Numerous studies have revealed that deep learning-based medical image classification models may exhibit bias towards specific demographic attributes, such as race, gender, and age. Existing bias mitigation methods often achieve high level of fairness at the cost of significant accuracy degradation. In response to this challenge, we propose an innovative and adaptable Soft Nearest Neighbor Loss-based channel pruning framework, which achieves fairness through channel pruning. Traditionally, channel pruning is utilized to accelerate neural network inference. However, our work demonstrates that pruning can also be a potent tool for achieving fairness. Our key insight is that different channels in a layer contribute differently to the accuracy of different groups. By selectively pruning critical channels that lead to the accuracy difference between the privileged and unprivileged groups, we can effectively improve fairness without sacrificing accuracy significantly. Experiments conducted on two skin lesion diagnosis datasets across multiple sensitive attributes validate the effectiveness of our method in achieving state-of-the-art trade-off between accuracy and fairness. Our code is available at https://github.com/Kqp1227/Sensitive-Channel-Pruning.

In medical image diagnosis, fairness has become increasingly crucial. Without bias mitigation, deploying unfair AI would harm the interests of the underprivileged population and potentially tear society apart. Recent research addresses prediction biases in deep learning models concerning demographic groups (e.g., gender, age, and race) by utilizing demographic (sensitive attribute) information during training. However, many sensitive attributes naturally exist in dermatological disease images. If the trained model only targets fairness for a specific attribute, it remains unfair for other attributes. Moreover, training a model that can accommodate multiple sensitive attributes is impractical due to privacy concerns. To overcome this, we propose a method enabling fair predictions for sensitive attributes during the testing phase without using such information during training. Inspired by prior work highlighting the impact of feature entanglement on fairness, we enhance the model features by capturing the features related to the sensitive and target attributes and regularizing the feature entanglement between corresponding classes. This ensures that the model can only classify based on the features related to the target attribute without relying on features associated with sensitive attributes, thereby improving fairness and accuracy. Additionally, we use disease masks from the Segment Anything Model (SAM) to enhance the quality of the learned feature. Experimental results demonstrate that the proposed method can improve fairness in classification compared to state-of-the-art methods in two dermatological disease datasets.

Magnetic resonance imaging (MRI) is commonly used for brain tumor segmentation, which is critical for patient evaluation and treatment planning. To reduce the labor and expertise required for labeling, weakly-supervised semantic segmentation (WSSS) methods with class activation mapping (CAM) have been proposed. However, existing CAM methods suffer from low resolution due to strided convolution and pooling layers, resulting in inaccurate predictions. In this study, we propose a novel CAM method, Attentive Multiple-Exit CAM (AME-CAM), that extracts activation maps from multiple resolutions to hierarchically aggregate and improve prediction accuracy. We evaluate our method on the BraTS 2021 dataset and show that it outperforms state-of-the-art methods.

Fairness has become increasingly pivotal in facial recognition. Without bias mitigation, deploying unfair AI would harm the interest of the underprivileged population. In this paper, we observe that though the higher accuracy that features from the deeper layer of a neural networks generally offer, fairness conditions deteriorate as we extract features from deeper layers. This phenomenon motivates us to extend the concept of multi-exit framework. Unlike existing works mainly focusing on accuracy, our multi-exit framework is fairness-oriented, where the internal classifiers are trained to be more accurate and fairer. During inference, any instance with high confidence from an internal classifier is allowed to exit early. Moreover, our framework can be applied to most existing fairness-aware frameworks. Experiment results show that the proposed framework can largely improve the fairness condition over the state-of-the-art in CelebA and UTK Face datasets.

Medical report generation is a challenging task since it is time-consuming and requires expertise from experienced radiologists. The goal of medical report generation is to accurately capture and describe the image findings. Previous works pretrain their visual encoding neural networks with large datasets in different domains, which cannot learn general visual representation in the specific medical domain. In this work, we propose a medical report generation framework that uses a contrastive learning approach to pretrain the visual encoder and requires no additional meta information. In addition, we adopt lung segmentation as an augmentation method in the contrastive learning framework. This segmentation guides the network to focus on encoding the visual feature within the lung region. Experimental results show that the proposed framework improves the performance and the quality of the generated medical reports both quantitatively and qualitatively.