Dual-Scale Swin Transformer via Feature Alignment and Adversarial Discrimination for Retinopathy of Prematurity

Insights

A new dual-scale Swin Transformer (DS-Swin-T) network improves retinopathy of prematurity (ROP) diagnosis by reducing image style variations. This AI model enhances classification accuracy for premature infants, aiding early detection and treatment.

Area of Science:

  • Ophthalmology
  • Medical Imaging
  • Artificial Intelligence

Background:

  • Retinopathy of prematurity (ROP) is a significant cause of childhood blindness in premature infants.
  • Effective management relies on timely diagnosis and treatment, which can be hindered by variations in medical image styles.
  • Current AI models may face performance degradation when applied to datasets with different image styles.

Purpose of the Study:

  • To develop a robust deep learning model for ROP classification that is invariant to image style variations.
  • To mitigate the performance drop typically observed when transferring models trained on one image style to another.
  • To enhance the accuracy and reliability of automated ROP detection systems.

Main Methods:

  • Proposed a dual-scale Swin Transformer (DS-Swin-T) network incorporating image synthesis (IS), feature alignment, and adversarial learning.
  • The IS module generates intermediate style images to reduce style discrepancies.
  • Feature alignment and adversarial learning techniques were employed to extract style-invariant features for consistent classification.

Main Results:

  • The DS-Swin-T network achieved 97.91% average accuracy on the source style dataset.
  • When transferred to different target style datasets, the model maintained high performance, reaching a maximum average accuracy of 93.66%.
  • The proposed method effectively addressed performance degradation caused by image style differences.

Conclusions:

  • The DS-Swin-T network demonstrates significant effectiveness in classifying retinopathy of prematurity across varying image styles.
  • This approach offers a promising solution for improving the generalizability and reliability of AI-based diagnostic tools in medical imaging.
  • The findings highlight the importance of addressing style variations for robust clinical application of deep learning models.

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