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1/35
Overview
Solution
Microaneurysm detection
Conclusions
Diabetic Retinopathy Detection
Sergey Ovcharenko 1 Rasim Akhunzyanov 2
1Deep Learning Engineer at NTech Lab
2Computer Vision Research Engineer at LG Electronics
November 5, 2015
Diabetic Retinopathy Detection
2/35
Overview
Solution
Microaneurysm detection
Conclusions
Table of contents
1 Overview
Competition Details
Competition Results
2 Solution
Data preparation
Network configuration
Software
3 Microaneurysm detection
Motivation
Hessian blob detector
Bag of visual words
4 Conclusions
Diabetic Retinopathy Detection
3/35
Overview
Solution
Microaneurysm detection
Conclusions
Competition Details
Competition Results
Data
Goal: Identify signs of diabetic retinopathy in eye images
Given: 35126 images for training, 53576 images in test set
Images are big: 2500x2000 and larger
Compressed data size: 88Gb
Normal Mild Moderate Severe Proliferative
25810
73.48%
2443
6.96%
5292
15.07%
873
2.48%
708
2.01%
Diabetic Retinopathy Detection
4/35
Overview
Solution
Microaneurysm detection
Conclusions
Competition Details
Competition Results
Quality metric I: Cohen’s kappa
Cohen’s kappa measures the agreement between two raters A and
B who each classify N items into C mutually exclusive categories.
κ =
po − pe
1 − pe
= 1 −
1 − po
1 − pe
,
where
po is the relative observed agreement among raters
pe is the hypothetical probability of chance agreement
κ =
Pr[A = B] − Pr[A = B|A and B independent]
1 − Pr[A = B|A and B independent]
If the raters are in complete agreement then κ = 1.
Diabetic Retinopathy Detection
5/35
Overview
Solution
Microaneurysm detection
Conclusions
Competition Details
Competition Results
Quality metric I: Cohen’s kappa (simple example)
A
1 2 3 Total
B
1 55 5 5 65
2 15 45 15 75
3 5 10 45 60
Total 75 60 65 200
po = P(1) + P(2) + P(3) = 0.725
pe = P(1|A)P(1|B) + P(2|A)P(2|B) + P(3|A)P(3|B) = 0.313
κ =
po − pe
1 − pe
= 0.588
Diabetic Retinopathy Detection
6/35
Overview
Solution
Microaneurysm detection
Conclusions
Competition Details
Competition Results
Quality metric II: quadratic weighted kappa
Images have five possible ratings, 0,1,2,3,4. Image is characterized by a tuple
(ea, eb), which corresponds to scores by RaterA (human) and RaterB
(predicted).
Quadratic weighted kappa is calculated as:
κ = 1 −
i,j wi,j Oi,j
i,j wi,j Ei,j
,
where:
O is N × N histogram matrix, such that Oi,j corresponds to the number
of images that received a rating i by A and a rating j by B.
E, is N × N histogram matrix of expected ratings. E calculated,
assuming that there is no correlation between rating scores. This is
calculated as the outer product between each rater’s histogram vector of
ratings, normalized such that E and O have the same sum.
w is N × N matrix of weights, which calculated based on the difference
between raters’ scores:
wi,j =
(i − j)2
(N − 1)2
Diabetic Retinopathy Detection
7/35
Overview
Solution
Microaneurysm detection
Conclusions
Competition Details
Competition Results
Private leaderboard
# Δrank Team Name ‡ model uploaded * in the money Score Entries Last Submission UTC (Best − Last Submission)
— Min-Pooling ‡ * 0.84958 37 Mon, 27 Jul 2015 22:38:33 (-0h)
— o_O ‡ * 0.84479 61 Mon, 27 Jul 2015 18:31:43 (-10.3h)
— Reformed Gamblers ‡ * 0.83937 58 Mon, 27 Jul 2015 04:40:09 (-17d)
— Julian de Wit & Daniel Hammack 0.83626 49 Mon, 27 Jul 2015 23:57:17 (-5.7h)
— Jeffrey De Fauw 0.82899 133 Mon, 27 Jul 2015 18:31:46 (-0.1h)
— DeepSense.io 0.82854 88 Mon, 27 Jul 2015 23:58:39 (-0.3h)
...
