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  <front>
    <journal-meta />
    <article-meta>
      <title-group>
        <article-title>Bagging of Convolutional Neural Networks for Diagnostic of Eye Diseases</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <string-name>The national university of water</string-name>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Environmental Engineering</string-name>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Revine</string-name>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Ukraine Smaida</string-name>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>@gmail.com</string-name>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <aff id="aff0">
          <label>0</label>
          <institution>The national university of water and Environmental Engineering</institution>
          ,
          <addr-line>Revine</addr-line>
          ,
          <country country="UA">Ukraine</country>
        </aff>
      </contrib-group>
      <fpage>0000</fpage>
      <lpage>0002</lpage>
      <abstract>
        <p>Deep learning is a subset of machine learning where artificial neural networks, algorithms inspired by the structure of the human brain itself, learn from large amounts of data. In this paper, we will introduce the part of the techniques of deep learning to perform multi-class classification, in order to classify eye diseases. One of the biggest issues in image recognition is the classification of medical images, and it aims to classify medical images into different categories to help doctors diagnose the disease. But the most important idea will be addressed in our paper is the evaluation performance model using a bagging ensemble. In this study, we will compare three models of the convolutional neural network, CNN, Vgg16 and InceptionV3 in order to evaluate the performance of the models using bagging ensemble. In our work, a deep learning convolutional network based on Keras and Tensor Flow is deployed using python for image classification. A number of different medical images have been used as a data set to diagnose eye diseases, which contain four types of diseases such as, Diabetic retinopathy, Glaucoma, Myopia and Normal. CNN, VGG16 and InceptionV3 neural network structures are compared singly and together using bagging ensemble, in order to diagnose eye diseases. All experiments were applied and the result was obtained. It has been shown that using a bagging ensemble yields better predictive efficiency than can be obtained using learning algorithms alone. Moreover, the use of the confusion matrix in our experiments shows us where our classifiers are confused when it makes predictions.</p>
      </abstract>
      <kwd-group>
        <kwd />
        <kwd>InceptionV3</kwd>
        <kwd>Vgg16</kwd>
        <kwd>eye diseases</kwd>
        <kwd>ensemble learning</kwd>
        <kwd>Deep Learning</kwd>
        <kwd>Diabetic retinopathy</kwd>
        <kwd>Glaucoma</kwd>
        <kwd>Myopia</kwd>
        <kwd>bagging</kwd>
      </kwd-group>
    </article-meta>
  </front>
  <body>
    <sec id="sec-1">
      <title>-</title>
      <p>Diabetic retinopathy, glaucoma and myopia are some of the most common eye
diseases and one of the most common causes of blindness in the world if they are not
detected at an early stage.</p>
      <p>
        In recent years, the diagnosis of diseases of the human visual system has advanced
greatly to technological innovations and developments in the field of artificial
intelligence. Taking into account the diversity and complexity of eye functions, a large
number of diagnostic equipment, tools, methods and algorithms have been developed.
Sometimes a doctor can discover a specific disease after a visual analysis of the
image. However, in a large number of cases, the diagnosis is not made due to many
factors, such as bad experience, fatigue, a variety of shapes, similarities, poor image
quality, etc. In these cases, the second opinion is very important and useful, which
comes from another expert who uses advanced information technology and
algorithms to accurately analyze the image to diagnose eye diseases [
        <xref ref-type="bibr" rid="ref1">1</xref>
        ] bagging ensemble
is a kind of ensemble learning, it is a set of machine learning models combined
together to obtain better results. In this study, we focus on bagging ensemble to improve
the model's prediction and make it better. We are not talking about creating a new
algorithm, but instead assembling together several different algorithms or several
different models to create an ensemble learner, called bagging, in order to increase the
accuracy of the model. In general, predicting the target variable using any deep
learning method leads to a difference between actual and expected values, due to noise,
variance and bias. The Bagging ensemble helps reduce variance. In summary, as
shown in Figure 1, different and same algorithms are used in ensemble learning to
achieve a better prediction efficiency that can be achieved from any of the constituent
learning algorithms alone [
        <xref ref-type="bibr" rid="ref2">2</xref>
        ].
2
      </p>
    </sec>
    <sec id="sec-2">
      <title>Formal problem statement</title>
      <p>Eye diseases have a wide range of shapes, sometimes the textures are difficult to
identify and recognize by an ophthalmologist. Therefore, information technology
must be used to provide maximum comfort to the patient and ophthalmologist, and
improve health care system.</p>
      <p>In this paper, we will use bagging ensemble to evaluate three different CNN
structures to identify eye diseases, Diabetic retinopathy, Glaucoma, Myopia, and Normal.
