<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.4 20241031//EN"
        "https://jats.nlm.nih.gov/publishing/1.4/JATS-journalpublishing1-4.dtd">
<article  article-type="research-article"        dtd-version="1.4">
            <front>

                <journal-meta>
                                    <journal-id></journal-id>
            <journal-title-group>
                                                                                    <journal-title>Balkan Journal of Electrical and Computer Engineering</journal-title>
            </journal-title-group>
                            <issn pub-type="ppub">2147-284X</issn>
                                        <issn pub-type="epub">2147-284X</issn>
                                                                                            <publisher>
                    <publisher-name>MUSA YILMAZ</publisher-name>
                </publisher>
                    </journal-meta>
                <article-meta>
                                        <article-id pub-id-type="doi">10.17694/bajece.1715185</article-id>
                                                                <article-categories>
                                            <subj-group  xml:lang="en">
                                                            <subject>Computer Software</subject>
                                                            <subject>Electrical Engineering (Other)</subject>
                                                    </subj-group>
                                            <subj-group  xml:lang="tr">
                                                            <subject>Bilgisayar Yazılımı</subject>
                                                            <subject>Elektrik Mühendisliği (Diğer)</subject>
                                                    </subj-group>
                                    </article-categories>
                                                                                                                                                        <title-group>
                                                                                                                        <trans-title-group xml:lang="tr">
                                    <trans-title>Retina Hastalıklarının Gerçek Zamanlı Tespiti için Yapay Zeka Destekli Yeni Bir Hesaplama Sisteminin Geliştirilmesi</trans-title>
                                </trans-title-group>
                                                                                                                                                                                                <article-title>Development of a New Computational System Supported by Artificial Intelligence for Detection of Real-Time Retinal Diseases</article-title>
                                                                                                    </title-group>
            
                                                    <contrib-group content-type="authors">
                                                                        <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0009-0006-4366-4722</contrib-id>
                                                                <name>
                                    <surname>Memiş</surname>
                                    <given-names>Hasan</given-names>
                                </name>
                                                                    <aff>Batman Üniversitesi</aff>
                                                            </contrib>
                                                    <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0000-0002-1897-9830</contrib-id>
                                                                <name>
                                    <surname>Acar</surname>
                                    <given-names>Emrullah</given-names>
                                </name>
                                                                    <aff>Batman Üniversitesi</aff>
                                                            </contrib>
                                                                                </contrib-group>
                        
                                        <pub-date pub-type="pub" iso-8601-date="20250930">
                    <day>09</day>
                    <month>30</month>
                    <year>2025</year>
                </pub-date>
                                        <volume>13</volume>
                                        <issue>3</issue>
                                        <fpage>346</fpage>
                                        <lpage>354</lpage>
                        
                        <history>
                                    <date date-type="received" iso-8601-date="20250605">
                        <day>06</day>
                        <month>05</month>
                        <year>2025</year>
                    </date>
                                                    <date date-type="accepted" iso-8601-date="20250719">
                        <day>07</day>
