Retinal fundus images play a crucial role in the early detection of eye diseases and, using deep learning approaches, recent studies have even demonstrated their potential for detecting cardiovascular risk factors and neurological disorders. However, the impact of technical factors on these images can pose challenges for reliable AI applications in ophthalmology. For example, large fundus cohorts are often confounded by factors like camera type, image quality or illumination level, bearing the risk of learning shortcuts rather than the causal relationships behind the image generation process. Here, we introduce a novel population model for retinal fundus images that effectively disentangles patient attributes from camera effects, thus enabling controllable and highly realistic image generation. To achieve this, we propose a novel disentanglement loss based on distance correlation. Through qualitative and quantitative analyses, we demonstrate the effectiveness of this novel loss function in disentangling the learned subspaces. Our results show that our model provides a new perspective on the complex relationship between patient attributes and technical confounders in retinal fundus image generation.

In this paper, we address the problem of learning a binary (positive vs. negative) classifier given Positive and Unlabeled data commonly referred to as PU learning. Although rudimentary techniques like clustering, out-of-distribution detection, or positive density estimation can be used to solve the problem in low-dimensional settings, their efficacy progressively deteriorates with higher dimensions due to the increasing complexities in the data distribution. In this paper we propose to learn a neural network-based data representation using a loss function that can be used to project the unlabeled data into two (positive and negative) clusters that can be easily identified using simple clustering techniques, effectively emulating the phenomenon observed in low-dimensional settings. We adopt a vector quantization technique for the learned representations to amplify the separation between the learned unlabeled data clusters. We conduct experiments on simulated PU data that demonstrate the improved performance of our proposed method compared to the current state-of-the-art approaches. We also provide some theoretical justification for our two cluster-based approach and our algorithmic choices.