TY - JOUR T1 - Artificial Intelligence-Based Screening for Diabetic Retinopathy: Model Comparison and Interpretability AU - Telçeken, Muhammed AU - Değirmenci, Şeyma PY - 2025 DA - September Y2 - 2025 DO - 10.35377/saucis.8.94717.1754835 JF - Sakarya University Journal of Computer and Information Sciences JO - SAUCIS PB - Sakarya University WT - DergiPark SN - 2636-8129 SP - 510 EP - 517 VL - 8 IS - 3 LA - en AB - Diabetic Retinopathy is one of the common complications of diabetes and can lead to permanent vision loss if left untreated. This study examined the performance of different AI-based methods for DR classification. Deep learning-based models, ResNet-50, DenseNet-121, U-Net, and classical CNN structures, along with traditional machine learning algorithms, SVM, Decision Trees, and k-Nearest Neighbor, were evaluated on the APTOS 2019 dataset. To optimize model performance, image data were subjected to various preprocessing steps, such as resizing, contrast correction, and denoising. Augmentation techniques were used to increase data diversity. According to experimental results, the most successful model was DenseNet-121, with an accuracy rate of 87% and an F1 score of 86%. In contrast, while classical machine learning methods produce lower accuracy values than deep learning, they exhibit consistent performance under certain conditions and offer a more computationally cost-effective alternative. The comparisons indicate the applicability of classical methods, especially in scenarios with limited data. This evaluation process creates a basic framework that will enable the integration of explainable artificial intelligence (XAI) approaches in later stages and is a preparation for adapting interpretation techniques such as SHAP and LIME to clinical decision support systems. 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A new feature extraction method for AI based classification of heart sounds: dual-frequency cepstral coefficients (DFCCs). The European Physical Journal Special Topics, 1-12. UR - https://doi.org/10.35377/saucis.8.94717.1754835 L1 - https://dergipark.org.tr/en/download/article-file/5107654 ER -