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Nishi Doshi

Nishi Doshi contributes to research discovery and scholarly infrastructure.

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Artificial Intelligence Computer Vision Machine Learning

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preprint2026arXiv

Bridging the Rural Healthcare Gap: A Cascaded Edge-Cloud Architecture for Automated Retinal Screening

Diabetic Retinopathy (DR) is one of the leading causes of preventable blindness, yet rural regions often lack the specialists and infrastructure needed for early detection. Although cloud-based deep learning systems offer high accuracy, they face significant challenges in these settings due to high latency, limited bandwidth, and high data transmission costs. To address these challenges, we propose a two-tier edge-cloud cascade on the public APTOS 2019 Blindness Detection dataset. Tier 1 runs a lightweight MobileNetV3-small model on a local clinic device to perform a binary triage between Referable DR (Classes 2-4) and Non-referable DR (Classes 0-1). Tier 2 runs a RETFoundDINOv2 model in the cloud for ordinal severity grading, but only on the subset of images flagged as referable by Tier 1. On a stratified APTOS test split of 733 images, Tier 1 reaches 98.99% sensitivity and 84.37% specificity at a validation-tuned high-sensitivity threshold. The default cascade forwards 49.52% of test images to Tier 2, reducing cloud calls by 50.48% relative to using a cloud-based model for all images. In the deployed 4-class output space (Class 0-1 / Class 2 / Class 3 / Class 4), the cascade obtains 80.49% accuracy and 0.8167 quadratic weighted kappa; the cloud-only baseline obtains 80.76% accuracy and 0.8184 quadratic weighted kappa. On APTOS, the cascade cuts cloud use by about half with a modest drop in grading performance. Index Terms: Diabetic Retinopathy, Edge-Cloud Cascade, MobileNetV3-small, RETFound-DINOv2, Retinal Screening, tele-ophthalmology

preprint2026arXiv

Diabetic Retinopathy Classification using Downscaling Algorithms and Deep Learning

Diabetic Retinopathy (DR) is an art and science of recording and classifying the retinal images of a diabetic patient. DR classification deals with classifying retinal fundus image into five stages on the basis of severity of diabetes. One of the major issue faced while dealing with DR classification problem is the large and varying size of images. In this paper we propose and explore the use of several downscaling algorithms before feeding the image data to a Deep Learning Network for classification. For improving training and testing; we amalgamate two datasets: Kaggle and Indian Diabetic Retinopathy Image Dataset. Our experiments have been performed on a novel Multi Channel Inception V3 architecture with a unique self crafted preprocessing phase. We report results of proposed approach using accuracy, specificity and sensitivity, which outperform the previous state of the art methods. Index Terms: Diabetic Retinopathy, Downscaling Algorithms, Multichannel CNN Architecture, Deep Learning

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