This study investigates the efficacy of the red, green, and blue channels in color fundus photography on the deep learning classification of retinopathy of prematurity (ROP). We used a total of 200 color fundus images from four ROP stages and applied the transfer learning for deep learning classification. To enhance visibility, contrast limiting adaptive histogram equalization (CLAHE) was utilized. Multi-color-channel fusion approach was tested to determine its effect on ROP classification. For individual channel classification, the green channel demonstrated the best results, with an accuracy of 80.5%, sensitivity of 61%, and specificity of 87%. Multi-color-channel fusion provided slightly better performance than green channel with an accuracy of 81%, sensitivity of 62%, and specificity of 87.33%. After CLAHE, the red-only, green-only, and RGB-fusion showed comparable performance, with accuracies of 83.5%, 84%, and 84.25, sensitivities of 67%, 68% and 68.5%, and specificities of 89%, 89.33% and 89.50%, respectively. This observation suggests that the red channel after contrast enhancement can provide sufficient information for ROP stage classification.
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