Semi-Supervised Multi-Task Learning for Interpretable Quality As- sessment of Fundus Images

TL;DR

This paper introduces a semi-supervised multi-task learning approach for retinal image quality assessment that improves interpretability and performance by leveraging pseudo-labels, matching expert-level accuracy without extensive manual annotations.

Contribution

The study presents a hybrid semi-supervised framework combining manual and pseudo-labels within a multi-task model for interpretable RIQA, reducing manual labeling costs.

Findings

Improved quality assessment metrics over single-task baselines

Model performance comparable to experts on new annotated data

Provides interpretable feedback on image capture conditions

Abstract

Retinal image quality assessment (RIQA) supports computer-aided diagnosis of eye diseases. However, most tools classify only overall image quality, without indicating acquisition defects to guide recapture. This gap is mainly due to the high cost of detailed annotations. In this paper, we aim to mitigate this limitation by introducing a hybrid semi-supervised learning approach that combines manual labels for overall quality with pseudo-labels of quality details within a multi-task framework. Our objective is to obtain more interpretable RIQA models without requiring extensive manual labeling. Pseudo-labels are generated by a Teacher model trained on a small dataset and then used to fine-tune a pre-trained model in a multi-task setting. Using a ResNet-18 backbone, we show that these weak annotations improve quality assessment over single-task baselines (F1: 0.875 vs. 0.863 on EyeQ, and 0.778 vs. 0.763 on DeepDRiD), matching or surpassing existing methods. The multi-task model achieved performance statistically comparable to the Teacher for most detail prediction tasks (p > 0.05). In a newly annotated EyeQ subset released with this paper, our model performed similarly to experts, suggesting that pseudo-label noise aligns with expert variability. Our main finding is that the proposed semi-supervised approach not only improves overall quality assessment but also provides interpretable feedback on capture conditions (illumination, clarity, contrast). This enhances interpretability at no extra manual labeling cost and offers clinically actionable outputs to guide image recapture.