Direct Cup-to-Disc Ratio Estimation for Glaucoma Screening via Semi-Supervised Learning
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Bibliographic record
Abstract
Glaucoma is a chronic eye disease that leads to irreversible vision loss. The Cup-to-Disc Ratio (CDR) serves as the most important indicator for glaucoma screening and plays a significant role in clinical screening and early diagnosis of glaucoma. In general, obtaining CDR is subjected to measuring on manually or automatically segmented optic disc and cup. Despite great efforts have been devoted, obtaining CDR values automatically with high accuracy and robustness is still a great challenge due to the heavy overlap between optic cup and neuroretinal rim regions. In this paper, a direct CDR estimation method is proposed based on the well-designed semi-supervised learning scheme, in which CDR estimation is formulated as a general regression problem while optic disc/cup segmentation is cancelled. The method directly regresses CDR value based on the feature representation of optic nerve head via deep learning technique while bypassing intermediate segmentation. The scheme is a two-stage cascaded approach comprised of two phases: unsupervised feature representation of fundus image with a convolutional neural networks (MFPPNet) and CDR value regression by random forest regressor. The proposed scheme is validated on the challenging glaucoma dataset Direct-CSU and public ORIGA, and the experimental results demonstrate that our method can achieve a lower average CDR error of 0.0563 and a higher correlation of around 0.726 with measurement before manual segmentation of optic disc/cup by human experts. Our estimated CDR values are also tested for glaucoma screening, which achieves the areas under curve of 0.905 on dataset of 421 fundus images. The experiments show that the proposed method is capable of state-of-the-art CDR estimation and satisfactory glaucoma screening with calculated CDR value.
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Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.002 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it