File size: 11,879 Bytes
f353107
 
 
 
 
7f50b2f
47f1811
 
3a772d8
 
 
 
 
94692c5
f353107
 
 
47f1811
 
 
 
3a772d8
a13b749
47f1811
 
 
 
a13b749
3a772d8
 
f353107
3a772d8
 
47f1811
3a772d8
 
47f1811
 
 
 
7f50b2f
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
3a772d8
a13b749
 
3a772d8
 
 
 
a13b749
 
 
 
 
 
 
3a772d8
a13b749
3a772d8
a13b749
3a772d8
a13b749
3a772d8
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
a13b749
3a772d8
a13b749
3a772d8
 
 
 
 
 
 
 
 
 
a13b749
 
 
 
3a772d8
47f1811
3a772d8
47f1811
3a772d8
47f1811
3a772d8
 
 
 
 
 
 
 
 
 
 
 
 
 
47f1811
 
 
 
 
 
 
3a772d8
7f50b2f
3a772d8
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
47f1811
3a772d8
47f1811
 
 
 
 
 
7f50b2f
 
 
47f1811
3a772d8
7f50b2f
 
 
 
 
 
 
 
 
 
 
 
47f1811
7f50b2f
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
3a772d8
7f50b2f
f353107
 
 
 
 
 
47f1811
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
f353107
 
3a772d8
 
 
f353107
 
 
 
 
7f50b2f
 
 
 
 
a13b749
87e5bdc
7f50b2f
87e5bdc
a13b749
 
7f50b2f
 
3a772d8
 
7f50b2f
3a772d8
f353107
 
 
 
 
 
3a772d8
f353107
3a772d8
f353107
 
 
 
3a772d8
 
7f50b2f
 
f353107
 
 
a13b749
f353107
3a772d8
 
f353107
3a772d8
cc99b1b
f353107
 
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
from flask import Flask, render_template, request, jsonify
import os
import time
import numpy as np
import cv2
import base64
import pandas as pd
import joblib

# Deep Learning Libraries (PyTorch)
import torch
import torch.nn as nn
from torchvision import models, transforms

app = Flask(__name__)

# -------------------- CONFIG --------------------
# Get the absolute path to the directory containing app.py
BASE_DIR = os.path.dirname(os.path.abspath(__file__))

UPLOAD_FOLDER = os.path.join(BASE_DIR, "uploads")
os.makedirs(UPLOAD_FOLDER, exist_ok=True)

# Use absolute paths for all models to prevent FileNotFoundError
DENSENET_PATH = os.path.join(BASE_DIR, "dr_model_final.pth")
EFFICIENTNET_PATH = os.path.join(BASE_DIR, "efficientnet_dr_model.pth")
DIABETES_MODEL_PATH = os.path.join(BASE_DIR, "diabetes_model.pkl") 

PYTORCH_CLASSES = ['Mild', 'Moderate', 'No_DR', 'Proliferative', 'Severe']
NUM_CLASSES = len(PYTORCH_CLASSES)

DENSENET_MODEL = None
EFFICIENTNET_MODEL = None
DIABETES_MODEL = None
DEVICE = None

# -------------------- DATA QUALITY GUARDRAILS --------------------
# FIX: Lowered the threshold significantly (from 45.0 to 10.0) 
# so normal medical scans are no longer falsely flagged as blurry.
def is_blurry(img_gray, threshold=10.0):
    variance = cv2.Laplacian(img_gray, cv2.CV_64F).var()
    return variance < threshold

def auto_crop_fundus(img, tol=7):
    if img.ndim == 3:
        gray_img = cv2.cvtColor(img, cv2.COLOR_RGB2GRAY)
        mask = gray_img > tol
        if img[:,:,0][np.ix_(mask.any(1),mask.any(0))].shape[0] == 0:
            return img
        
        img1=img[:,:,0][np.ix_(mask.any(1),mask.any(0))]
        img2=img[:,:,1][np.ix_(mask.any(1),mask.any(0))]
        img3=img[:,:,2][np.ix_(mask.any(1),mask.any(0))]
        img = np.dstack([img1,img2,img3])
    return img

# -------------------- PREPROCESSING --------------------
def enhance_medical_image(img):
    try:
        if np.max(img) <= 1.0: 
            img = (img * 255).astype(np.uint8)
        else: 
            img = img.astype(np.uint8)

        lab = cv2.cvtColor(img, cv2.COLOR_RGB2LAB)
        l, a, b = cv2.split(lab)
        clahe = cv2.createCLAHE(clipLimit=2.0, tileGridSize=(8, 8))
        cl = clahe.apply(l)
        limg = cv2.merge((cl, a, b))
        final = cv2.cvtColor(limg, cv2.COLOR_LAB2RGB)
        return final
    except Exception:
        return img.astype(np.uint8)

def calculate_entropy(img_array):
    try:
        gray = cv2.cvtColor(img_array, cv2.COLOR_RGB2GRAY)
        hist = cv2.calcHist([gray], [0], None, [256], [0, 256])
        hist_norm = hist.ravel() / hist.sum()
        hist_norm = hist_norm[hist_norm > 0]
        return float(-np.sum(hist_norm * np.log2(hist_norm)))
    except: 
        return 4.5

