# Few-Shot Transfer Learning to improve Chest X-Ray pathology detection using limited triplets

arXiv: https://arxiv.org/abs/2204.07824 · HTML: https://mlsanity.com/paper/2204.07824/

## Key facts

- Cited by 1 papers in the map (data through 14 Oct 2026).
- Builds on 11 of its 32 references that are in the map.
- First posted on arXiv 16 Apr 2022.

## Builds on (most cited first, 11 of 11)

- [Delving Deep into Rectifiers: Surpassing Human-Level Performance on ImageNet Classification](https://mlsanity.com/paper/1502.01852/) (2015)
- [CheXpert: A Large Chest Radiograph Dataset with Uncertainty Labels and Expert Comparison](https://mlsanity.com/paper/1901.07031/) (2019)
- [CheXNet: Radiologist-Level Pneumonia Detection on Chest X-Rays with Deep Learning](https://mlsanity.com/paper/1711.05225/) (2017)
- [Efficient Multi-Scale 3D CNN with Fully Connected CRF for Accurate Brain Lesion Segmentation](https://mlsanity.com/paper/1603.05959/) (2016)
- [Exploring Uncertainty Measures in Deep Networks for Multiple Sclerosis Lesion Detection and Segmentation](https://mlsanity.com/paper/1808.01200/) (2018)
- [Leveraging the Feature Distribution in Transfer-based Few-Shot Learning](https://mlsanity.com/paper/2006.03806/) (2020)
- [Few-Shot Learning with Global Class Representations](https://mlsanity.com/paper/1908.05257/) (2019)
- [Momentum Contrastive Learning for Few-Shot COVID-19 Diagnosis from Chest CT Images](https://mlsanity.com/paper/2006.13276/) (2020)
- [Semi-supervised few-shot learning for medical image segmentation](https://mlsanity.com/paper/2003.08462/) (2020)
- [Automatic detection of rare pathologies in fundus photographs using few-shot learning](https://mlsanity.com/paper/1907.09449/) (2019)
- [Additive Angular Margin for Few Shot Learning to Classify Clinical Endoscopy Images](https://mlsanity.com/paper/2003.10033/) (2020)

## Built on by (most cited first, 1 of 1)

- [A general-purpose AI assistant embedded in an open-source radiology information system](https://mlsanity.com/paper/2303.10338/) (2023)

## Abstract (arXiv)

Deep learning approaches applied to medical imaging have reached near-human or better-than-human performance on many diagnostic tasks. For instance, the CheXpert competition on detecting pathologies in chest x-rays has shown excellent multi-class classification performance. However, training and validating deep learning models require extensive collections of images and still produce false inferences, as identified by a human-in-the-loop. In this paper, we introduce a practical approach to improve the predictions of a pre-trained model through Few-Shot Learning (FSL). After training and validating a model, a small number of false inference images are collected to retrain the model using textbftextitImage Triplets - a false positive or false negative, a true positive, and a true negative. The retrained FSL model produces considerable gains in performance with only a few epochs and few images. In addition, FSL opens rapid retraining opportunities for human-in-the-loop systems, where a radiologist can relabel false inferences, and the model can be quickly retrained. We compare our retrained model performance with existing FSL approaches in medical imaging that train and evaluate models at once.