↑2 gstieger 0.75170 18 Mon, 27 Jul 2015 23:28:36 (-0.2h)
↓3 Sergey, Rasim, Alexander 0.75060 59 Mon, 27 Jul 2015 23:27:44 (-0.1h)
↓1 tk 0.75025 25 Mon, 27 Jul 2015 20:45:32 (-22.8h)
↑1 Sungheon Park 0.73599 31 Mon, 27 Jul 2015 14:31:22
...
↓328 SAKI -0.00516 1 Wed, 03 Jun 2015 17:14:39
Diabetic Retinopathy Detection
8/35
Overview
Solution
Microaneurysm detection
Conclusions
Competition Details
Competition Results
Teams distribution on private LB
0.0 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9
Private LB Score
0
10
20
30
40
50Teams number
Diabetic Retinopathy Detection
9/35
Overview
Solution
Microaneurysm detection
Conclusions
Competition Details
Competition Results
2015­04­26
2015­05­10
2015­05­24
2015­06­07
2015­06­21
2015­07­05
2015­07­19
Date
0.40
0.45
0.50
0.55
0.60
0.65
0.70
0.75
0.80
Quadratic Weighted Kappa
Private LB score over time
Diabetic Retinopathy Detection
10/35
Overview
Solution
Microaneurysm detection
Conclusions
Data preparation
Network configuration
Software
Domain knowledge: diabetic retinopathy symptoms
DR symptoms cheatsheet: https://goo.gl/s5lMt8
Was prepared with assistance of Vera Shevchenko
International Clinical Diabetic Retinopathy Disease Severity
Scale, Detailed Table:
http://www.icoph.org/downloads/Diabetic-Retinopathy-Detail.pdf
Diabetic Retinopathy Detection
11/35
Overview
Solution
Microaneurysm detection
Conclusions
Data preparation
Network configuration
Software
Preprocessing
Crop black borders
Extent to square + resize
Optionally: crop internal square
Optionally: Local Contrast Normalization (LCN)
ˆIx,y =
Ix,y −µx,y
σx,y
→
→
→
→
Diabetic Retinopathy Detection
12/35
Overview
Solution
Microaneurysm detection
Conclusions
Data preparation
Network configuration
Software
Augmentation
Stuff that worked
Vertical/horizontal
Mirror
Random shifts
Random color noise
Stuff that not quite
worked
Rotations
Krizhevsky-style1
color
augmentation
Scaling
Sheering
Many more...
We suppose that few augmentations worked because of insufficient
depth of our network, but experiments with deeper nets led to
more overfitting.
1
Krizhevsky, Sutskever, and Hinton 2012.
