This work investigates an important phenomenon in centroid-based deep clustering (DC) algorithms: Performance quickly saturates after a period of rapid early gains. Practitioners commonly address early saturation with periodic reclustering, which we demonstrate to be insufficient to address performance plateaus. We call this phenomenon the "reclustering barrier" and empirically show when the reclustering barrier occurs, what its underlying mechanisms are, and how it is possible to Break the Reclustering Barrier with our algorithm BRB. BRB avoids early over-commitment to initial clusterings and enables continuous adaptation to reinitialized clustering targets while remaining conceptually simple. Applying our algorithm to widely-used centroid-based DC algorithms, we show that (1) BRB consistently improves performance across a wide range of clustering benchmarks, (2) BRB enables training from scratch, and (3) BRB performs competitively against state-of-the-art DC algorithms when combined with a contrastive loss. We release our code and pre-trained models at https://github.com/Probabilistic-and-Interactive-ML/breaking-the-reclustering-barrier .

Hip fracture risk assessment is an important but challenging task. Quantitative CT-based patient specific finite element analysis (FEA) computes the force (fracture load) to break the proximal femur in a particular loading condition. It provides different structural information about the proximal femur that can influence a subject overall fracture risk. To obtain a more robust measure of fracture risk, we used principal component analysis (PCA) to develop a global FEA computed fracture risk index that incorporates the FEA-computed yield and ultimate failure loads and energies to failure in four loading conditions (single-limb stance and impact from a fall onto the posterior, posterolateral, and lateral aspects of the greater trochanter) of 110 hip fracture subjects and 235 age and sex matched control subjects from the AGES-Reykjavik study. We found that the first PC (PC1) of the FE parameters was the only significant predictor of hip fracture. Using a logistic regression model, we determined if prediction performance for hip fracture using PC1 differed from that using FE parameters combined by stratified random resampling with respect to hip fracture status. The results showed that the average of the area under the receive operating characteristic curve (AUC) using PC1 was always higher than that using all FE parameters combined in the male subjects. The AUC of PC1 and AUC of the FE parameters combined were not significantly different than that in the female subjects or in all subjects