Feng Hong

Gregory Holste, Yiliang Zhou, Song Wang et al.

Many real-world image recognition problems, such as diagnostic medical imaging exams, are "long-tailed" $\unicode{x2013}$ there are a few common findings followed by many more relatively rare conditions. In chest radiography, diagnosis is both a long-tailed and multi-label problem, as patients often present with multiple findings simultaneously. While researchers have begun to study the problem of long-tailed learning in medical image recognition, few have studied the interaction of label imbalance and label co-occurrence posed by long-tailed, multi-label disease classification. To engage with the research community on this emerging topic, we conducted an open challenge, CXR-LT, on long-tailed, multi-label thorax disease classification from chest X-rays (CXRs). We publicly release a large-scale benchmark dataset of over 350,000 CXRs, each labeled with at least one of 26 clinical findings following a long-tailed distribution. We synthesize common themes of top-performing solutions, providing practical recommendations for long-tailed, multi-label medical image classification. Finally, we use these insights to propose a path forward involving vision-language foundation models for few- and zero-shot disease classification.

Jiaan Luo, Feng Hong, Qiang Hu et al.

Long-tailed recognition is ubiquitous and challenging in deep learning and even in the downstream finetuning of foundation models, since the skew class distribution generally prevents the model generalization to the tail classes. Despite the promise of previous methods from the perspectives of data augmentation, loss rebalancing and decoupled training etc., consistent improvement in the broad scenarios like multi-label long-tailed recognition is difficult. In this study, we dive into the essential model capacity impact under long-tailed context, and propose a novel framework, Model Rebalancing (MORE), which mitigates imbalance by directly rebalancing the model's parameter space. Specifically, MORE introduces a low-rank parameter component to mediate the parameter space allocation guided by a tailored loss and sinusoidal reweighting schedule, but without increasing the overall model complexity or inference costs. Extensive experiments on diverse long-tailed benchmarks, spanning multi-class and multi-label tasks, demonstrate that MORE significantly improves generalization, particularly for tail classes, and effectively complements existing imbalance mitigation methods. These results highlight MORE's potential as a robust plug-and-play module in long-tailed settings.