Zeynep Özdemır

Zeynep Ozdemir, Hacer Yalim Keles, Omer Ozgur Tanriover

Estimating disease severity from endoscopic images is essential in assessing ulcerative colitis, where the Mayo Endoscopic Subscore (MES) is widely used to grade inflammation. However, MES classification remains challenging due to label noise from inter-observer variability and the ordinal nature of the score, which standard models often ignore. We propose CLoE, a curriculum learning framework that accounts for both label reliability and ordinal structure. Image quality, estimated via a lightweight model trained on Boston Bowel Preparation Scale (BBPS) labels, is used as a proxy for annotation confidence to order samples from easy (clean) to hard (noisy). This curriculum is further combined with ResizeMix augmentation to improve robustness. Experiments on the LIMUC and HyperKvasir datasets, using both CNNs and Transformers, show that CLoE consistently improves performance over strong supervised and self-supervised baselines. For instance, ConvNeXt-Tiny reaches 82.5\% accuracy and a QWK of 0.894 on LIMUC with low computational cost. These results highlight the potential of difficulty-aware training strategies for improving ordinal classification under label uncertainty. Code will be released at https://github.com/zeynepozdemir/CLoE.

Zeynep Özdemir, Hacer Yalim Keles, Ömer Özgür Tanrıöver

Building accurate models for rare skin diseases remains challenging due to the lack of sufficient labeled data and the inherently long-tailed distribution of available samples. These issues are further complicated by inconsistencies in how datasets are collected and their varying objectives. To address these challenges, we compare three learning strategies: episodic learning, supervised transfer learning, and contrastive self-supervised pretraining, within a few-shot learning framework. We evaluate five training setups on three benchmark datasets: ISIC2018, Derm7pt, and SD-198. Our findings show that traditional transfer learning approaches, particularly those based on MobileNetV2 and Vision Transformer (ViT) architectures, consistently outperform episodic and self-supervised methods as the number of training examples increases. When combined with batch-level data augmentation techniques such as MixUp, CutMix, and ResizeMix, these models achieve state-of-the-art performance on the SD-198 and Derm7pt datasets, and deliver highly competitive results on ISIC2018. All the source codes related to this work will be made publicly available soon at the provided URL.