                        <month>19</month>
                        <year>2025</year>
                    </date>
                            </history>
                                        <permissions>
                    <copyright-statement>Copyright © 2013, Balkan Journal of Electrical and Computer Engineering</copyright-statement>
                    <copyright-year>2013</copyright-year>
                    <copyright-holder>Balkan Journal of Electrical and Computer Engineering</copyright-holder>
                </permissions>
            
                                                                                                <trans-abstract xml:lang="tr">
                            <p>Dünya çapında görme bozukluğu ve körlüğün önemli bir nedeni olan retina hastalıkları, geri dönüşü olmayan görme kaybını önlemek için genellikle erken ve doğru tanı gerektirir. Optik Koherens Tomografi (OCT), retina katmanlarının ayrıntılı olarak görüntülenmesini sağlayan gelişmiş bir görüntüleme tekniğidir ve koroidal neovaskülarizasyon (CNV), diyabetik maküler ödem (DMÖ) ve drusen gibi retina bozukluklarının teşhisinde yaygın olarak kullanılmaktadır. Bu çalışmada, OCT görüntüleri kullanılarak retina hastalıklarının gerçek zamanlı tespiti için yeni bir yapay zeka (AI) destekli bilgisayar destekli tanı sistemi geliştirilmiştir. GoogleNet, ResNet, EfficientNet ve DenseNet dahil olmak üzere derin öğrenme modelleri uygulanmış ve karşılaştırmalı olarak değerlendirilmiştir. DenseNet-201, %94,42 doğruluk ve 1,00 AUC ile üstün performans göstererek bu çalışma için birincil model olmuştur. Sistem görüntü doğrulama, veri fazlalığını önlemek için hashing ve klinik kullanım için kullanıcı dostu bir arayüzü entegre etmektedir. Önerilen yaklaşım sadece tanısal doğruluğu artırmakla kalmayıp aynı zamanda klinisyenler üzerindeki zaman yükünü de azaltmaktadır. Gelecekteki çalışmalar, modelin farklı klinik veri kümeleriyle genelleştirilmesini geliştirmeye ve sistemi mevcut sağlık altyapılarına entegre etmeye odaklanacaktır.</p></trans-abstract>
                                                                                                                                    <abstract><p>Retinal diseases such as choroidal neovascularization (CNV), diabetic macular edema (DME), and drusen are among the leading causes of vision loss worldwide, requiring early and accurate diagnosis to prevent irreversible damage. Optical Coherence Tomography (OCT) provides high-resolution imaging of retinal structures, making it a valuable tool in ophthalmological diagnosis. This study presents a novel artificial intelligence (AI)-supported computer-aided diagnostic system for the real-time classification of retinal diseases using OCT images. The proposed system integrates a DenseNet-201 deep learning model with a hash-based data integrity mechanism and a user-friendly interface for clinical deployment. The DenseNet-201 model achieved superior performance with an accuracy of 94.42%, an F1- score of 0.9442, and an AUC of 1.00, outperforming other widely used models such as GoogleNet, ResNet50, and EfficientNetB0. Unlike existing systems, our approach includes automatic image validation, eliminates data redundancy through hashing, and is optimized for practical use via the Gradio interface. These features address major limitations in prior studies, such as a lack of real-time capability, data inconsistency, and insufficient clinical integration. The system not only improves diagnostic accuracy but also reduces clinician workload, ensuring faster and more reliable decision-making in the detection of retinal diseases. This work demonstrates the feasibility of deploying AI-powered diagnostic tools in real-world ophthalmic settings and lays the groundwork for future development of integrated, scalable healthcare solutions.</p></abstract>
                                                            
            
                                                                                        <kwd-group>
                                                    <kwd>Retinal Diseases</kwd>
                                                    <kwd>  Optical Coherence Tomography</kwd>
                                                    <kwd>  Artificial Intelligence</kwd>
                                                    <kwd>  Deep Learning</kwd>
                                                    <kwd>  DenseNet</kwd>
                                                    <kwd>  Decision Support System</kwd>
                                            </kwd-group>
                            
                                                <kwd-group xml:lang="tr">
                                                    <kwd>Retina Hastalıkları</kwd>
                                                    <kwd>  Optik Koherens Tomografi</kwd>
                                                    <kwd>  Yapay Zeka</kwd>
                                                    <kwd>  Derin Öğrenme</kwd>
                                                    <kwd>  DenseNet</kwd>
                                                    <kwd>  Karar Destek Sistemi.</kwd>