3</p>
    </sec>
    <sec id="sec-3">
      <title>Ensemble learning</title>
      <p>
        Ensemble learning models are a technique that combines several base models to
create a perfect predictive model, and it is divided into two groups: Simple ensemble
Techniques and advanced ensemble techniques [
        <xref ref-type="bibr" rid="ref3">3</xref>
        ].
3.1
      </p>
      <sec id="sec-3-1">
        <title>Simple ensemble Techniques [3]:</title>
        <p>a.
b.</p>
        <p>Max Voting: each model in max voting makes a prediction and votes for
each sample. The category with the most votes will be the last predictive
category.</p>
        <p>Averaging: It is the process of creating many models and combining them to
get the desired result. The result will be better average performance than
single model.</p>
        <p>Weighted Averaging: is an extension of a model averaging ensemble where
the contribution of each member to the final evaluated is weighted by the
performance of the model. A weighted average mean value takes the form of
a sum on quantum energy states, rather than continuous integration.
(1)
(2)
3.2</p>
        <p>
          Advanced ensemble techniques [
          <xref ref-type="bibr" rid="ref4">4</xref>
          ], [
          <xref ref-type="bibr" rid="ref15">15</xref>
          ]:
a. Bagging: type of ensemble learning that relies on creating a number of
sub-datasets called bagging.
b. Boosting: Is a fairly simple variation on bagging that strives to improve
the learners by focusing on areas where the system is not performing well.
c. Stacking: in stacking all models are trained based on a complete data set,
and the output used as input features to train ensemble function.
        </p>
      </sec>
    </sec>
    <sec id="sec-4">
      <title>Bagging:</title>
      <p>In this paper we will focus on bagging ensemble which is a type of ensemble
learning that relies on creating a number of sub-datasets called bagging; each bag is a
subset of the original dataset, which contains a number of different instances. Inside
each bag a set of instances of random data with replacement. We use each of these
collections of data (bag) to train a different model. Finally, collect all of the outputs
(predicts) and calculate the average or voting value as shown in fig.2.</p>
      <p>Bagging ensemble learning model is category bases on its use; the details are
addressed in Table.1</p>
      <p>Many researchers have used bagging ensemble techniques using neural networks
in their research, and most of these studies have been done recently, focusing on
recent research. A few reviews are as follows:</p>
      <p>
        Ju, Cheng, Aurélien Bibaut and Mark van der Laan. [
        <xref ref-type="bibr" rid="ref6">6</xref>
        ] In this work, authors in
this work are used neural network, VGG, GoogleNet and ResNet to applied some of
ensemble learning technical, including: Max voting, unweighted average, bayes
optimal and super learner. the authors trained their models based on same and different
Networks. Ensemble of the same and different networks has been trained multiple
times. the results obtained and listed based on the best performance on the testing set.
all learners used CIFAR 10 as a dataset, and the unweighted average provided the best
result when the performance of the base learners is comparable.
      </p>
      <p>
        Huang, Jonathan, et al. [
        <xref ref-type="bibr" rid="ref7">7</xref>
        ] four deep neural networks has been applied in this work
in order to improve the accuracy. These networks are, Vgg12, ResNet50, AclNet and
AclSincNet, all these models were pre-trained with audio dataset. Ensemble learning
was achieved in all these models and the result obtained over the validation set. The
best accuracies were achieved when all the networks combined together based on
ensemble average by score 83.01%.
      </p>
      <p>
        Mo, Weilong, et al. [
        <xref ref-type="bibr" rid="ref8">8</xref>
        ] the authors suggest an image recognition algorithm based
on the ensemble learning algorithm and the structure of the ELA-CNN to solve a
problem that single model can not correctly predict. They used the bagging ensemble
to train their models. the networks structure was used are combines of ResNet,
DenseNet, DenseNet-BC and Inception-Resnet-v2 architecture. in their experiments
they used cifar-10 as images dataset, it consists of 60,000 color images. These images
were divided into 50,000 in the training set and 10,000 in the test set. The final result
was the average probability of the prediction vector.
      </p>
      <p>
        Kumar, Ashnil, et al. [
        <xref ref-type="bibr" rid="ref9">9</xref>
        ] For classification of medical images based on diagnosis,
training, and biomedical research, a set of convolutional neuronal networks of
finetuned were used to classify medical images. They used 6,776 training images and
4166 test images. The authors used two different CNN designs, AlexNet and
GoogleNet, to images classification. The experiments were performed using individual
models and ensemble models. By the end result, the ensemble method reached an
accuracy corresponding to the best accuracy among other methods of the overall
method of 96.59%.