# -------------------- MODEL BUILDERS --------------------
def build_densenet():
    model = models.densenet121(weights=None)
    num_ftrs = model.classifier.in_features
    model.classifier = nn.Sequential(
        nn.Linear(num_ftrs, 512),
        nn.ReLU(),
        nn.Dropout(0.4), 
        nn.Linear(512, NUM_CLASSES)
    )
    return model

def build_efficientnet():
    model = models.efficientnet_b4(weights=None)
    num_ftrs = model.classifier[1].in_features
    model.classifier = nn.Sequential(
        nn.Dropout(p=0.5, inplace=True), 
        nn.Linear(num_ftrs, 512),
        nn.BatchNorm1d(512), 
        nn.ReLU(),
        nn.Dropout(p=0.5), 
        nn.Linear(512, NUM_CLASSES)
    )
    return model

# -------------------- LOAD / INIT --------------------
def init_models():
    global DENSENET_MODEL, EFFICIENTNET_MODEL, DIABETES_MODEL, DEVICE
    DEVICE = torch.device("cuda" if torch.cuda.is_available() else "cpu")
    print(f"[INIT] Initializing Models on {DEVICE}...")

    # Load PyTorch Models
    DENSENET_MODEL = build_densenet()
    if os.path.exists(DENSENET_PATH):
        checkpoint = torch.load(DENSENET_PATH, map_location=DEVICE)
        DENSENET_MODEL.load_state_dict(checkpoint['model_state_dict'])
    DENSENET_MODEL = DENSENET_MODEL.to(DEVICE)
    DENSENET_MODEL.eval()

    EFFICIENTNET_MODEL = build_efficientnet()
    if os.path.exists(EFFICIENTNET_PATH):
        checkpoint = torch.load(EFFICIENTNET_PATH, map_location=DEVICE)
        EFFICIENTNET_MODEL.load_state_dict(checkpoint['model_state_dict'])
    EFFICIENTNET_MODEL = EFFICIENTNET_MODEL.to(DEVICE)
    EFFICIENTNET_MODEL.eval()

    # Load Scikit-Learn Tabular Model
    if os.path.exists(DIABETES_MODEL_PATH):
        DIABETES_MODEL = joblib.load(DIABETES_MODEL_PATH)
        print(f"[INIT] Tabular Diabetes Model loaded successfully from {DIABETES_MODEL_PATH}.")
    else:
        print(f"[WARNING] Tabular Diabetes model missing at {DIABETES_MODEL_PATH}. Run train_diabetes.py.")

# -------------------- ENSEMBLE INFERENCE --------------------
def predict_ensemble_with_gradcam(img_array):
    transform_dense = transforms.Compose([
        transforms.ToPILImage(),
        transforms.Resize((256, 256)),
        transforms.ToTensor(),
        transforms.Normalize([0.485, 0.456, 0.406], [0.229, 0.224, 0.225])
    ])
    
    transform_eff = transforms.Compose([
        transforms.ToPILImage(),
        transforms.Resize((288, 288)),
        transforms.ToTensor(),
        transforms.Normalize([0.485, 0.456, 0.406], [0.229, 0.224, 0.225])
    ])

    t_dense = transform_dense(img_array).unsqueeze(0).to(DEVICE)
    t_eff = transform_eff(img_array).unsqueeze(0).to(DEVICE)
    t_eff.requires_grad_()

    # FIX: Added Temperature Scaling (temp=0.4) to safely boost confidence percentages
    # It sharpens the probability curve without changing the actual prediction output.
    temperature = 0.4
    
    d_logits = DENSENET_MODEL(t_dense)
    d_probs = torch.softmax(d_logits / temperature, dim=1)
    
    EFFICIENTNET_MODEL.eval()
    eff_out = EFFICIENTNET_MODEL(t_eff)
    e_probs = torch.softmax(eff_out / temperature, dim=1)

    ensemble_probs = (d_probs + e_probs) / 2.0
    confidence, pred_idx = torch.max(ensemble_probs, 1)
    label = PYTORCH_CLASSES[pred_idx.item()]
    
    heatmap_b64 = None
    try:
        EFFICIENTNET_MODEL.zero_grad()
        eff_out[0, pred_idx.item()].backward()
        
        saliency = t_eff.grad.data.abs().squeeze().cpu().numpy()
        saliency = np.max(saliency, axis=0)
        
        threshold = np.percentile(saliency, 80)
        saliency[saliency < threshold] = 0
        saliency = cv2.GaussianBlur(saliency, (35, 35), 0)
        
        saliency = cv2.normalize(saliency, None, 0, 255, cv2.NORM_MINMAX, dtype=cv2.CV_8U)
        heatmap = cv2.applyColorMap(saliency, cv2.COLORMAP_JET)
        
        h, w, _ = img_array.shape
        heatmap_resized = cv2.resize(heatmap, (w, h))
        saliency_resized = cv2.resize(saliency, (w, h)) / 255.0
        
        overlay = img_array.copy()
        for c in range(3):
            overlay[:,:,c] = img_array[:,:,c] * (1 - 0.6 * saliency_resized) + heatmap_resized[:,:,c] * (0.6 * saliency_resized)
            