                                            </kwd-group>
                                                                                                                                        </article-meta>
    </front>
    <back>
                            <ref-list>
                                    <ref id="ref1">
                        <label>1</label>
                        <mixed-citation publication-type="journal">[1] World Health Organization. (2019). World report on vision. Geneva: WHO.</mixed-citation>
                    </ref>
                                    <ref id="ref2">
                        <label>2</label>
                        <mixed-citation publication-type="journal">[2] Resnikoff, S., Lansingh, V. C., Washburn, L., Felch, W. C., &amp; Gauthier, T. M. (2020). Vision loss and its impact on quality of life. Ophthalmic Epidemiology, 27(2), 85–90.</mixed-citation>
                    </ref>
                                    <ref id="ref3">
                        <label>3</label>
                        <mixed-citation publication-type="journal">[3] Lamoureux, E. L., &amp; Fenwick, E. K. (2016). Health-related quality  of  life  and  visual  impairment.  Current  Opinion  in Ophthalmology, 27(3), 238–243.</mixed-citation>
                    </ref>
                                    <ref id="ref4">
                        <label>4</label>
                        <mixed-citation publication-type="journal">[4] Forrester, J. V., Dick, A. D., McMenamin, P. G., Roberts, F., &amp;  Pearlman,  E.  (2015).  The  Eye:  Basic  Sciences  in  Practice. Elsevier Health Sciences.</mixed-citation>
                    </ref>
                                    <ref id="ref5">
                        <label>5</label>
                        <mixed-citation publication-type="journal">[5]  Berger,  John,  Ways  of  Seeing,  Penguin  Books,  UK  2008, p.7-33.</mixed-citation>
                    </ref>
                                    <ref id="ref6">
                        <label>6</label>
                        <mixed-citation publication-type="journal">[6] Kolb, H. (2005). Simple Anatomy of the Retina. Webvision.</mixed-citation>
                    </ref>
                                    <ref id="ref7">
                        <label>7</label>
                        <mixed-citation publication-type="journal">[7]  Curcio,  C.A.,  Sloan,  K.R.,  Kalina,  R.E.,Hendrickson,  A.E. (1990)  Human  photoreceptor  topography.  The  Journal  of Comparative Neurology, 292 (4), 497-523.</mixed-citation>
                    </ref>
                                    <ref id="ref8">
                        <label>8</label>
                        <mixed-citation publication-type="journal">[8]  Dandekar  SS,  Jenkins  SA,  Peto  T,  et  al.:  Autofluoresence imaging  of  choroidal  neovascularization  due  to  age-related macular degeneration. Arch Ophthalmol. 2005;123:1507-1513.</mixed-citation>
                    </ref>
                                    <ref id="ref9">
                        <label>9</label>
                        <mixed-citation publication-type="journal">[9]  Bhende,  M,  Shetty,  S,  Parthasarathy,  M.  K.,  &amp;  Ramya,  S.  (2018). Optical coherence tomography: A guide to interpretation of common macular diseases. Indian journal of ophthalmology, 66(1), 20.</mixed-citation>
                    </ref>
                                    <ref id="ref10">
                        <label>10</label>
                        <mixed-citation publication-type="journal">[10]  Erdoğan,  Alper,  Epiretinal  Membran  Cerrahisinde Prognozu Etkileyen Faktörler, Uzmanlık tezi, s.8.</mixed-citation>
                    </ref>
                                    <ref id="ref11">
                        <label>11</label>
                        <mixed-citation publication-type="journal">[11] Deutman AF, Hansen LMAA: Dominantly inherited drusen of Bruch&#039;s membrane. Br J Ophthalmol 1970; 34:373-382.</mixed-citation>
                    </ref>
                                    <ref id="ref12">
                        <label>12</label>
                        <mixed-citation publication-type="journal">[12]  Aydın,Ali,Bilge,A.Hamdi,  Optik  Koherens  Tomografinin Glokomda Yeri,s.78.</mixed-citation>
                    </ref>
                                    <ref id="ref13">
                        <label>13</label>
                        <mixed-citation publication-type="journal">[13]  Li, F., Chen, H., Liu, Z., Zhang, X.-D., Jiang, M.-S., Wu, Z.-Z.,  and  Zhou,  K.-Q.  (2019).  Deep  learning-based  automated detection of retinal diseases using optical coherence tomography images.  Biomedical  Optics  Express,  10(12),  6204–6226. https://doi.org/10.1364/BOE.10.006204</mixed-citation>
                    </ref>
                                    <ref id="ref14">
                        <label>14</label>
                        <mixed-citation publication-type="journal">[14]  Serener, A., and Serte, S. (2019). Dry and wet age-related macular degeneration classification using OCT images and deep learning.  2019  Scientific  Meeting  on  Electrical-Electronics  &amp; Biomedical  Engineering  and  Computer  Science  (EBBT),  1–5. https://ieeexplore.ieee.org/document/8741768</mixed-citation>
