A Systematic Benchmarking Analysis of Transfer Learning for Medical Image Analysis
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Abstract (arXiv)
Transfer learning from supervised ImageNet models has been frequently used in medical image analysis. Yet, no large-scale evaluation has been conducted to benchmark the efficacy of newly-developed pre-training techniques for medical image analysis, leaving several important questions unanswered. As the first step in this direction, we conduct a systematic study on the transferability of models pre-trained on iNat2021, the most recent large-scale fine-grained dataset, and 14 top self-supervised ImageNet models on 7 diverse medical tasks in comparison with the supervised ImageNet model. Furthermore, we present a practical approach to bridge the domain gap between natural and medical images by continually (pre-)training supervised ImageNet models on medical images. Our comprehensive evaluation yields new insights: (1) pre-trained models on fine-grained data yield distinctive local representations that are more suitable for medical segmentation tasks, (2) self-supervised ImageNet models learn holistic features more effectively than supervised ImageNet models, and (3) continual pre-training can bridge the domain gap between natural and medical images. We hope that this large-scale open evaluation of transfer learning can direct the future research of deep learning for medical imaging. As open science, all codes and pre-trained models are available on our GitHub page https://github.com/JLiangLab/BenchmarkTransferLearning.
Key facts. Cited by 31 papers in the map (data through 7 Oct 2026). Builds on 33 of its 45 references that are in the map. First posted on arXiv 12 Aug 2021.
Builds on
33 of 45 references.
References · 33
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Citing papers per year: 2021: 1; 2022: 13; 2023: 5; 2024: 7; 2025: 2; 2026: 3.
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- 2022Delving into Masked Autoencoders for Multi-Label Thorax Disease Classificationcited by 65
- 2022DiRA: Discriminative, Restorative, and Adversarial Learning for Self-supervised Medical Image Analysiscited by 48
- 2022Robust and Efficient Medical Imaging with Self-Supervisioncited by 40
- 2024Representing Part-Whole Hierarchies in Foundation Models by Learning Localizability, Composability, and Decomposability from Anatomy via Self-Supervisioncited by 12
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- 2022Probabilistic Integration of Object Level Annotations in Chest X-ray Classificationcited by 10
- 2022Anatomy-Aware Contrastive Representation Learning for Fetal Ultrasoundcited by 8
- 2022Vision Transformers in Medical Imaging: A Reviewcited by 8
- 2022Self-Supervised-RCNN for Medical Image Segmentation with Limited Data Annotationcited by 7
- 2023MoMA: Momentum Contrastive Learning with Multi-head Attention-based Knowledge Distillation for Histopathology Image Analysiscited by 6
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- 2024Which Backbone to Use: A Resource-efficient Domain Specific Comparison for Computer Visioncited by 5
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- 2024Learning Low-Rank Feature for Thorax Disease Classificationcited by 4
- 2023Revisiting Fine-Tuning Strategies for Self-supervised Medical Imaging Analysiscited by 2
- 2024Evaluating Self-Supervised Learning in Medical Imaging: A Benchmark for Robustness, Generalizability, and Multi-Domain Impactcited by 2
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- 2022A Knowledge-based Learning Framework for Self-supervised Pre-training Towards Enhanced Recognition of Biomedical Microscopy Imagescited by 1
- 2025From Classification to Cross-Modal Understanding: Leveraging Vision-Language Models for Fine-Grained Renal Pathologycited by 1
- 2026From pre-training to downstream performance: Does domain-specific pre-training make sense?cited by 1
- 2022Resource-efficient domain adaptive pre-training for medical imagescited by 0
- 2022RadTex: Learning Efficient Radiograph Representations from Text Reportscited by 0
- 2022Dive into Self-Supervised Learning for Medical Image Analysis: Data, Models and Taskscited by 0
- 2022Weakly Supervised Learning with Automated Labels from Radiology Reports for Glioma Change Detectioncited by 0
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- 2023Automatic retrieval of corresponding US views in longitudinal examinationscited by 0
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- 2024Leveraging Self-Supervised Learning for Fetal Cardiac Planes Classification using Ultrasound Scan Videoscited by 0
- 2025When Do Domain-Specific Foundation Models Justify Their Cost? A Systematic Evaluation Across Retinal Imaging Taskscited by 0
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- 2026A Unified Framework for the Detection and Classification of Fatty Pancreas in Ultrasound Imagescited by 0
- 2026From pre-training to downstream performance: Does domain-specific pre-training make sense?9 May 2026
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- 2026Multi-Dataset Cross-Domain Knowledge Distillation for Unified Medical Image Segmentation, Classification, and Detection2 May 2026
- 2025When Do Domain-Specific Foundation Models Justify Their Cost? A Systematic Evaluation Across Retinal Imaging Tasks27 Nov 2025
