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Automatic diagnosis of retinal images for early detection of glaucoma, stroke, and blindness is emerging in intelligent health care system. The method primarily depends on various abnormal signs, such as area of hard exudates, area of blood vessels, bifurcation points, texture, and entropies. The development of an automated screening system based on vessel width, tortuosity, and vessel branching are also used for grading. However, the automated method that directly can come to a decision by taking the fundus images got less attention. Detecting eye problems based on the tortuosity of the vessel from fundus images is a complicated task for opthalmologists. So automated grading algorithm using deep learning can be most valuable for grading retinal health. The aim of this work is to develop an automatic computer aided diagnosis system to solve the problem. This work approaches to achieve an automatic grading method that is opted using Convolutional Neural Network (CNN) model. In this work we have studied the state-of-the-art machine learning algorithms and proposed an attention network which can grade retinal images. The proposed method is validated on a public dataset EIARG1, which is only publicly available dataset for such task as per our knowledge.<\/jats:p>","DOI":"10.1007\/s10916-020-01635-1","type":"journal-article","created":{"date-parts":[[2020,9,1]],"date-time":"2020-09-01T15:03:48Z","timestamp":1598972628000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":25,"title":["Automatic Grading of Retinal Blood Vessel in Deep Retinal Image Diagnosis"],"prefix":"10.1007","volume":"44","author":[{"given":"Debasis","family":"Maji","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0706-2565","authenticated-orcid":false,"given":"Arif Ahmed","family":"Sekh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2020,9,1]]},"reference":[{"issue":"suppl 1","key":"1635_CR1","doi-asserted-by":"crossref","first-page":"s84","DOI":"10.2337\/diacare.27.2007.S84","volume":"7","author":"DS Fong","year":"2004","unstructured":"Fong D. 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