Content area

Abstract

The rising prevalence of diabetes has made Diabetic Retinopathy (DR) a major cause of blindness, underscoring the necessity for a computer-aided diagnostic system that can support clinical diagnoses without requiring extensive human effort. Many researchers have turned to deep learning to create automated screening and diagnostic tools for DR. However, for such systems to be truly effective in clinical practice, they must provide highly accurate assessments and well-calibrated estimates of uncertainty. Unfortunately, deep neural networks often tend to be overconfident in their predictions and are not easily amenable to probabilistic approaches. In our study, we introduce a novel approach for evaluating diagnostic uncertainty in DR predictions by employing ensemble-based calibration techniques. What sets our approach apart from cutting-edge convolutional neural network models is our use of the EfficientNet architecture, which offers superior accuracy through transfer learning. We then apply a set of post-calibration techniques to transform the model's probabilistic output into a confidence level. To gauge the uncertainty of our forecasts, we compute the entropy of the calibrated confidence value. This approach greatly assists users in determining whether it is necessary to seek a second opinion. Our model achieves an impressive accuracy score of 96 %, and our ensemble technique exhibits a notable reduction in Expected Calibration Error (ECE), in addition to providing a reassuring uncertainty score.

Details

1009240
Title
Diabetic Retinopathy Detection with Uncertainty scores: A Combined Approach Using Transfer Learning and Ensemble Calibration
Volume
14
First page
e32209
Number of pages
27
Publication year
2025
Publication date
2025
Section
Articles
Publisher
Ediciones Universidad de Salamanca
Place of publication
Salamanca
Country of publication
Spain
e-ISSN
22552863
Source type
Scholarly Journal
Language of publication
English
Document type
Journal Article
Publication history
 
 
Online publication date
2025-12-09
Milestone dates
2025-12-09 (Created); 2024-06-21 (Submitted); 2025-02-27 (Issued); 2025-12-09 (Modified); 2025-12-06 (Accepted)
Publication history
 
 
   First posting date
09 Dec 2025
ProQuest document ID
3282913941
Document URL
https://www.proquest.com/scholarly-journals/diabetic-retinopathy-detection-with-uncertainty/docview/3282913941/se-2?accountid=208611
Copyright
© 2025. This work is licensed under https://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and conditions, you may use this content in accordance with the terms of the License.
Last updated
2025-12-15
Database
ProQuest One Academic