Advanced International Journal for Research
E-ISSN: 3048-7641
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Volume 7 Issue 3
May-June 2026
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Machine Learning–Based Fundus Image Analysis for Early Diagnosis of Diabetic Retinopathy: A Comprehensive Systematic Review
| Author(s) | Shubhangi Lanjewar, Vijaya Balpande, Bhagyashree Dharaskar |
|---|---|
| Country | India |
| Abstract | Diabetic retinopathy (DR) culminates to be the main reason of visual impairments that can be avoided. The early diagnosis by means of regular screenings turns out to be extremely important in the reduction of permanent eyesight loss risk. Color fundus photography is commonly used for the DR screening, but manual assessment is time-consuming and depends on the availability of the trained specialists. To address these limitations, automated analysis of the fundus images has been widely studied. This review presents the structured synthesis of the learning-based methods for DR grading, and lesion analysis using the fundus images. The literature covers traditional feature-based techniques, deep learning models, hybrid, and transfer learning frameworks, and lesion-level segmentation approaches. The common datasets, preprocessing methods, model designs, and evaluation metrics are reviewed to identify the key trends, and methodological differences. Evidence from more than fifty literature studies indicates that the deep convolutional models, and the transfer learning approaches achieve higher accuracy than the conventional methods on benchmark datasets. Detection and segmentation of lesions certainly enhance the clinical interpretability but they do come with the limitation of required annotation efforts and data variability. The major issues that are still to be resolved are the diversity of datasets, unequal distribution of classes, poor external validation, and challenges in incorporating the results into the clinical setting. Progress in standardization, privacy-aware learning, and multimodal analysis is essential for the reliable as well as clinically usable DR screening systems. |
| Keywords | Deep learning, diabetic retinopathy, fundus imaging, machine learning, medical image analysis, screening etc. |
| Published In | Volume 7, Issue 2, March-April 2026 |
| Published On | 2026-04-24 |
| DOI | https://doi.org/10.63363/aijfr.2026.v07i02.5180 |
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E-ISSN 3048-7641
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