Incomplete Multi-view Diabetic Retinopathy Grading via Self-Supervised Inter- and Intra-View Restoration

Multi-view diabetic retinopathy (DR) grading has achieved remarkable performance by capturing more comprehensive pathological features than single-view methods. However, complete multi-view fundus images are often difficult to obtain in clinical practice, and the performance degrades significantly when fewer views are available. To overcome this limitation, we propose the first incomplete multi-view DR grading framework, aiming to provide accurate diagnosis regardless of the number of available views. It introduces two novel modules. First, cross-view spatial correlation attention (CSCA) captures region correlations across views, automatically identifying and fusing diagnostically relevant spatial features to improve feature representation. Second, self-supervised mask consistency learning (SMCL) formulates a novel pretext task of missing-view information reconstruction by strategically masking inter- and intra-view regions, enabling the model to infer complete features from incomplete views. Benefiting from CSCA and SMCL, our method enhances structural feature consistency across views and effectively compensates for missing information during DR grading. Extensive experiments demonstrate that our method achieves state-of-the-art grading performance, particularly under realistic conditions where some views are unavailable.