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Innovation and Digital Transformation for a Sustainable World




                                Table 3 – Performance parameters of the Modified VGG16 and VGG16

                            Classifiers      Accuracy (%)  Precision (%)  Recall(%)  F1-score (%)
                            Modified VGG16   98.4         98.2          98.2      97.6
                            VGG16            97.3         98.1          95.8      97.0


























              Figure 5 – Confusion matrix of SVM using test data.
                                                              Figure 6 – Region of convergence (ROC) curve of SVM using
                                                              test data.
             Table 4 – Performance comparison of different models

                    Methods            Accuracy (%)           adequate but it needs a high performing GPU enabled system
                    VGG16              97.3                   for execution.
                    ResNet18           95.3
                    Deshpande et al. [6]  81.6                     5.  CONCLUSION AND FUTURE SCOPE
                    Lahmar et al. [3]  93.0
                    Lahmar et al. [4]  88.8                   In conclusion, DR poses a severe threat to vision when left
                    Kassani et al. [5]  83.0                  untreated, necessitating timely detection and intervention.
                    Proposed method    98.4                   The demand for automated DR detection systems is evident
                                                              due to the challenges associated with manual examination
           features vs. accuracy graph is plotted in Fig. 4. It is observe  of fundus images. Leveraging transfer learning in medical
           that best accuracy is obtained by following the selecting  image analysis, our study presents a refined VGG16 network
           features with p-values less than 0.05. It gives feature length  tailored for DR detection, integrating a feature selection
           of 3964, hence, in the further experiments, 3964 features are  technique. Through meticulous parameter tuning and feature
           selected. Different machine learning classifiers are tested for  selection, our approach achieves a notable performance boost.
           classification and the results of validation and testing accuracy  Notably, our modified VGG16 network outperforms both
           is summarised in the Table 2. It is analysed that best testing  the standard VGG16 and ResNet18 networks, attaining an
           accuracy of 98.4% is obtained using SVM classifier. Fig. 5  impressive accuracy of 98.4% on a benchmark DR dataset.
           and Fig. 5 show confusion matrix and ROC curve using SVM  This underscores the potential of our approach in enhancing
           for the testing data. In the confusion matrix, x-axis shows  automated DR detection systems for clinical use.
           predicted class and y-axis shows true class. ROC curve is  The future of AI-driven personalized e-services in DR
           plotted for true positive rate vs. false positive rate. Area  detection holds promise for revolutionizing healthcare
           under curve (AUC) value of 0.9984 is obtained.     delivery.  The boom in telecommunication network and
           Table 3 shows the detailed parameter values of modified and  enhanced data rate owing to 5G and 6G technology, AI
           standard VGG16 network. It is concluded that by integrating  can further enhance teleophthalmology services, making
           feature selection in the VGG16 network, performance is  eye care more accessible, especially in remote areas.
           significantly improved. Results are summarised in Table 4  AI-powered tools can enable remote screening for eye
           in terms of accuracy. It is observed that proposed method is  disorders, allowing patients to upload images of their eyes
           outperforming standard VGG16 as well as ResNet18. Results  for analysis.  This is particularly useful in areas with
           are also compared with the state-of-the-art works, such as,[6],  limited access to ophthalmologists. AI systems can assist
           [3], [4] and [5]. It is observed that with the proposed method  in virtual consultations by providing preliminary diagnoses
           is giving performing best with the accuracy of 98.4%.  and treatment suggestions, which can then be reviewed by
           Although the performance of the proposed method is  a human specialist.  For patients already diagnosed with




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