Diabetic macular ischemia (DMI), marked by the loss of retinal capillaries in the macular area, contributes to vision impairment in patients with diabetes. Although color fundus photographs (CFPs), combined with artificial intelligence (AI), have been extensively applied in detecting various eye diseases, including diabetic retinopathy (DR), their applications in detecting DMI remain unexplored, partly due to skepticism among ophthalmologists regarding its feasibility. In this study, we propose a graph neural network-based multispectral view learning (GNN-MSVL) model designed to detect DMI from CFPs. The model leverages higher spectral resolution to capture subtle changes in fundus reflectance caused by ischemic tissue, enhancing sensitivity to DMI-related features. The proposed approach begins with computational multispectral imaging (CMI) to reconstruct 24-wavelength multispectral fundus images from CFPs. ResNeXt101 is employed as the backbone for multi-view learning to extract features from the reconstructed images. Additionally, a GNN with a customized jumper connection strategy is designed to enhance cross-spectral relationships, facilitating comprehensive and efficient multispectral view learning. The study included a total of 1,078 macula-centered CFPs from 1,078 eyes of 592 patients with diabetes, of which 530 CFPs from 530 eyes of 300 patients were diagnosed with DMI. The model achieved an accuracy of 84.7 percent and an area under the receiver operating characteristic curve (AUROC) of 0.900 (95 percent CI: 0.852-0.937) on eye-level, outperforming both the baseline model trained from CFPs and human experts (p-values less than 0.01). These findings suggest that AI-based CFP analysis holds promise for detecting DMI, contributing to its early and low-cost screening.

The authors argue that we need to enable graph neural nets to model graphs beyond homophily, which is reasonable and great. However, the three corresponding designs that are introduced to address this issue lack of technical novelty and depth. All of the three designs have been proposed and well utilized (in a separated way) in existing graph neural nets. The proposed H2GNN model puts all three design together without clear discussions about their original sources during the authors' arguments (though table 2 is used in related work). Furthermore, the goal of the three designs is to model heterophily in graphs or networks.

Graph Convolution Networks (GCNs) are widely considered state-of-the-art for collaborative filtering. Although several GCN-based methods have been proposed and achieved state-of-the-art performance in various tasks, they can be computationally expensive and time-consuming to train if too many layers are created. However, since the linear GCN model can be interpreted as a differential equation, it is possible to transfer it to an ODE problem. This inspired us to address the computational limitations of GCN-based models by designing a simple and efficient NODE-based model that can skip some GCN layers to reach the final state, thus avoiding the need to create many layers. In this work, we propose a Graph Neural Ordinary Differential Equation-based method for Collaborative Filtering (GODE-CF). This method estimates the final embedding by utilizing the information captured by one or two GCN layers. To validate our approach, we conducted experiments on multiple datasets. The results demonstrate that our model outperforms competitive baselines, including GCN-based models and other state-of-the-art CF methods. Notably, our proposed GODE-CF model has several advantages over traditional GCN-based models. It is simple, efficient, and has a fast training time, making it a practical choice for real-world situations.