Abstract
Retinal fundus images have the challenge of differentiating the stages of diabetic retinopathy, often causing confusion between proliferative retinopathy to severe retinopathy or no retinopathy to mild retinopathy. Without developing complex technologies, human accuracy differed across image datasets. By using a deep learning CNN as the feature extractor and machine learning classifiers, this study achieved a remarkable accuracy of 91%. The ablation study utilised VGG16, Resnet152V2, and Xception as feature extractors together with Random Forests and K-Nearest Neighbour (KNN) classifiers. The best performance was achieved with Xception as the feature extractor and as the classifier Random Forest.
| Original language | English |
|---|---|
| Article number | 615 |
| Pages (from-to) | 17-31 |
| Number of pages | 15 |
| Journal | The Journal of Health Informatics in Africa |
| Volume | 13 |
| Issue number | 1 |
| Early online date | 28 Feb 2026 |
| DOIs | |
| Publication status | Published (in print/issue) - 28 Feb 2026 |
Bibliographical note
© 2026 JHIA.UN SDGs
This output contributes to the following UN Sustainable Development Goals (SDGs)
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SDG 3 Good Health and Well-being
Keywords
- Diabetic Retinopathy/diagnosis
- Deep Learning
- Ablation study
- convolutional neural networks (CNN)
- transfer learning
- random forest (RF)
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