      </p>
      <p>
        Beluch, William H., et al. [
        <xref ref-type="bibr" rid="ref10">10</xref>
        ] the authors in this paper explore some of the
recently proposed active learning methods that contain big data and CNN classifiers. They
compare ensemble-based methods against Monte-Carlo Dropout and geometric
approaches.. They have found that the ensemble learning better and leads to a more
predictable uncertainty, which is the basis of many active training algorithms of
convolution Neural Networks, such as S-CNN, K-CNN, DenseNet, InceptionV3 and
ResNet -50 to classify Diabetic retinopathy. The dataset was used with MNIST,
CIFAR, and ImageNet. They found that ensembles which based on several active
learning algorithms were better predicted and achieved a set test accuracy of 90% of
the approximately 12,200 images presented.
      </p>
      <p>
        Minetto, Rodrigo, Maurício Pamplona Segundo, and Sudeep Sarkar. [
        <xref ref-type="bibr" rid="ref11">11</xref>
        ] Hydra:
An Ensemble of Convolutional Neural Networks for Geospatial Land Classification in
satellite image. Hydra is an initial CNN that is coarsely optimized, which will serve as
the Hydra’s body. in this article, authors created ensembles for their experiments
using two state-of-the-art CNN architectures, ResNet and DenseNet. they demonstrated
their application of Hydra framework in two datasets, FMOW and
NWPURESISC45. The final result ensemble was achieved accuracy around 94.51%.
6
      </p>
    </sec>
    <sec id="sec-5">
      <title>Data Description</title>
      <p>
        Kaggle is a data science website that contains a variety of interesting data sets. In
its main menu, you can find all kinds of specialized data sets, from the Ramen
classifications to basketball and animal licenses data in Seattle [
        <xref ref-type="bibr" rid="ref11">11</xref>
        ].
      </p>
      <p>We used our data from competition in kaggle Diabetic Retinopathy Detection [17]
and iChallenge-GON Comprehension which is a large collection of 1,200 retinal
fundus images for both subjects without glaucoma (90%) and glaucoma patients (10%).</p>
      <p>The data set includes more than 35 types of eye diseases. To simplify, we will
reduce the data set with 4 main breeds. The dataset includes images of glaucoma,
myopia, diabetic retinopathy, and Normal eye provided as a subset of photos from a large
dataset of 2781 Retinal Image as it shown in table.2. All the images were collected in
total from Kaggle dataset and iChallenge-GON Comprehension, in high resolution
images.
Images will be the entrance to CNN architecture. our images divided into training
dataset, validation and test dataset; each type of image has a separate folder and each
image has a file name, which is its unique identifier. Python will be used to achieve
our goal using Google Colab.</p>
      <p>The three proposed methodologies will be used in our experiment are CNN,
VGG16 and InceptionV3 in order to evaluate singly and using bagging ensembles to
identify eye diseases. First, a set of image data is prepared step-by-step; there are 4
folders in the data set, which contain 2781 images of diabetic retinopathy, glaucoma,
myopia and normal, where 1951 images were used for training, 415 images were used
for tests, and 415 images were used for validation. In the next steps, fitting our CNN
model, then, obtain the accuracy of the data set for different CNN structures and
finally, compare these accuracies separately and using bagging ensemble to measure
performance.</p>
      <p>This article covers three ways to evaluate the performance of our learners:
 CNN based on three hidden layers, pooling layers and fully connected layers.
 Pre-trained CNN based on VGG 16 algorithms using the last block layer training
(Block 5).
 Pre-trained CNN based Inception v3 algorithms using the last block layer training
('mixed6).
7.1</p>
      <sec id="sec-5-1">
        <title>Convolution Neural Network</title>
        <p>The size of the input image is 150 * 150 pixels with 3 channels (RGB). To extract
the image features, we used 32 filters 3 * 3 pixels. And 2 * 2 pixel window, used to
minimize the size of image(Pooling layer). Next, we applied another convolution
layer used 32 filters with a size of 3 * 3 and a max pooling size of 2 * 2. In the last
convolution layers, 64 filters of 3 * 3 are used with a max pooling of 2 * 2., then we
use the Fully connected layer (64 dense units) and softmax layer (4 units) to predict
eye diseases. CNN networks adjust the weight of the filters during the back
propagation, which means that after forwarding, the network can look at the loss function and
carry out the backward transfer process to update the weight.
(3)
(4)
7.2</p>
        <p>VGG 16.</p>
        <p>This is a convolutional neural network structure developed by the University of
Oxford's Visual Engineering group in 2014. This model loads a set of pre-trained
weights into ImageNet using a 16-layer network.</p>
        <p>
          The size of the images entered on the VGG16 network is 224x224 RGB, the
images are passed through 5 blocks of convolutional layers, with each block consisting of
an increasing number of 3x3 filters, stride is fixed to 1 while the convolutional layer
inputs are padded. The blocks are separated by the max pooling layers. The max
pooling is made on 2 * 2 windows with stride 2. Five blocks of convolutional layers are
followed by three fully connected (FC) layers. The last layer is a soft max layer
representing the output layer [
          <xref ref-type="bibr" rid="ref12">12</xref>
          ].
