TY - JOUR UR - http://doi.org/10.1109/ACCESS.2024.3405570 N2 - Humans can carry various diseases, some of which are poorly understood and lack comprehensive solutions. Such a disease can exists in human eye that can affect one or both eyes is diabetic retinopathy (DR) which can impair function, vision, and eventually result in permanent blindness. It is one of those complex complexities. Therefore, early detection of DR can significantly reduce the risk of vision impairment by appropriate treatment and necessary precautions. The primary aim of this study is to leverage cutting-edge models trained on diverse image datasets and propose a CNN model that demonstrates comparable performance. Specifically, we employ transfer learning models such as DenseNet121, Xception, Resnet50, VGG16, VGG19, and InceptionV3, and machine learning models such as SVM, and neural network models like (RNN) for binary and multi-class classification. It has been shown that the proposed approach of multi-label classification with softmax functions and categorical cross-entropy works more effectively, yielding perfect accuracy, precision, and recall values. In particular, Xception achieved an impressive 82% accuracy among all the transfer learning models, setting a new benchmark for the dataset used. However, our proposed CNN model shows superior performance, achieving an accuracy of 95.27% on this dataset, surpassing the state-of-the-art Xception model. Moreover, for single-label (binary classifications), our proposed model achieved perfect accuracy as well. Through exploration of these advances, our objective is to provide a comprehensive overview of the leading methods for the early detection of DR. The aim is to discuss the challenges associated with these methods and highlight potential enhancements. In essence, this paper provides a high-level perspective on the integration of deep learning techniques and machine learning models, coupled with explainable artificial intelligence (XAI) and gradient-weighted class activation mapping (Grad-CAM). We prese... VL - 12 Y1 - 2024/05// ID - uneatlantico12752 TI - Enhancing Early Detection of Diabetic Retinopathy Through the Integration of Deep Learning Models and Explainable Artificial Intelligence AV - public KW - Diabetic retinopathy KW - transfer learning KW - CNN KW - Xception KW - inception KW - Grad-CAM SN - 2169-3536 SP - 73950 EP - 73969 JF - IEEE Access A1 - Ahnaf Alavee, Kazi A1 - Hasan, Mehedi A1 - Hasnayen Zillanee, Abu A1 - Mostakim, Moin A1 - Uddin, Jia A1 - Silva Alvarado, Eduardo René A1 - de la Torre Diez, Isabel A1 - Ashraf, Imran A1 - Abdus Samad, Md ER -