Explainable AI based Glaucoma Detection using Transfer Learning and LIME Touhidul Islam Chayan

2025-04-27 0 0 1.9MB 6 页 10玖币
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Explainable AI based Glaucoma Detection using
Transfer Learning and LIME
Touhidul Islam Chayan
Computer Science and Engineering
BRAC University
Dhaka, Bangladesh
touhidul.islam.chayan@g.bracu.ac.bd
Anita Islam
Computer Science and Engineering
BRAC University
Dhaka, Bangladesh
anita.islam@g.bracu.ac.bd
Eftykhar Rahman
Computer Science and Engineering
BRAC University
Dhaka, Bangladesh
eftykhar.rahman@g.bracu.ac.bd
Md. Tanzim Reza
Computer Science and Engineering
BRAC University
Dhaka, Bangladesh
tanzim.reza@bracu.ac.bd
Tasnim Sakib Apon
Computer Science and Engineering
BRAC University
Dhaka, Bangladesh
sakibapon7@gmail.com
MD. Golam Rabiul Alam
Computer Science and Engineering
BRAC University
Dhaka, Bangladesh
rabiul.alam@bracu.ac.bd
Abstract—Glaucoma is the second driving reason for partial
or complete blindness among all the visual deficiencies which
mainly occurs because of excessive pressure in the eye due to
anxiety or depression which damages the optic nerve and creates
complications in vision. Traditional glaucoma screening is a time-
consuming process that necessitates the medical professionals’
constant attention, and even so time to time due to the time
constrains and pressure they fail to classify correctly that
leads to wrong treatment. Numerous efforts have been made to
automate the entire glaucoma classification procedure however,
these existing models in general have a black box characteristics
that prevents users from understanding the key reasons behind
the prediction and thus medical practitioners generally can not
rely on these system. In this article after comparing with various
pre-trained models, we propose a transfer learning model that
is able to classify Glaucoma with 94.71% accuracy. In addition,
we have utilized Local Interpretable Model-Agnostic Explana-
tions(LIME) that introduces explainability in our system. This
improvement enables medical professionals obtain important and
comprehensive information that aid them in making judgments.
It also lessen the opacity and fragility of the traditional deep
learning models.
Index Terms—Biomedical Image Processing, Glaucoma, Blind-
ness, Machine Learning, Convolutional Neural Network, Explain-
able AI.
I. INTRODUCTION
Glaucoma is a very common group of eye diseases caused
by damage to the optic nerve that connects the eye to the brain
and if untreated, it causes permanent loss of vision which is
the second most popular cause of blindness globally. It is also
known as the ‘silent thief of sight’ as it cannot be detected at
a very early stage [1]. Around 57.5 million people worldwide
are affected by Glaucoma [2]. There are two significant kinds
of glaucoma: open-angle and angle-closure. Movement of
glaucoma can be halted with medicines, however, part of the
vision that is now lost can’t be reestablished. This is the reason
it’s vital to distinguish early indications of glaucoma with
standard eye tests. Acute angle-closure glaucoma is a visual
crisis and requires quick consideration through early detection.
Glaucoma can be diagnosed and partial or complete blindness
could be prevented if we can detect it in an early stage.
Unfortunately, not many people bother about the early
detection of Glaucoma whereas it can be diagnosed early to
prevent eyesight loss. For this reason, we have decided to work
with the early detection of glaucoma disease and going to
use Explainable AI (XAI) to classify scanned images of eyes
that have glaucoma that proposes the report to the decision of
Artificial Intelligence which means Deep Learning or Black
Box to the extent that is human interpretable. Moreover, we
intend to give an outline of ongoing distributions in regards
to the utilization of man-made consciousness to improve the
recognition and treatment of glaucoma. Deep Learning (DL) is
a subset of Artificial Intelligence (AI) dependent on profound
neural networks which have made striking leaps forwards
in clinical imaging, especially for image characterization
and pattern acknowledgement [3]. The main purpose of this
study is to represent whether and how deep learning based
measurements can be utilized for glaucoma execution in the
clinic [4]. On the other hand, if the vision loss has already
occurred, the treatment can delay or hinder further vision
loss [5]. Open-angle glaucoma is the most common form
of glaucoma and is responsible for 90% of the cases [6].
Fundus pictures can be utilized for glaucoma finding through
the CDR strategy [7]. Such CNN models can work in pairs
with human specialists to keep up with large eye health and
assist recognition of visual deficiency causing eye sickness
[8]. Our objective are as follows: (i) Automating the process
for Glaucoma categorization. (ii) Provide detailed information
to medical professionals against a prediction, so that they can
rely on the system. (iii) Increase the efficiency of the entire
process. (iv) Reduce the amount of work required by the
medical personnel. Additionally, we encountered a number of
challenges or obstacles while performing our study, including
dealing with the tendency of models to overfit data, computing
resources, etc.
arXiv:2210.03332v1 [cs.CV] 7 Oct 2022
TABLE I
COMPARISON BETWEEN THE PREVIOUS STUDIES
Architectures Dataset Accuracy Reference
CNN Retinal OCT 94.87% [19]
ResNet50-v1 Retinal OCT 94.92 % [20]
CNN Glaucoma 84.50% [10]
FNN Glaucoma 92.5% [11]
The significant contributions of this article are stated as
follows:
A transfer learning based Glaucoma disease detection