7.3
        </p>
      </sec>
      <sec id="sec-5-2">
        <title>Inception V3.</title>
        <p>
          Is a convolutional neural network consisting of 48 deep layers trained in over a
million images in an ImageNet database. It can categorize images into 1000 categories of
objects [
          <xref ref-type="bibr" rid="ref13">13</xref>
          ], [
          <xref ref-type="bibr" rid="ref14">14</xref>
          ].
        </p>
        <p>Inception-v3 is one of the most popular models that can be used for transfer
learning. This allows us to retrain the last layers of existing models, which leads to a
significant reduction in training time. inception-v3 has been trained in over a million
images from the ImageNet database, which means that the model had learned during
its original training and could be applied to smaller dataset with highly accurate
classifications without the need of training all the model.</p>
        <p>The Inception Layers is a mixture of a set of layers (i.e. 1 × 1 convolutional layer,
3 × 3 convolutional layer, 5 × 5 convolutional layer) with combinations of output
filters combined into one output vector, forming the inputs for the next step.
7.4</p>
      </sec>
      <sec id="sec-5-3">
        <title>Selected Measures.</title>
        <p>In this section, we officially describe the most common measures used to compare
our works. The various measures are based on the marginal rate of the confusion
matrix. In this article, comparisons will be made using confusion matrix to measure
model accuracy. Accuracy: This is a measure of how much the classifier predicted the
class correctly.</p>
        <p>Accuracy =</p>
        <p>TP / TP+FP+FN+TN
(5)
8</p>
      </sec>
    </sec>
    <sec id="sec-6">
      <title>Experiments and Results.</title>
      <p>All the models above are applied using Python; the dataset is a set of fundus
images representing eye diseases, such as diabetic retinopathy, glaucoma, myopia and
normal. In our experiments, we compare the empirical performance for bagging
ensemble method which we mentioned before to obtain different models to get better
accuracy for eye diseases detection.
8.1</p>
      <sec id="sec-6-1">
        <title>Results on CNN, VGG16 and InceptionV3 individually:</title>
        <p>CNN, VGG16 with fine-tune the final layers and InceptionV3 with pre-training the
final layers uses eye diseases dataset including bagging have been applied. Table.3
shows the result on the test dataset.</p>
        <p>From the above models, there are three classification accuracies obtained as shown
in Table.3. These accuracies are graphically represented in the graphs below, where
each model structure is shown with epochs and accuracies.</p>
      </sec>
      <sec id="sec-6-2">
        <title>Results on CNN, VGG16 and InceptionV3 using bagging ensemble learning:.</title>
        <p>Bagging ensembles with different and the same structures have been applied.
Three models were trained by CNN, VGG16 and InceptionV3 to implement a
bagging ensemble. Therefore, compare the performance for all the bagging ensemble
methods, and the results presented in Table.4 of each net on the test set.</p>
        <p>We compare accuracies of graphs above, and find out the following:
 Combining Inception v3 and All the models as a bagging ensemble which shown
in Fig.9 and Fig.10 gives the best accuracy 87.20 % and 86.50%, which is far
better than accuracy of graph in Fig.7 and graph in Fig.8.
 Due to the varied results between the models alone. We used the CNN which has
poor accuracy compared to the other models. Therefore, we recommend using deep
learning networks such as Alex Net or ResNet with Inception V3 to obtain the best
accuracy.
 The confusion matrix in Fig.11 shows that all classification models are confused
with Glaucoma and Normal eye when it makes prediction. Therefore, this problem
must be addressed to optimize the classification.</p>
        <p>We studied the relative performance used bagging ensemble methods with deep
convolutional neural networks as base learners on eye diseases data set, for image
classification. In this work we have applied three systems for multi-class classification
using a bagging ensemble, and we found that assembly of deep neural network
models can outperform traditional methods that rely on learning algorithms alone.</p>
        <p>Three models of multiclass classification CNN, VGG16 and Inception V3 have
been compared in order to measure the accuracy and to know the effects of models
assembly compared with learning algorithms alone. Due to the small number of the
training datasets, we implemented the Fine-tuning and data augmentation to increase
the accuracy of experiments in the test set. All the models mentioned above are
deployed using python for multiclass image classification. We compared these three
different structures of CNN on GPU systems using google Colab. With experiments,
as shown in table.4 we obtained results for each combination and observed that
bagging ensemble based on Inception V3 combination gives better classification accuracy
(87.20 %) than any other models.</p>
        <p>We recommend using deep learning networks such as AlexNet or ResNet with
Inception V3 to obtain better accuracy. Confusion matrix has been applied in our
experiment to know in which class our models were confused. The results show that all
classification models in varying proportions are confused with Glaucoma when it
makes prediction as it shown in Fig.11. Therefore, this problem must be addressed to
optimize the classification.
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