Diabetic Retinopathy Detection
13/35
Overview
Solution
Microaneurysm detection
Conclusions
Data preparation
Network configuration
Software
Network configuration
Layer type Size Output Shape Outputs
1 InputLayer (64, 3, 256, 256) 196 608
2 SliceRotateLayer (256, 3, 128, 128) 49 152
3 Conv2DDNNLayer 3x3 LReLU (256, 64, 126, 126) 1 016 064
4 MaxPool2DDNNLayer 3x3 stride 2x2 (256, 64, 62, 62) 246 016
5 DropoutLayer P=0.1 (256, 64, 62, 62) 246 016
6 Conv2DDNNLayer 3x3 (256, 96, 60, 60) 345 600
7 MaxPool2DDNNLayer 3x3 stride 2x2 (256, 96, 29, 29) 80 736
8 DropoutLayer P=0.2 (256, 96, 29, 29) 80 736
9 Conv2DDNNLayer 3x3 LReLU (256, 128, 27, 27) 93 312
10 DropoutLayer P=0.3 (256, 128, 27, 27) 93 312
11 Conv2DDNNLayer 3x3 LReLU (256, 96, 25, 25) 60 000
12 MaxPool2DDNNLayer 3x3 stride 2x2 (256, 96, 12, 12) 13 824
13 DropoutLayer P=0.4 (256, 96, 12, 12) 13 824
14 Conv2DDNNLayer 3x3 LReLU (256, 128, 10, 10) 12 800
15 MaxPool2DDNNLayer 2x2 stride 2x2 (256, 128, 5, 5) 3 200
16 RotateMergeLayer (64, 12800) 12 800
17 DropoutLayer P=0.5 (64, 12800) 12 800
18 DenseLayer 512 (64, 512) 512
19 FeaturePoolLayer FeaturePool (64, 256) 256
20 DropoutLayer P=0.5 (64, 256) 256
21 DenseLayer 512 (64, 512) 512
22 FeaturePoolLayer FeaturePool (64, 256) 256
23 DropoutLayer P=0.5 (64, 256) 256
24 DenseLayer (64, 4) 4
Diabetic Retinopathy Detection
14/35
Overview
Solution
Microaneurysm detection
Conclusions
Data preparation
Network configuration
Software
Special layers
SliceRotateLayer
⇓
RotateMergeLayer
⇓
Dense layer
Diabetic Retinopathy Detection
15/35
Overview
Solution
Microaneurysm detection
Conclusions
Data preparation
Network configuration
Software
Ordinal regression
Ordinal regression2 is like an ordered classification.
Target coding:
0 → 0 0 0 0
2 → 1 1 0 0
4 → 1 1 1 1
Do not normalize the sigmoids in the last fully-connected
layer:
e−zi
K
i=1
e−zi
→ 1
1+e−zi
Use MSE loss function.
2
Jianlin Cheng, Zheng Wang, and G. Pollastri (2008). “A neural network
approach to ordinal regression”. In: Neural Networks, 2008. IJCNN 2008.
Diabetic Retinopathy Detection
16/35
Overview
Solution
Microaneurysm detection
Conclusions
Data preparation
Network configuration
Software
Activations
1.0 0.5 0.0 0.5 1.0
0.5
0.5
ReLU
1.0 0.5 0.0 0.5 1.0
0.5
0.5
Leaky ReLU
We used Leaky ReLUs for convolutional layer, this activation
function acts like a regularizer.
Used Maxout3 activations for fully-connected layers. t
3
”Ian J. Goodfellow et al. (2013). “Maxout Networks”. In: arXiv:
abs/1302.4389v4.
Diabetic Retinopathy Detection
17/35
Overview
Solution
Microaneurysm detection
Conclusions
Data preparation
Network configuration
Software
Optimization I
SGD with Nesterov4 momentum of 0.9
About 450000 gradient steps
3 step learning rate decay: 0.02, 0.01, 0.001
Minibatch size of 32
4
Y.Nesterov (1983). “A method for unconstrained convex minimization
problem with the rate of convergence o( 1
k2 )”. In: Doklady AN SSSR.
Diabetic Retinopathy Detection
18/35
Overview
Solution
Microaneurysm detection
Conclusions
Data preparation
Network configuration
Software
Optimization II
Diabetic Retinopathy Detection
19/35
Overview
Solution
Microaneurysm detection
Conclusions
Data preparation
Network configuration
Software
Overfitting
During the whole competition we were badly overfitting.
Not all of the augmentation approaches worked for us, which
made things worse.
The best thing we could come up with was an extensive
dropout usage.