                    </ref>
                                    <ref id="ref15">
                        <label>15</label>
                        <mixed-citation publication-type="journal">[15] Motozawa, N., An, G., Takagi, S., Kitahata, S., Mandai, M., Hirami,  Y.,  Yokota,  H.,  Akiba,  M.,  Tsujikawa,  A.,  Takahashi, M.,  &amp;  Kurimoto,  Y.  (2019).  Optical  coherence  tomography- based  deep-learning  models  for  classifying  normal  and  age- related  macular  degeneration  and  exudative  and  non-exudative age-related  macular  degeneration  changes.  Ophthalmology  and Therapy,  8(4),  527–539.  https://doi.org/10.1007/s40123-019- 00207-y</mixed-citation>
                    </ref>
                                    <ref id="ref16">
                        <label>16</label>
                        <mixed-citation publication-type="journal">[16] Sun, W., Zhang, H., &amp; Yao, Z. (2020). Automatic diagnosis of  macular  diseases  from  OCT  volume  based  on  its  two- dimensional feature map and convolutional neural network with attention  mechanism.  Journal  of  Biomedical  Optics,  25(9), 096004. https://doi.org/10.1117/1.JBO.25.9.096004</mixed-citation>
                    </ref>
                                    <ref id="ref17">
                        <label>17</label>
                        <mixed-citation publication-type="journal">[17] Acar, E., Türk, Ö., Ertuğrul, Ö. F., and Aldemir, E. (2021). Employing  deep  learning  architectures  for  image-based automatic  cataract  diagnosis.  Turkish  Journal  of  Electrical Engineering  &amp;  Computer  Sciences,  29(5),  2649–2662. https://doi.org/10.3906/elk-2103-77</mixed-citation>
                    </ref>
                                    <ref id="ref18">
                        <label>18</label>
                        <mixed-citation publication-type="journal">[18]  Shi,  X.,  Keenan,  T.  D.  L.,  Chen,  Q.,  De  Silva,  T., Thavikulwat,  A.  T.,  Broadhead,  G.,  Bhandari,  S.,  Cukras,  C., Chew,  E.  Y.,  and  Lu,  Z.  (2021).  Improving  interpretability  in machine  diagnosis:  Detection  of  geographic  atrophy  in  OCT scans.  Ophthalmology  Science,  1(3),  100038. https://doi.org/10.1016/j.xops.2021.100038</mixed-citation>
                    </ref>
                                    <ref id="ref19">
                        <label>19</label>
                        <mixed-citation publication-type="journal">[19] Rajagopalan, N., Venkateswaran, N., Josephraj, A. N., and Srithaladevi,  E.  (2021).  Diagnosis  of  retinal  disorders  from Optical Coherence Tomography images using CNN. PLoS ONE, 16(7), e0254180. https://doi.org/10.1371/journal.pone.0254180</mixed-citation>
                    </ref>
                                    <ref id="ref20">
                        <label>20</label>
                        <mixed-citation publication-type="journal">[20]  Şahin,  M.  E.  (2022).  A  deep  learning-based  technique  for diagnosing  retinal  disease  by  using  optical  coherence tomography  (OCT)  images.  Turkish  Journal  of  Science  &amp; Technology,  17(2),  417–426. https://doi.org/10.55525/tjst.1128395</mixed-citation>
                    </ref>
                                    <ref id="ref21">
                        <label>21</label>
                        <mixed-citation publication-type="journal">[21] Elsharkawy, M., Sharafeldeen, A., Soliman, A., Khalifa, F., Ghazal, M., El-Daydamony, E., Atwan, A., Sandhu, H. S., &amp; El-Baz,  A.  (2022).  A  novel  computer-aided  diagnostic  system  for early  detection  of  diabetic  retinopathy  using  3D-OCT  higher-order  spatial  appearance  model.  Diagnostics,  12(2),  532. https://doi.org/10.3390/diagnostics12020532</mixed-citation>
                    </ref>
                                    <ref id="ref22">
                        <label>22</label>
                        <mixed-citation publication-type="journal">[22] He, T., Zhou, Q., and Zou, Y. (2022). Automatic detection of age-related macular degeneration based on deep learning and local  outlier  factor  algorithm.  Diagnostics,  12(2),  532. https://doi.org/10.3390/diagnostics12020532</mixed-citation>
                    </ref>
                                    <ref id="ref23">
                        <label>23</label>
                        <mixed-citation publication-type="journal">[23] Aykat, Ş., &amp; Şenan, S. (2023). Advanced detection of retinal  diseases  via  novel  hybrid  deep  learning  approach. Traitement  du  Signal,  40(6),  2367–2382. https://doi.org/10.18280/ts.400604</mixed-citation>
                    </ref>
                                    <ref id="ref24">
                        <label>24</label>
                        <mixed-citation publication-type="journal">[24] Baharlouei, Z., Rabbani, H., &amp; Plonka, G. (2023). Wavelet scattering  transform  application  in  classification  of  retinal abnormalities using OCT images. Scientific Reports, 13, 19013. https://doi.org/10.1038/s41598-023-46200-1</mixed-citation>
                    </ref>
                                    <ref id="ref25">