- 2025From Classification to Cross-Modal Understanding: Leveraging Vision-Language Models for Fine-Grained Renal Pathology15 Nov 2025
- 2024Evaluating Self-Supervised Learning in Medical Imaging: A Benchmark for Robustness, Generalizability, and Multi-Domain Impact26 Dec 2024
- 2024Leveraging Self-Supervised Learning for Fetal Cardiac Planes Classification using Ultrasound Scan Videos31 Jul 2024
- 2024Transfer or Self-Supervised? Bridging the Performance Gap in Medical Imaging8 Jul 2024
- 2024Which Backbone to Use: A Resource-efficient Domain Specific Comparison for Computer Vision9 Jun 2024
- 2024Representing Part-Whole Hierarchies in Foundation Models by Learning Localizability, Composability, and Decomposability from Anatomy via Self-Supervision24 Apr 2024
- 2024Scaling Laws for Galaxy Images3 Apr 2024
- 2024Learning Low-Rank Feature for Thorax Disease Classification14 Feb 2024
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- 2023Towards Foundation Models Learned from Anatomy in Medical Imaging via Self-Supervision27 Sep 2023
- 2023MoMA: Momentum Contrastive Learning with Multi-head Attention-based Knowledge Distillation for Histopathology Image Analysis31 Aug 2023
- 2023Revisiting Fine-Tuning Strategies for Self-supervised Medical Imaging Analysis20 Jul 2023
- 2023Automatic retrieval of corresponding US views in longitudinal examinations7 Jun 2023
- 2023Self-supervised Learning for Segmentation and Quantification of Dopamine Neurons in Parkinson's Disease11 Jan 2023
- 2022A Knowledge-based Learning Framework for Self-supervised Pre-training Towards Enhanced Recognition of Biomedical Microscopy Images27 Nov 2022
- 2022Vision Transformers in Medical Imaging: A Review18 Nov 2022
- 2022Robust Alzheimer's Progression Modeling using Cross-Domain Self-Supervised Deep Learning15 Nov 2022
- 2022Delving into Masked Autoencoders for Multi-Label Thorax Disease Classification23 Oct 2022
- 2022Weakly Supervised Learning with Automated Labels from Radiology Reports for Glioma Change Detection18 Oct 2022
- 2022Probabilistic Integration of Object Level Annotations in Chest X-ray Classification13 Oct 2022
- 2022Dive into Self-Supervised Learning for Medical Image Analysis: Data, Models and Tasks25 Sep 2022
- 2022Anatomy-Aware Contrastive Representation Learning for Fetal Ultrasound22 Aug 2022
- 2022RadTex: Learning Efficient Radiograph Representations from Text Reports5 Aug 2022
- 2022Self-Supervised-RCNN for Medical Image Segmentation with Limited Data Annotation17 Jul 2022
- 2022Robust and Efficient Medical Imaging with Self-Supervision19 May 2022
- 2022Resource-efficient domain adaptive pre-training for medical images28 Apr 2022
- 2022DiRA: Discriminative, Restorative, and Adversarial Learning for Self-supervised Medical Image Analysis21 Apr 2022
- 2021Do we still need ImageNet pre-training in remote sensing scene classification?5 Nov 2021
- 2022Delving into Masked Autoencoders for Multi-Label Thorax Disease Classificationcited by 65
- 2022DiRA: Discriminative, Restorative, and Adversarial Learning for Self-supervised Medical Image Analysiscited by 48
- 2022Robust and Efficient Medical Imaging with Self-Supervisioncited by 40
- 2024Representing Part-Whole Hierarchies in Foundation Models by Learning Localizability, Composability, and Decomposability from Anatomy via Self-Supervisioncited by 12
- 2023Towards Foundation Models Learned from Anatomy in Medical Imaging via Self-Supervisioncited by 11
- 2022Probabilistic Integration of Object Level Annotations in Chest X-ray Classificationcited by 10
- 2022Anatomy-Aware Contrastive Representation Learning for Fetal Ultrasoundcited by 8
- 2022Vision Transformers in Medical Imaging: A Reviewcited by 8
- 2022Self-Supervised-RCNN for Medical Image Segmentation with Limited Data Annotationcited by 7
- 2023MoMA: Momentum Contrastive Learning with Multi-head Attention-based Knowledge Distillation for Histopathology Image Analysiscited by 6
- 2024Scaling Laws for Galaxy Imagescited by 5
- 2024Which Backbone to Use: A Resource-efficient Domain Specific Comparison for Computer Visioncited by 5
12 most cited of 30 All 30 (JSON)
- 2026From pre-training to downstream performance: Does domain-specific pre-training make sense?9 May 2026
- 2026A Unified Framework for the Detection and Classification of Fatty Pancreas in Ultrasound Images8 May 2026
- 2026Multi-Dataset Cross-Domain Knowledge Distillation for Unified Medical Image Segmentation, Classification, and Detection2 May 2026
- 2025When Do Domain-Specific Foundation Models Justify Their Cost? A Systematic Evaluation Across Retinal Imaging Tasks27 Nov 2025
- 2024Evaluating Self-Supervised Learning in Medical Imaging: A Benchmark for Robustness, Generalizability, and Multi-Domain Impact26 Dec 2024
- 2024Leveraging Self-Supervised Learning for Fetal Cardiac Planes Classification using Ultrasound Scan Videos31 Jul 2024
- 2024Transfer or Self-Supervised? Bridging the Performance Gap in Medical Imaging8 Jul 2024
- 2024Which Backbone to Use: A Resource-efficient Domain Specific Comparison for Computer Vision9 Jun 2024
- 2024Representing Part-Whole Hierarchies in Foundation Models by Learning Localizability, Composability, and Decomposability from Anatomy via Self-Supervision24 Apr 2024
- 2024Scaling Laws for Galaxy Images3 Apr 2024
- 2024Learning Low-Rank Feature for Thorax Disease Classification14 Feb 2024
- 2023Towards Foundation Models Learned from Anatomy in Medical Imaging via Self-Supervision27 Sep 2023
12 newest of 30 All 30 (JSON)