Diabetic Retinopathy Detection
20/35
Overview
Solution
Microaneurysm detection
Conclusions
Data preparation
Network configuration
Software
Decision making
Each eye was processed independently
A maximum score among the eyes was assigned to both of
them
This improved the score by 0.05 points
Diabetic Retinopathy Detection
21/35
Overview
Solution
Microaneurysm detection
Conclusions
Data preparation
Network configuration
Software
Ensembling
Our final submission was en ensemble of 5 neural networks.
The predictions were weighted according to the confusion
matrix on a held-out validation set.
This improved the score by 0.05 points (7 % improvement).
Diabetic Retinopathy Detection
22/35
Overview
Solution
Microaneurysm detection
Conclusions
Data preparation
Network configuration
Software
The solution was built in Python on top of Lasagne5 and
Theano6
Numpy, Pandas and scikit-image were used for loading and
manipulating data
Self-written C++/OpenCV utilities for preprocessing and
microaneurism detection
Theano was built with cuDNN support
Code available at https://github.com/dudevil/DRD
5
https://github.com/Lasagne/Lasagne
6
http://deeplearning.net/software/theano/
Diabetic Retinopathy Detection
23/35
Overview
Solution
Microaneurysm detection
Conclusions
Data preparation
Network configuration
Software
2015­04­26
2015­05­10
2015­05­24
2015­06­07
2015­06­21
2015­07­05
2015­07­19
Date
0.40
0.45
0.50
0.55
0.60
0.65
0.70
0.75
0.80
Quadratic Weighted Kappa
First try Ordinal regression
Leaky ReLU
DropoutDropout
Color augmentation
Inner square
EnsemblingEnsemblingEnsembling
Private LB score over time
Diabetic Retinopathy Detection
24/35
Overview
Solution
Microaneurysm detection
Conclusions
Motivation
Hessian blob detector
Bag of visual words
Motivation I
Microaneurysms are the earliest clinical sign of diabetic
retinopathy; they appear as small, red dots in the superficial retinal
layers
Disease level Findings observable upon dilated ophthalmoscopy
None No abnormalities
Mild Microaneurysms only
Moderate More than just MA but less than severe NPDR
Severe
>20 intraretinal hemorrhages in each quad
or Definite venous beading in 2+ quads
or Intraretinal microvascular anomalies in 1+ quad
Proliferative
Neovascularization
or/and Vitreous/preretinal hemorrhage
International Clinical Diabetic Retinopathy Disease Severity Scale, Detailed
Table: http://www.icoph.org/downloads/Diabetic-Retinopathy-Detail.pdf
Diabetic Retinopathy Detection
25/35
Overview
Solution
Microaneurysm detection
Conclusions
Motivation
Hessian blob detector
Bag of visual words
Motivation II
We had problems with detection of early symptoms
Confusion matrix on 256x256 pixels input
MA have round shape with 2-5 pixels in radius on 1024x1024 image
MA became invisible after downsampling to 256x256
⇒ Classes 0,1,2 almost indistinguishable due to low resolution
We don’t have enough resources&data to learn on highres images
⇒ Let’s try plain old image processing
Diabetic Retinopathy Detection
26/35
Overview
Solution
Microaneurysm detection
Conclusions
Motivation
Hessian blob detector
Bag of visual words
Microaneurysm candidates using the determinant of the Hessian I
We want to know how much pixel location is similar to blob shape. Let’s
calculate Hessian matrix at that point:
H(x) =
Lxx (x) Lxy (x)
Lxy (x) Lyy (x)
Laa(x) is second partial derivative in the a direction
Lab(x) is the mixed partial second derivative in the a and b
directions.
Derivatives are computed in some scale σI – smoothed by a Gaussian
kernel
L(x) = g(σI ) ⊗ I(x).
Derivatives must be scaled by factor related to the Gaussian kernel: σ2
I .
