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Domain Adaptive Diabetic Retinopathy Grading with Model Absence and Flowing Data

CVPR 2025 · Label-efficient and robust learning › Domain adaptation and generalization · approach: Cross-domain few-shot with transformers · 1 citations (OpenAlex)

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Proposes GUES, a VAE-based generative unadversarial example generator trained with saliency-map supervision, to adapt diabetic retinopathy grading models in an online, model-agnostic setting without source data or model access.

Problem

Domain adaptation for diabetic retinopathy grading when the source model is absent (strictly controlled), target data arrives as a stream, and source data must remain private.

Approach

Reformulates iterative unadversarial perturbation optimization as a generative function of a latent input, instantiated with a VAE whose encoder predicts the latent and decoder generates per-image perturbations; saliency maps serve as pseudo-perturbation labels, justified by a theorem giving them as an upper bound on the latent input.

Key results

Measured effects reported in the paper

What was changedWhereMeasuredEffect
Apply GUES-generated unadversarial examples to the frozen source modelDeiT-base source model · 12 DR transfer tasks (Avg.)ACC: 53.9 -> 58.4 (+4.5)Helped
Apply GUES-generated unadversarial examples to the frozen source modelDeiT-base source model · 12 DR transfer tasks (Avg.)QWK: 60.1 -> 62.9 (+2.8)Helped
Preprocess online inputs with GUES before SHOT-IMSHOT-IM · 12 DR transfer tasks (Avg.)ACC: +3.0Helped
Preprocess online inputs with GUES before SHOT-IMSHOT-IM · 12 DR transfer tasks (Avg.)QWK: +2.2Helped
Preprocess online inputs with GUES before TENTTENT · 12 DR transfer tasks (Avg.)ACC: +1.7Helped
Preprocess online inputs with GUES before TENTTENT · 12 DR transfer tasks (Avg.)QWK: +4.1Helped
Remove both LKL and LMSE (ablation)GUES · APTOS (Avg.)ACC: 60.6 -> 51.0Hurt
Remove LMSE and retain LKL (ablation)GUES · APTOS (Avg.)ACC: 60.6 -> 54.7Hurt
Remove LKL and retain LMSE (ablation)GUES · APTOS (Avg.)ACC: 60.6 -> 56.9Hurt
Replace the VAE sampling component with a conventional autoencoder (ablation)GUES · APTOS (Avg.)ACC: 60.6 -> 53.8Hurt
Replace saliency-map supervision with a mix of saliency maps and original images (ablation)GUES · APTOS (Avg.)ACC: 60.6 -> 56.8Hurt
Replace saliency-map supervision with original images (ablation)GUES · APTOS (Avg.)ACC: 60.6 -> 56.5Hurt

Surprising findings

Limitations

Experimental setup

Datasets: APTOS DDR DeepDR Messidor-2

Benchmarks: APTOS DDR DeepDR Messidor-2

Metrics: ACC QWK AVG

Baselines: SHOT NRC CoWA PLUE TPDS SHOT-IM TENT SAR

Builds on: unadversarial examples SHOT TENT DeiT

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