Retinal image quality assessment (RIQA) is essential for controlling the
quality of retinal imaging and guaranteeing the reliability of diagnoses by
ophthalmologists or automated analysis systems. Existing RIQA methods focus on
the RGB color-space and are developed based on small datasets with binary
quality labels (i.e., Accept' and Reject’). In this paper, we first
re-annotate an Eye-Quality (EyeQ) dataset with 28,792 retinal images from the
EyePACS dataset, based on a three-level quality grading system (i.e., Good', Usable’ and `Reject’) for evaluating RIQA methods. Our RIQA dataset is
characterized by its large-scale size, multi-level grading, and multi-modality.
Then, we analyze the influences on RIQA of different color-spaces, and propose
a simple yet efficient deep network, named Multiple Color-space Fusion Network
(MCF-Net), which integrates the different color-space representations at both a
feature-level and prediction-level to predict image quality grades. Experiments
on our EyeQ dataset show that our MCF-Net obtains a state-of-the-art
performance, outperforming the other deep learning methods. Furthermore, we
also evaluate diabetic retinopathy (DR) detection methods on images of
different quality, and demonstrate that the performances of automated
diagnostic systems are highly dependent on image quality.

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