Xin Li

Hao Wang, Wenhui Zhu, Jiayou Qin et al.

Detecting retinal image analysis, particularly the geometrical features of branching points, plays an essential role in diagnosing eye diseases. However, existing methods used for this purpose often are coarse-level and lack fine-grained analysis for efficient annotation. To mitigate these issues, this paper proposes a novel method for detecting retinal branching angles using a self-configured image processing technique. Additionally, we offer an open-source annotation tool and a benchmark dataset comprising 40 images annotated with retinal branching angles. Our methodology for retinal branching angle detection and calculation is detailed, followed by a benchmark analysis comparing our method with previous approaches. The results indicate that our method is robust under various conditions with high accuracy and efficiency, which offers a valuable instrument for ophthalmic research and clinical applications.

Xin Li, Wenhui Zhu, Xuanzhao Dong et al.

Retinal imaging is a critical, non-invasive modality for the early detection and monitoring of ocular and systemic diseases. Deep learning, particularly convolutional neural networks (CNNs), has significant progress in automated retinal analysis, supporting tasks such as fundus image classification, lesion detection, and vessel segmentation. As a representative lightweight network, nnMobileNet has demonstrated strong performance across multiple retinal benchmarks while remaining computationally efficient. However, purely convolutional architectures inherently struggle to capture long-range dependencies and model the irregular lesions and elongated vascular patterns that characterize on retinal images, despite the critical importance of vascular features for reliable clinical diagnosis. To further advance this line of work and extend the original vision of nnMobileNet, we propose nnMobileNet++, a hybrid architecture that progressively bridges convolutional and transformer representations. The framework integrates three key components: (i) dynamic snake convolution for boundary-aware feature extraction, (ii) stage-specific transformer blocks introduced after the second down-sampling stage for global context modeling, and (iii) retinal image pretraining to improve generalization. Experiments on multiple public retinal datasets for classification, together with ablation studies, demonstrate that nnMobileNet++ achieves state-of-the-art or highly competitive accuracy while maintaining low computational cost, underscoring its potential as a lightweight yet effective framework for retinal image analysis.

Wenhui Zhu, Xin Li, Xiwen Chen et al.

Recently, Multimodal Large Language Models (MLLMs) have gained significant attention for their remarkable ability to process and analyze non-textual data, such as images, videos, and audio. Notably, several adaptations of general-domain MLLMs to the medical field have been explored, including LLaVA-Med. However, these medical adaptations remain insufficiently advanced in understanding and interpreting retinal images. In contrast, medical experts emphasize the importance of quantitative analyses for disease detection and interpretation. This underscores a gap between general-domain and medical-domain MLLMs: while general-domain MLLMs excel in broad applications, they lack the specialized knowledge necessary for precise diagnostic and interpretative tasks in the medical field. To address these challenges, we introduce \textit{RetinalGPT}, a multimodal conversational assistant for clinically preferred quantitative analysis of retinal images. Specifically, we achieve this by compiling a large retinal image dataset, developing a novel data pipeline, and employing customized visual instruction tuning to enhance both retinal analysis and enrich medical knowledge. In particular, RetinalGPT outperforms MLLM in the generic domain by a large margin in the diagnosis of retinal diseases in 8 benchmark retinal datasets. Beyond disease diagnosis, RetinalGPT features quantitative analyses and lesion localization, representing a pioneering step in leveraging LLMs for an interpretable and end-to-end clinical research framework. The code is available at https://github.com/Retinal-Research/RetinalGPT

Wenhui Zhu, Xuanzhao Dong, Xin Li et al.

Over the past decade, generative models have achieved significant success in enhancement fundus images.However, the evaluation of these models still presents a considerable challenge. A comprehensive evaluation benchmark for fundus image enhancement is indispensable for three main reasons: 1) The existing denoising metrics (e.g., PSNR, SSIM) are hardly to extend to downstream real-world clinical research (e.g., Vessel morphology consistency). 2) There is a lack of comprehensive evaluation for both paired and unpaired enhancement methods, along with the need for expert protocols to accurately assess clinical value. 3) An ideal evaluation system should provide insights to inform future developments of fundus image enhancement. To this end, we propose a novel comprehensive benchmark, EyeBench, to provide insights that align enhancement models with clinical needs, offering a foundation for future work to improve the clinical relevance and applicability of generative models for fundus image enhancement. EyeBench has three appealing properties: 1) multi-dimensional clinical alignment downstream evaluation: In addition to evaluating the enhancement task, we provide several clinically significant downstream tasks for fundus images, including vessel segmentation, DR grading, denoising generalization, and lesion segmentation. 2) Medical expert-guided evaluation design: We introduce a novel dataset that promote comprehensive and fair comparisons between paired and unpaired methods and includes a manual evaluation protocol by medical experts. 3) Valuable insights: Our benchmark study provides a comprehensive and rigorous evaluation of existing methods across different downstream tasks, assisting medical experts in making informed choices. Additionally, we offer further analysis of the challenges faced by existing methods. The code is available at \url{https://github.com/Retinal-Research/EyeBench}

Xin Li, Wenhui Zhu, Xuanzhao Dong et al.

With the rapid development of deep learning, CNN-based U-shaped networks have succeeded in medical image segmentation and are widely applied for various tasks. However, their limitations in capturing global features hinder their performance in complex segmentation tasks. The rise of Vision Transformer (ViT) has effectively compensated for this deficiency of CNNs and promoted the application of ViT-based U-networks in medical image segmentation. However, the high computational demands of ViT make it unsuitable for many medical devices and mobile platforms with limited resources, restricting its deployment on resource-constrained and edge devices. To address this, we propose EViT-UNet, an efficient ViT-based segmentation network that reduces computational complexity while maintaining accuracy, making it ideal for resource-constrained medical devices. EViT-UNet is built on a U-shaped architecture, comprising an encoder, decoder, bottleneck layer, and skip connections, combining convolutional operations with self-attention mechanisms to optimize efficiency. Experimental results demonstrate that EViT-UNet achieves high accuracy in medical image segmentation while significantly reducing computational complexity.

Hao Wang, Wenhui Zhu, Xuanzhao Dong et al.

In this work, we propose Many-MobileNet, an efficient model fusion strategy for retinal disease classification using lightweight CNN architecture. Our method addresses key challenges such as overfitting and limited dataset variability by training multiple models with distinct data augmentation strategies and different model complexities. Through this fusion technique, we achieved robust generalization in data-scarce domains while balancing computational efficiency with feature extraction capabilities.