model is proposed and a comprehensive study between
various pre-trained model’s performance on Glaucoma is
conducted.
Evaluating the interpretability of the proposed model
using Local Interpretable Model-Agnostic Explana-
tions(LIME) that offeres the medical practitioners with
key features or information for the accurate classification
of visual diseased Glaucoma.
Performance of the proposed model has been studied on
a benchmark Glaucoma dataset.
A brief overview of previous Glaucoma disease classifica-
tion research is included in Section II of this paper, followed
by a brief discussion of our methodology, models, and tech-
niques in Section III, which is divided into five sub-sections.
The explanation of the work plan is provided in section III-
A, whereas III-B discusses data set description, and Section
III-C exposes our proposed CNN model. The performance
evaluation have been depicted in Section IV. Finally, in Section
V we have interpreted our model and attempted to illustrate
how it makes decisions.
II. LITERATURE REVIEW
Glaucoma is one of the most common causes of permanent
blindness around the world [9]. As when the pressure inside
the eye is too high in a particular nerve that moment glaucoma
will develop and it will also create eye ache. The working
mechanisms of the different diagnosis tools like tonometers,
gonioscopy, scanning laser tomography, etc are available for
the treatment and detection but there are some advantages and
disadvantages which sometimes create boundaries. For this,
there should be an evaluation of how this works. But with
using deep learning the boundaries can be removed. As the
XAI concept can be understood by humans which will be
closer to the human brain to understand. We have utilized
ImageNet’s various pre-trained models in order to classify
diseased Glaucoma.
Table I depicts the brief illustration of previous studies.
Additionally, one more research was done from which We
learned The impact of artificial intelligence in the diagnosis
and management of glaucoma from [12]. Computerized auto-
mated visual field testing represents a significant improvement
in mapping the island of vision, allowing visual field testing to
become a cornerstone in diagnosing and managing glaucoma.
Goldbaum developed a two-layer neural network for analyzing
visual fields in 1994 et al. [7]. This network classified normal
and glaucomatous eyes with the same sensitivity (65%) and
specificity (72%) as two glaucoma specialists.
The pathogenesis of glaucoma appears to be dependent
on several interconnected pathogenetic mechanisms, including
mechanical effects characterized by excessive intraocular pres-
sure, reduced neutrophil produce, hypoxia, excitotoxicity, ox-
idative stress, and the involvement of autoimmune processes,
according to new evidence [13]. Hearing loss has also been
linked to the development of glaucoma. In normal tension
glaucoma patients with hearing loss, antiphosphatidylserine
antibodies of the immunoglobulin G class were shown to
be more prevalent than in normal-tension glaucoma patients
with normacusis. The World Health Organization reports that
glaucoma affects approximately 60 million people worldwide.
By the year 2020, it is expected that approximately 80 million
people will suffer from glaucoma, which is anticipated to result
in 11.2 million cases of bilateral blindness [14]. This is why
it needs to be treated as early as possible according to the
authors.
Unlike the studies mentioned above, our focus has been on
interpreting our proposed model such that medical practition-
ers would feel confident utilizing our approach.
III. METHODOLOGY
We can obtain a clear overview of our proposed model
which is separated into three subsections, from Section III.
Part III-A discusses about our working plan, followed by part
III-B, which discusses data gathering and pre-processing, and
lastly, part III-C, which discusses the architecture.
A. System Model
We have employed Deep Learning or FCNNs in our work
which is a BlackBox function. Generally, Black boxes work
excellently but their structure won’t give you any insights that
will explain how the function is being approximated. For this,
we have used LIME which is one of the most popular XAI-
based python libraries. There are a lot of XAI frameworks
that explain the BlackBox model’s insights by features. XAI
functions work well in terms of explaining complex classifica-
tion models. In short, these functions generate an explanation
through charts of graphs for a complex model’s prediction
which are also pretty fast. Figure 2 represents how black boxes
actually work with the help of LIME.
Here we can see BlackBox models generate a result or
output based on some features from the given/training datasets.
And through lime, we can have a visualization from which
features the output was based on. In our Glaucoma dataset,
we have some features for Suspicious glaucoma and Non-
glaucoma. In both sections, we have fundus images, and
labels as 1 as the confirmed glaucoma case and 0 as the
Non-glaucoma case. To apply XAI, we took Fully Connected
Neural Networks (FCNNs) as a black box AI model to predict
glaucoma with the help of the data. To compile all of these
classifications and determine the average of these scores to one
single output, we will use ReLU non-linear activation function
摘要:

ExplainableAIbasedGlaucomaDetectionusingTransferLearningandLIMETouhidulIslamChayanComputerScienceandEngineeringBRACUniversityDhaka,Bangladeshtouhidul.islam.chayan@g.bracu.ac.bdAnitaIslamComputerScienceandEngineeringBRACUniversityDhaka,Bangladeshanita.islam@g.bracu.ac.bdEftykharRahmanComputerSciencea...

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