CVMay 19, 2025

Expert-Like Reparameterization of Heterogeneous Pyramid Receptive Fields in Efficient CNNs for Fair Medical Image Classification

arXiv:2505.13039v21 citationsh-index: 16Has CodeIEEE Transactions on Medical Imaging
Originality Incremental advance
AI Analysis

This work addresses fairness and efficiency issues in medical image classification, which is critical for real-world diagnosis, but it appears incremental as it builds on existing efficient CNN architectures.

The paper tackled the challenges of capturing diverse lesion characteristics and unfair predictions in medical image classification by developing ERoHPRF, a method that mimics multi-expert consultation with heterogeneous pyramid receptive fields, resulting in a better trade-off in performance, fairness, and computation overhead compared to state-of-the-art methods.

Efficient convolutional neural network (CNN) architecture design has attracted growing research interests. However, they typically apply single receptive field (RF), small asymmetric RFs, or pyramid RFs to learn different feature representations, still encountering two significant challenges in medical image classification tasks: 1) They have limitations in capturing diverse lesion characteristics efficiently, e.g., tiny, coordination, small and salient, which have unique roles on the classification results, especially imbalanced medical image classification. 2) The predictions generated by those CNNs are often unfair/biased, bringing a high risk when employing them to real-world medical diagnosis conditions. To tackle these issues, we develop a new concept, Expert-Like Reparameterization of Heterogeneous Pyramid Receptive Fields (ERoHPRF), to simultaneously boost medical image classification performance and fairness. This concept aims to mimic the multi-expert consultation mode by applying the well-designed heterogeneous pyramid RF bag to capture lesion characteristics with varying significances effectively via convolution operations with multiple heterogeneous kernel sizes. Additionally, ERoHPRF introduces an expert-like structural reparameterization technique to merge its parameters with the two-stage strategy, ensuring competitive computation cost and inference speed through comparisons to a single RF. To manifest the effectiveness and generalization ability of ERoHPRF, we incorporate it into mainstream efficient CNN architectures. The extensive experiments show that our proposed ERoHPRF maintains a better trade-off than state-of-the-art methods in terms of medical image classification, fairness, and computation overhead. The code of this paper is available at https://github.com/XiaoLing12138/Expert-Like-Reparameterization-of-Heterogeneous-Pyramid-Receptive-Fields.

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