                        <label>25</label>
                        <mixed-citation publication-type="journal">[25] Kulyabin, M., Zhdanov, A., Nikiforova, A., Stepichev, A., Kuznetsova,  A.,  Ronkin,  M.,  Borisov,  V.,  Bogachev,  A., Korotkich,  S.,  Constable,  P.  A.,  &amp;  Maier,  A.  (2024).  OCTDL: Optical  coherence  tomography  dataset  for  image-based  deep learning  methods.  Scientific  Data,  11(365). https://doi.org/10.1038/s41597-024-03182-7</mixed-citation>
                    </ref>
                                    <ref id="ref26">
                        <label>26</label>
                        <mixed-citation publication-type="journal">[26] Gencer, G., &amp; Gencer, K. (2025). Advanced retinal disease detection  from  OCT  images  using  a  hybrid  squeeze  and excitation  enhanced  model.  PLOS  ONE,  20(2),  e0318657. https://doi.org/10.1371/journal.pone.0318657</mixed-citation>
                    </ref>
                                    <ref id="ref27">
                        <label>27</label>
                        <mixed-citation publication-type="journal">[27] https://www.kaggle.com/datasets/paultimothymooney/kermany2018</mixed-citation>
                    </ref>
                                    <ref id="ref28">
                        <label>28</label>
                        <mixed-citation publication-type="journal">[28] C. Cortes, X. Gonzalvo, V. Kuznetsov, M. Mohri, and S. Yang. Adanet: Adaptive structural learning of artificial neural networks. arXiv preprint arXiv:1607.01097, 2016.</mixed-citation>
                    </ref>
                                    <ref id="ref29">
                        <label>29</label>
                        <mixed-citation publication-type="journal">[29] K. He, X. Zhang, S. Ren, and J. Sun. Deep residual learning for image recognition. In CVPR, 2016</mixed-citation>
                    </ref>
                                    <ref id="ref30">
                        <label>30</label>
                        <mixed-citation publication-type="journal">[30] Urmamen H E. “Optik Koherans Tomografi Görüntüleri İle Retinal  Hastalıkların  Evrişimsel  Sinir  Ağı  Kullanılarak  Teşhis Edilmesi“. Yüksek Lisans Tez Çalışması, 2023, s.22</mixed-citation>
                    </ref>
                                    <ref id="ref31">
                        <label>31</label>
                        <mixed-citation publication-type="journal">[31] Long, E. Shelhamer, and T. Darrell. Fully convolutional networks for semantic segmentation. In CVPR, 2015</mixed-citation>
                    </ref>
                                    <ref id="ref32">
                        <label>32</label>
                        <mixed-citation publication-type="journal">[32]  Özdemir  E,  Türkoğlu  İ.  Yazılım  Güvenlik  Açıklarının Evrişimsel Sinir Ağları (CNN) ile Sınıflandırılması, 2022</mixed-citation>
                    </ref>
                                    <ref id="ref33">
                        <label>33</label>
                        <mixed-citation publication-type="journal">[33]  Szegedy,  C.,  Liu,  W.,  Jia,  Y.,  Sermanet,  P.,  Reed,  S., Anguelov,  D.,  Erhan,  D.,  Vanhoucke,  V.,  &amp;  Rabinovich,  A. (2015).  Going  deeper  with  convolutions.  In  Proceedings  of  the IEEE Conference on Computer Vision and Pattern Recognition (CVPR), 1–9.</mixed-citation>
                    </ref>
                                    <ref id="ref34">
                        <label>34</label>
                        <mixed-citation publication-type="journal">[34] He, K., Zhang, X., Ren, S., &amp; Sun, J. (2016). Deep residual learning  for  image  recognition.  In  Proceedings  of  the  IEEE Conference  on  Computer  Vision  and  Pattern  Recognition (CVPR), 770–778.</mixed-citation>
                    </ref>
                                    <ref id="ref35">
                        <label>35</label>
                        <mixed-citation publication-type="journal">[35]  Tan,  M.,  &amp;  Le,  Q.  V.  (2019).  EfficientNet:  Rethinking model scaling for convolutional neural networks. In Proceedings of  the  36th  International  Conference  on  Machine  Learning (ICML), PMLR, 6105–6114.</mixed-citation>
                    </ref>
                                    <ref id="ref36">
                        <label>36</label>
                        <mixed-citation publication-type="journal">[36] Huang, G., Liu, Z., Van Der Maaten, L., &amp; Weinberger, K. Q.  (2017).  Densely  Connected  Convolutional  Networks.  In Proceedings  of  the  IEEE  Conference  on  Computer  Vision  and Pattern Recognition (CVPR), pp. 4700-4708.</mixed-citation>
                    </ref>
                                    <ref id="ref37">
                        <label>37</label>
                        <mixed-citation publication-type="journal">[37] Gu, J., Wang, Z., Kuen, J., Ma, L., Shahroudy, A., Shuai, B.,  &amp;  Chen,  T.  (2018).  Recent  Advances  in  Convolutional Neural Networks. Pattern Recognition, 77, 354-377</mixed-citation>
                    </ref>
                            </ref-list>
                    </back>
    </article>
