SwinECAT: A Transformer-based fundus disease classification model with Shifted Window Attention and Efficient Channel Attention

In recent years, artificial intelligence has been increasingly applied in the field of medical imaging. Among these applications, fundus image analysis presents special challenges, including small lesion areas in certain fundus diseases and subtle inter-disease differences, which can lead to reduced prediction accuracy and overfitting in the models. To address these challenges, this paper proposes the Transformer-based model SwinECAT, which combines the Shifted Window (Swin) Attention with the Efficient Channel Attention (ECA) Attention. SwinECAT leverages the Swin Attention mechanism in the Swin Transformer backbone to effectively capture local spatial structures and long-range dependencies within fundus images. The lightweight ECA mechanism is incorporated to guide the SwinECAT's attention toward critical feature channels, enabling more discriminative feature representation. In contrast to previous studies that typically classify fundus images into 4 to 6 categories, this work expands fundus disease classification to 9 distinct types, thereby enhancing the granularity of diagnosis. We evaluate our method on the Eye Disease Image Dataset (EDID) containing 16,140 fundus images for 9-category classification. Experimental results demonstrate that SwinECAT achieves 88.29\% accuracy, with weighted F1-score of 0.88 and macro F1-score of 0.90. The classification results of our proposed model SwinECAT significantly outperform the baseline Swin Transformer and multiple compared baseline models. To our knowledge, this represents the highest reported performance for 9-category classification on this public dataset.

BESTMVQA: A Benchmark Evaluation System for Medical Visual Question Answering

Medical Visual Question Answering (Med-VQA) is a very important task in healthcare industry, which answers a natural language question with a medical image. Existing VQA techniques in information systems can be directly applied to solving the task. However, they often suffer from (i) the data insufficient problem, which makes it difficult to train the state of the arts (SOTAs) for the domain-specific task, and (ii) the reproducibility problem, that many existing models have not been thoroughly evaluated in a unified experimental setup. To address these issues, this paper develops a Benchmark Evaluation SysTem for Medical Visual Question Answering, denoted by BESTMVQA. Given self-collected clinical data, our system provides a useful tool for users to automatically build Med-VQA datasets, which helps overcoming the data insufficient problem. Users also can conveniently select a wide spectrum of SOTA models from our model library to perform a comprehensive empirical study. With simple configurations, our system automatically trains and evaluates the selected models over a benchmark dataset, and reports the comprehensive results for users to develop new techniques or perform medical practice. Limitations of existing work are overcome (i) by the data generation tool, which automatically constructs new datasets from unstructured clinical data, and (ii) by evaluating SOTAs on benchmark datasets in a unified experimental setup. The demonstration video of our system can be found at https://youtu.be/QkEeFlu1x4A. Our code and data will be available soon.