheng, Y. (eds) Ophthalmic Medical Image Analysis. OMIA 2023. Lecture Notes in Computer Science, vol 14096. Springer, Cham. https://doi.org/10.1007/978-3-031-44013-7_4

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