Diabetic Retinopathy Detection
27/35
Overview
Solution
Microaneurysm detection
Conclusions
Motivation
Hessian blob detector
Bag of visual words
Microaneurysm candidates using the determinant of the Hessian II
At each scale, blobs points are those points that are local extrema of
determinant the Hessian matrix.
det H(x; σ) = σ2
I (Lxx Lyy (x) − L2
xy (x))
Sign of the trace of Hessian matrix help distinguish dark from light points:
trace H(x; σ) = σI (Lxx + Lyy ).
Straightforward differential blob detector with automatic scale selection:
(ˆx, ˆσ) = argmaxlocal(x;t)(det H(x; σ))
Diabetic Retinopathy Detection
28/35
Overview
Solution
Microaneurysm detection
Conclusions
Motivation
Hessian blob detector
Bag of visual words
Microaneurysm candidates using the determinant of the Hessian III
687 right
σ = 1.7 σ = 3.4 σ = 5.1 σ = 6.8 σ = 8.0
Lxx
Lxy
Lyy
det H(x; σ)
Diabetic Retinopathy Detection
29/35
Overview
Solution
Microaneurysm detection
Conclusions
Motivation
Hessian blob detector
Bag of visual words
Microaneurysm candidates
Normal Moderate Proliferative
Diabetic Retinopathy Detection
29/35
Overview
Solution
Microaneurysm detection
Conclusions
Motivation
Hessian blob detector
Bag of visual words
Microaneurysm candidates
Diabetic Retinopathy Detection
29/35
Overview
Solution
Microaneurysm detection
Conclusions
Motivation
Hessian blob detector
Bag of visual words
Microaneurysm candidates
Diabetic Retinopathy Detection
30/35
Overview
Solution
Microaneurysm detection
Conclusions
Motivation
Hessian blob detector
Bag of visual words
How blobs looks
strength σ = 1.7 σ = 3.4 σ = 5.1 σ = 6.8 σ = 8.0
[300, 450)
[450, 600)
[600, 750)
[750, ∞)
Diabetic Retinopathy Detection
31/35
Overview
Solution
Microaneurysm detection
Conclusions
Motivation
Hessian blob detector
Bag of visual words
How blobs looks
strength σ = 1.7 σ = 3.4 σ = 5.1 σ = 6.8 σ = 8.0
[300, 450)
[450, 600)
[600, 750)
[750, ∞)
Diabetic Retinopathy Detection
32/35
Overview
Solution
Microaneurysm detection
Conclusions
Motivation
Hessian blob detector
Bag of visual words
BoVW preparation
Extract local descriptors from blob patch: HOG, LBP
Create code book using K-means vector quantization
Use histograms of visual words as feature vectors
Diabetic Retinopathy Detection
33/35
Overview
Solution
Microaneurysm detection
Conclusions
Motivation
Hessian blob detector
Bag of visual words
BoVW preparation
Unfortunately I got stuck on this point two weeks before challenge
deadline. :-(
Typical picture of BoW features after applying PCA.
Diabetic Retinopathy Detection
34/35
Overview
Solution
Microaneurysm detection
Conclusions
Conclusions
Teamwork
Find good tools for effective collaboration
Divide and conquer
Learn together
Maintain model diversity
Competition
Setup a reliable experiment-evaluate loop
Be careful when keeping track of experiments
Plan ahead when experiments are long (24+ hours in out case)
Understand evaluation metric
Try different things
Diabetic Retinopathy Detection
35/35
Overview
Solution
Microaneurysm detection
Conclusions
Bonus images
Visualization of buggy blobs detector output
Diabetic Retinopathy Detection
35/35
Overview
Solution
Microaneurysm detection
Conclusions
Bonus images
Network dreams on retina image
Diabetic Retinopathy Detection
35/35
Overview
Solution
Microaneurysm detection
Conclusions
Bonus images
Image recoloring by ’PCA colors’
Diabetic Retinopathy Detection
35/35
Overview
Solution
Microaneurysm detection
Conclusions
Bonus images
Strongest blobs found on retina images
Diabetic Retinopathy Detection

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