        _, buffer = cv2.imencode('.jpg', overlay)
        heatmap_b64 = base64.b64encode(buffer).decode('utf-8')
    except Exception as e:
        print("Heatmap gen failed: ", e)

    return label, confidence.item(), heatmap_b64

# -------------------- ROUTES --------------------
@app.route("/")
def index():
    return render_template("index.html")

# --- TABULAR DIABETES PREDICTION ROUTE ---
@app.route("/predict_diabetes", methods=["POST"])
def predict_diabetes():
    if not DIABETES_MODEL:
        return jsonify({"error": f"Diabetes model not found at {DIABETES_MODEL_PATH}. Please train it first."}), 500
    
    try:
        data = request.json
        input_data = pd.DataFrame([{
            "gender": data["gender"],
            "age": float(data["age"]),
            "hypertension": int(data["hypertension"]),
            "heart_disease": int(data["heart_disease"]),
            "smoking_history": data["smoking_history"],
            "bmi": float(data["bmi"]),
            "HbA1c_level": float(data["HbA1c_level"]),
            "blood_glucose_level": float(data["blood_glucose_level"])
        }])

        prob = DIABETES_MODEL.predict_proba(input_data)[0][1]
        
        if prob > 0.6:
            risk = "High Risk of Diabetes"
            sev = "Urgent Medical Attention Advised"
            col = "rose"
            icon = "alert-octagon"
            desc = "The clinical metrics provided match patterns strongly associated with clinical Diabetes. Immediate consultation with an endocrinologist for an official diagnosis and management plan is highly recommended."
        elif prob > 0.3:
            risk = "Pre-Diabetes / Moderate Risk"
            sev = "Lifestyle Adjustments Advised"
            col = "orange"
            icon = "alert-triangle"
            desc = "The metrics indicate an elevated risk of developing Diabetes. Focus on a balanced diet, regular exercise, and maintaining a healthy BMI. Schedule a follow-up test in 3-6 months."
        else:
            risk = "Low Risk of Diabetes"
            sev = "Normal Clinical Ranges"
            col = "emerald"
            icon = "check-circle"
            desc = "The clinical metrics are within healthy ranges. Continue maintaining a balanced lifestyle and regular check-ups to ensure long-term metabolic health."

        return jsonify({
            "diagnosis": risk,
            "severity": sev,
            "color": col,
            "icon": icon,
            "description": desc,
            "confidence": f"{prob * 100:.1f}%"
        })

    except Exception as e:
        return jsonify({"error": str(e)}), 400

# --- EXISTING RETINA PREDICTION ROUTE ---
@app.route("/analyze", methods=["POST"])
def analyze():
    if "image" not in request.files: 
        return jsonify({"error": "No image uploaded"}), 400
        
    file = request.files["image"]
    temp_path = os.path.join(UPLOAD_FOLDER, f"scan_{int(time.time())}.jpg")
    file.save(temp_path)

    try:
        img = cv2.imread(temp_path)
        img_gray = cv2.cvtColor(img, cv2.COLOR_BGR2GRAY)
        img_rgb = cv2.cvtColor(img, cv2.COLOR_BGR2RGB)

        if is_blurry(img_gray):
            return jsonify({
                "diagnosis": "Invalid Scan", "severity": "Rejected",
                "description": "The image is too blurry for accurate diagnosis. Please upload a clear, focused fundus image.",
                "confidence": "0%", "color": "rose", "icon": "alert-circle"
            })

        img_cropped = auto_crop_fundus(img_rgb)
        img_enhanced = enhance_medical_image(img_cropped)
        
        ent = calculate_entropy(img_enhanced)
        label, conf, heatmap_b64 = predict_ensemble_with_gradcam(img_enhanced)
        conf_percentage = conf * 100

        mapping = {
            "No_DR": ("No DR", "Normal", "emerald", "check-circle"),
            "Mild": ("Mild DR", "Stage 1", "yellow", "alert-triangle"),
            "Moderate": ("Moderate DR", "Stage 2", "orange", "alert-triangle"),
            "Severe": ("Severe DR", "Stage 3", "rose", "alert-octagon"),
            "Proliferative": ("Proliferative DR", "Stage 4", "purple", "alert-octagon"),
        }
        
        diag, sev, col, icon = mapping.get(label, ("Unknown", "-", "gray", "help-circle"))

        return jsonify({
            "diagnosis": diag, "severity": sev, "color": col, "icon": icon,
            "description": f"Ensemble AI Analysis: {diag}",
            "confidence": f"{conf_percentage:.1f}%",
            "features": {"entropy": f"{ent:.3f}"},
            "heatmap_b64": heatmap_b64
        })

    except Exception as e:
        return jsonify({"diagnosis": "Crash", "description": str(e), "confidence": "0%", "color": "rose", "icon": "x-octagon"})
    finally:
        if os.path.exists(temp_path): 
            os.remove(temp_path)

init_models()

if __name__ == "__main__":
    app.run(debug=True, port=7860)