Xiaoxiao Li

Wenlong Deng, Yuan Zhong, Qi Dou et al.

Mitigating the discrimination of machine learning models has gained increasing attention in medical image analysis. However, rare works focus on fair treatments for patients with multiple sensitive demographic ones, which is a crucial yet challenging problem for real-world clinical applications. In this paper, we propose a novel method for fair representation learning with respect to multi-sensitive attributes. We pursue the independence between target and multi-sensitive representations by achieving orthogonality in the representation space. Concretely, we enforce the column space orthogonality by keeping target information on the complement of a low-rank sensitive space. Furthermore, in the row space, we encourage feature dimensions between target and sensitive representations to be orthogonal. The effectiveness of the proposed method is demonstrated with extensive experiments on the CheXpert dataset. To our best knowledge, this is the first work to mitigate unfairness with respect to multiple sensitive attributes in the field of medical imaging.

Beidi Zhao, SangMook Kim, Hao Chen et al.

Multiple Instance Learning (MIL) has advanced WSI analysis but struggles with the complexity and heterogeneity of WSIs. Existing MIL methods face challenges in aggregating diverse patch information into robust WSI representations. While ViTs and clustering-based approaches show promise, they are computationally intensive and fail to capture task-specific and slide-specific variability. To address these limitations, we propose PTCMIL, a novel Prompt Token Clustering-based ViT for MIL aggregation. By introducing learnable prompt tokens into the ViT backbone, PTCMIL unifies clustering and prediction tasks in an end-to-end manner. It dynamically aligns clustering with downstream tasks, using projection-based clustering tailored to each WSI, reducing complexity while preserving patch heterogeneity. Through token merging and prototype-based pooling, PTCMIL efficiently captures task-relevant patterns. Extensive experiments on eight datasets demonstrate its superior performance in classification and survival analysis tasks, outperforming state-of-the-art methods. Systematic ablation studies confirm its robustness and strong interpretability. The code is released at https://github.com/ubc-tea/PTCMIL.

Zhuang Qi, Ying-Peng Tang, Lei Meng et al.

Federated Class Incremental Learning (FCIL) aims to collaboratively process continuously increasing incoming tasks across multiple clients. Among various approaches, data replay has become a promising solution, which can alleviate forgetting by reintroducing representative samples from previous tasks. However, their performance is typically limited by class imbalance, both within the replay buffer due to limited global awareness and between replayed and newly arrived classes. To address this issue, we propose a class wise balancing data replay method for FCIL (FedCBDR), which employs a global coordination mechanism for class-level memory construction and reweights the learning objective to alleviate the aforementioned imbalances. Specifically, FedCBDR has two key components: 1) the global-perspective data replay module reconstructs global representations of prior task in a privacy-preserving manner, which then guides a class-aware and importance-sensitive sampling strategy to achieve balanced replay; 2) Subsequently, to handle class imbalance across tasks, the task aware temperature scaling module adaptively adjusts the temperature of logits at both class and instance levels based on task dynamics, which reduces the model's overconfidence in majority classes while enhancing its sensitivity to minority classes. Experimental results verified that FedCBDR achieves balanced class-wise sampling under heterogeneous data distributions and improves generalization under task imbalance between earlier and recent tasks, yielding a 2%-15% Top-1 accuracy improvement over six state-of-the-art methods.

Yanting Yang, Xiaoxiao Li

Integrating functional magnetic resonance imaging (fMRI) connectivity data with phenotypic textual descriptors (e.g., disease label, demographic data) holds significant potential to advance our understanding of neurological conditions. However, existing cross-modal alignment methods often lack interpretability and risk introducing biases by encoding sensitive attributes together with diagnostic-related features. In this work, we propose NeuroLIP, a novel cross-modal contrastive learning framework. We introduce text token-conditioned attention (TTCA) and cross-modal alignment via localized tokens (CALT) to the brain region-level embeddings with each disease-related phenotypic token. It improves interpretability via token-level attention maps, revealing brain region-disease associations. To mitigate bias, we propose a loss for sensitive attribute disentanglement that maximizes the attention distance between disease tokens and sensitive attribute tokens, reducing unintended correlations in downstream predictions. Additionally, we incorporate a negative gradient technique that reverses the sign of CALT loss on sensitive attributes, further discouraging the alignment of these features. Experiments on neuroimaging datasets (ABIDE and ADHD-200) demonstrate NeuroLIP's superiority in terms of fairness metrics while maintaining the overall best standard metric performance. Qualitative visualization of attention maps highlights neuroanatomical patterns aligned with diagnostic characteristics, validated by the neuroscientific literature. Our work advances the development of transparent and equitable neuroimaging AI.