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Mining Gaze for Contrastive Learning toward Computer-Assisted Diagnosis

AAAI 2024 · Vision-language and multimodal › Human and embodied modeling · approach: Medical vision-language models · 12 citations (OpenAlex)

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Proposes McGIP, a plug-and-play module that uses radiologists' eye-tracking gaze similarity to create extra positive pairs in contrastive pre-training (BYOL, MoCo, SimSiam) for medical image classification on INbreast mammography and Tufts dental X-rays.

Problem

Contrastive pre-training for medical images relies on augmentation-based positive pairs; radiology reports are hard to obtain and classification labels are coarse and can collapse representations, so an alternative source of semantic positive pairs is needed.

Approach

Treat images that elicit similar radiologist gaze patterns as positive pairs, using three similarity schemes (multi-match on gaze sequences, Hu-moment-based gaze moment on heatmaps, and dHash on heatmaps for structured images), with a weighted contrastive loss over thresholded affinity.

Key results

Measured effects reported in the paper

What was changedWhereMeasuredEffect
Add McGIP to MoCoMoCo with ResNet50 · INbreastACC: 81.62±1.38 -> 85.68±1.38Helped
Add McGIP to BYOLBYOL with ResNet50 · INbreastM-AUC: 93.84±1.72 -> 97.07±0.75Helped
Add McGIP to BYOLBYOL with ResNet50 · TuftsAUC: 52.12 -> 61.35Helped
Use gaze moment instead of multi-match gaze-sequence similarity (ablation)BYOL+McGIP with ResNet50 · INbreast fine-tuningM-AUC: 97.07±0.75 -> 95.75±1.10Hurt
Use gaze moment instead of multi-match gaze-sequence similarity (ablation)BYOL+McGIP with ResNet50 · INbreast linear probingM-AUC: 78.31±2.89 -> 82.20±2.18Helped
Use gaze-based positive pairs instead of diagnosis-label positive pairsBYOL with ResNet50 · INbreastAUC: 88.96±1.61 -> 93.80±0.79Helped
Use gaze-based positive pairs instead of diagnosis-label positive pairsBYOL with ResNet50 · TuftsACC: 58.00 -> 67.5Helped
Use gaze-based positive pairs instead of diagnosis-label positive pairsBYOL with ResNet101 · INbreastAUC: 90.60±2.97 -> 90.09±3.08Hurt
Increase gaze-similarity threshold to 0.8 or 0.9 (ablation)McGIP with BYOL and ResNet50 · INbreastlinear-probing performanceHurt
Lower gaze-similarity threshold below 0.6 (ablation)McGIP with BYOL and ResNet50 · INbreastlinear-probing performanceHurt
Increase pre-training epochs beyond 300 (ablation)McGIP with BYOL and ResNet50 · INbreastlinear-probing performanceNo clear effect

Surprising findings

Limitations

Experimental setup

Datasets: INbreast Tufts dental dataset

Benchmarks: INbreast Tufts dental dataset

Metrics: ACC AUC M-AUC

Baselines: From-scratch ImageNet pre-training MoCo BYOL SimSiam BYOL+Sup

Builds on: MoCo BYOL SimSiam multi-match Hu moments

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