For a particularly long time, automatic diagnosis of diabetic retinopathy digital fundus images has been an active research topic in the medical image processing community. The research interest is justified by the excellent potential for new products in the medical industry and significant reductions in health care costs. However, the maturity of proposed algorithms cannot be judged due to the lack of commonly accepted and representative image with a verified ground truth and strict uation protocol. In this study, an uation methodology is proposed and an image with ground truth is described

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