A system and method of classifying images of pathology. An image is received, normalized, and segmented normalizing the image； into a plurality of regions； A disease vector is automatically determining for the plurality of regions with at least one classifier comprising a neural network. Each of the respective plurality of regions is automatically annotated, based on the determined disease vectors. The received image is automatically graded based on at least the annotations. The neural network is trained based on at least an expert annotation of respective regions of images, according to at least one objective classification criterion. The images may be eye images, vascular images, or funduscopic images. The disease may be a vascular disease, vasculopathy, or diabetic retinopathy, for example.
