# A New Semi-supervised Learning Benchmark for Classifying View and Diagnosing Aortic Stenosis from Echocardiograms

arXiv: https://arxiv.org/abs/2108.00080 · HTML: https://mlsanity.com/paper/2108.00080/

## Key facts

- Cited by 15 papers in the map (data through 14 Oct 2026).
- Builds on 22 of its 59 references that are in the map.
- First posted on arXiv 30 Jul 2021.

## Builds on (most cited first, 22 of 22)

- [Adam: A Method for Stochastic Optimization](https://mlsanity.com/paper/1412.6980/) (2014)
- [Grad-CAM: Visual Explanations from Deep Networks via Gradient-based Localization](https://mlsanity.com/paper/1610.02391/) (2016)
- [mixup: Beyond Empirical Risk Minimization](https://mlsanity.com/paper/1710.09412/) (2017)
- [Wide Residual Networks](https://mlsanity.com/paper/1605.07146/) (2016)
- [Deep Inside Convolutional Networks: Visualising Image Classification Models and Saliency Maps](https://mlsanity.com/paper/1312.6034/) (2013)
- [FixMatch: Simplifying Semi-Supervised Learning with Consistency and Confidence](https://mlsanity.com/paper/2001.07685/) (2020)
- [MixMatch: A Holistic Approach to Semi-Supervised Learning](https://mlsanity.com/paper/1905.02249/) (2019)
- [Big Self-Supervised Models are Strong Semi-Supervised Learners](https://mlsanity.com/paper/2006.10029/) (2020)
- [Sanity Checks for Saliency Maps](https://mlsanity.com/paper/1810.03292/) (2018)
- [Unsupervised Data Augmentation for Consistency Training](https://mlsanity.com/paper/1904.12848/) (2019)
- [Virtual Adversarial Training: A Regularization Method for Supervised and Semi-Supervised Learning](https://mlsanity.com/paper/1704.03976/) (2017)
- [A Survey on Multi-Task Learning](https://mlsanity.com/paper/1707.08114/) (2017)
- [An Overview of Multi-Task Learning in Deep Neural Networks](https://mlsanity.com/paper/1706.05098/) (2017)
- [Deep Learning for Medical Image Analysis](https://mlsanity.com/paper/1708.08987/) (2017)
- [Snapshot Ensembles: Train 1, get M for free](https://mlsanity.com/paper/1704.00109/) (2017)
- [ReMixMatch: Semi-Supervised Learning with Distribution Alignment and Augmentation Anchoring](https://mlsanity.com/paper/1911.09785/) (2019)
- [Deep Learning for Segmentation using an Open Large-Scale Dataset in 2D Echocardiography](https://mlsanity.com/paper/1908.06948/) (2019)
- [Unrolled Generative Adversarial Networks](https://mlsanity.com/paper/1611.02163/) (2016)
- [Deep learning for cardiac image segmentation: A review](https://mlsanity.com/paper/1911.03723/) (2019)
- [Do GANs actually learn the distribution? An empirical study](https://mlsanity.com/paper/1706.08224/) (2017)
- [Mutual Information-based Disentangled Neural Networks for Classifying Unseen Categories in Different Domains: Application to Fetal Ultrasound Imaging](https://mlsanity.com/paper/2011.00739/) (2020)
- [VeniBot: Towards Autonomous Venipuncture with Semi-supervised Vein Segmentation from Ultrasound Images](https://mlsanity.com/paper/2105.12945/) (2021)

## Built on by (most cited first, 15 of 15)

- [Fix-A-Step: Semi-supervised Learning from Uncurated Unlabeled Data](https://mlsanity.com/paper/2208.11870/) (2022)
- [ProtoASNet: Dynamic Prototypes for Inherently Interpretable and Uncertainty-Aware Aortic Stenosis Classification in Echocardiography](https://mlsanity.com/paper/2307.14433/) (2023)
- [GEMTrans: A General, Echocardiography-based, Multi-Level Transformer Framework for Cardiovascular Diagnosis](https://mlsanity.com/paper/2308.13217/) (2023)
- [Systematic comparison of semi-supervised and self-supervised learning for medical image classification](https://mlsanity.com/paper/2307.08919/) (2023)
- [Detecting Heart Disease from Multi-View Ultrasound Images via Supervised Attention Multiple Instance Learning](https://mlsanity.com/paper/2306.00003/) (2023)
- [Semi-Supervised Multimodal Multi-Instance Learning for Aortic Stenosis Diagnosis](https://mlsanity.com/paper/2403.06024/) (2024)
- [Self-supervised contrastive learning of echocardiogram videos enables label-efficient cardiac disease diagnosis](https://mlsanity.com/paper/2207.11581/) (2022)
- [A Probabilistic Method to Predict Classifier Accuracy on Larger Datasets given Small Pilot Data](https://mlsanity.com/paper/2311.18025/) (2023)
- [BackMix: Mitigating Shortcut Learning in Echocardiography with Minimal Supervision](https://mlsanity.com/paper/2406.19148/) (2024)
- [Reliable Multi-View Learning with Conformal Prediction for Aortic Stenosis Classification in Echocardiography](https://mlsanity.com/paper/2409.09680/) (2024)
- [Atrial Septal Defect Detection in Children Based on Ultrasound Video Using Multiple Instances Learning](https://mlsanity.com/paper/2306.03835/) (2023)
- [Unlocking the Heart Using Adaptive Locked Agnostic Networks](https://mlsanity.com/paper/2309.11899/) (2023)
- [InterLUDE: Interactions between Labeled and Unlabeled Data to Enhance Semi-Supervised Learning](https://mlsanity.com/paper/2403.10658/) (2024)
- [Pseudo-D: Informing Multi-View Uncertainty Estimation with Calibrated Neural Training Dynamics](https://mlsanity.com/paper/2509.11800/) (2025)
- [Subgroup Validity in Machine Learning for Echocardiogram Data](https://mlsanity.com/paper/2512.00976/) (2025)

## Abstract (arXiv)

Semi-supervised image classification has shown substantial progress in learning from limited labeled data, but recent advances remain largely untested for clinical applications. Motivated by the urgent need to improve timely diagnosis of life-threatening heart conditions, especially aortic stenosis, we develop a benchmark dataset to assess semi-supervised approaches to two tasks relevant to cardiac ultrasound (echocardiogram) interpretation: view classification and disease severity classification. We find that a state-of-the-art method called MixMatch achieves promising gains in heldout accuracy on both tasks, learning from a large volume of truly unlabeled images as well as a labeled set collected at great expense to achieve better performance than is possible with the labeled set alone. We further pursue patient-level diagnosis prediction, which requires aggregating across hundreds of images of diverse view types, most of which are irrelevant, to make a coherent prediction. The best patient-level performance is achieved by new methods that prioritize diagnosis predictions from images that are predicted to be clinically-relevant views and transfer knowledge from the view task to the diagnosis task. We hope our released Tufts Medical Echocardiogram Dataset and evaluation framework inspire further improvements in multi-task semi-supervised learning for clinical applications.
