CIRCLe: Color Invariant Representation Learning for Unbiased Classification of Skin Lesions
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Abstract (arXiv)
While deep learning based approaches have demonstrated expert-level performance in dermatological diagnosis tasks, they have also been shown to exhibit biases toward certain demographic attributes, particularly skin types (e.g., light versus dark), a fairness concern that must be addressed. We propose CIRCLe, a skin color invariant deep representation learning method for improving fairness in skin lesion classification. CIRCLe is trained to classify images by utilizing a regularization loss that encourages images with the same diagnosis but different skin types to have similar latent representations. Through extensive evaluation and ablation studies, we demonstrate CIRCLe's superior performance over the state-of-the-art when evaluated on 16k+ images spanning 6 Fitzpatrick skin types and 114 diseases, using classification accuracy, equal opportunity difference (for light versus dark groups), and normalized accuracy range, a new measure we propose to assess fairness on multiple skin type groups.
Key facts. Cited by 17 papers in the map (data through 14 Oct 2026). Builds on 25 of its 60 references that are in the map. First posted on arXiv 29 Aug 2022.
Builds on
25 of 60 references.
References · 25
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13 more
- 2019BCN20000: Dermoscopic Lesions in the Wildcited by 225
- 2021Evaluating Deep Neural Networks Trained on Clinical Images in Dermatology with the Fitzpatrick 17k Datasetcited by 185
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- 2022FairPrune: Achieving Fairness Through Pruning for Dermatological Disease Diagnosiscited by 59
- 2021Fairness in Cardiac MR Image Analysis: An Investigation of Bias Due to Data Imbalance in Deep Learning Based Segmentationcited by 57
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Citing papers per year: 2022: 1; 2023: 5; 2024: 4; 2025: 5; 2026: 2.
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- 2023Domain Generalization for Medical Image Analysis: A Reviewcited by 48
- 2023Fast Diffusion-Based Counterfactuals for Shortcut Removal and Generationcited by 41
- 2022Addressing Fairness Issues in Deep Learning-Based Medical Image Analysis: A Systematic Reviewcited by 28
- 2023Are Sex-based Physiological Differences the Cause of Gender Bias for Chest X-ray Diagnosis?cited by 13
- 2023GIST: Generating Image-Specific Text for Fine-grained Object Classificationcited by 8
- 2024Prompt-driven Latent Domain Generalization for Medical Image Classificationcited by 8
- 2024Investigating the Quality of DermaMNIST and Fitzpatrick17k Dermatological Image Datasetscited by 7
- 2024Learning Color Equivariant Representationscited by 5
- 2023Assessing the Generalizability of Deep Neural Networks-Based Models for Black Skin Lesionscited by 3
- 2024APPLE: Adversarial Privacy-aware Perturbations on Latent Embedding for Unfairness Mitigationcited by 2
- 2025Enhancing Fairness in Skin Lesion Classification for Medical Diagnosis Using Prune Learningcited by 2
- 2025Evaluating Fairness and Mitigating Bias in Machine Learning: A Novel Technique using Tensor Data and Bayesian Regressioncited by 1
5 more
- 2026A Hypertoroidal Covering for Perfect Color Equivariancecited by 1
- 2025The Impact of Skin Tone Label Granularity on the Performance and Fairness of AI Based Dermatology Image Classification Modelscited by 0
- 2025Fitzpatrick Thresholding for Skin Image Segmentationcited by 0
- 2025Mitigating Individual Skin Tone Bias in Skin Lesion Classification through Distribution-Aware Reweightingcited by 0
- 2026Exploring the Impact of Skin Color on Skin Lesion Segmentationcited by 0
- 2026Exploring the Impact of Skin Color on Skin Lesion Segmentation31 Mar 2026
- 2026A Hypertoroidal Covering for Perfect Color Equivariance4 Mar 2026
- 2025Mitigating Individual Skin Tone Bias in Skin Lesion Classification through Distribution-Aware Reweighting9 Dec 2025
- 2025Fitzpatrick Thresholding for Skin Image Segmentation8 Oct 2025
- 2025The Impact of Skin Tone Label Granularity on the Performance and Fairness of AI Based Dermatology Image Classification Models14 Sep 2025
- 2025Enhancing Fairness in Skin Lesion Classification for Medical Diagnosis Using Prune Learning31 Aug 2025
- 2025Evaluating Fairness and Mitigating Bias in Machine Learning: A Novel Technique using Tensor Data and Bayesian Regression13 Jun 2025
- 2024Learning Color Equivariant Representations13 Jun 2024
- 2024APPLE: Adversarial Privacy-aware Perturbations on Latent Embedding for Unfairness Mitigation8 Mar 2024
- 2024Investigating the Quality of DermaMNIST and Fitzpatrick17k Dermatological Image Datasets25 Jan 2024
- 2024Prompt-driven Latent Domain Generalization for Medical Image Classification5 Jan 2024
- 2023Fast Diffusion-Based Counterfactuals for Shortcut Removal and Generation21 Dec 2023
5 more
- 2023Domain Generalization for Medical Image Analysis: A Review5 Oct 2023
- 2023Assessing the Generalizability of Deep Neural Networks-Based Models for Black Skin Lesions30 Sep 2023
- 2023Are Sex-based Physiological Differences the Cause of Gender Bias for Chest X-ray Diagnosis?9 Aug 2023
- 2023GIST: Generating Image-Specific Text for Fine-grained Object Classification21 Jul 2023
- 2022Addressing Fairness Issues in Deep Learning-Based Medical Image Analysis: A Systematic Review27 Sep 2022
- 2023Domain Generalization for Medical Image Analysis: A Reviewcited by 48
- 2023Fast Diffusion-Based Counterfactuals for Shortcut Removal and Generationcited by 41
- 2022Addressing Fairness Issues in Deep Learning-Based Medical Image Analysis: A Systematic Reviewcited by 28
- 2023Are Sex-based Physiological Differences the Cause of Gender Bias for Chest X-ray Diagnosis?cited by 13
- 2024Prompt-driven Latent Domain Generalization for Medical Image Classificationcited by 8
- 2024Investigating the Quality of DermaMNIST and Fitzpatrick17k Dermatological Image Datasetscited by 7
- 2024Learning Color Equivariant Representationscited by 5
- 2023Assessing the Generalizability of Deep Neural Networks-Based Models for Black Skin Lesionscited by 3
- 2024APPLE: Adversarial Privacy-aware Perturbations on Latent Embedding for Unfairness Mitigationcited by 2
- 2025Enhancing Fairness in Skin Lesion Classification for Medical Diagnosis Using Prune Learningcited by 2
- 2025Evaluating Fairness and Mitigating Bias in Machine Learning: A Novel Technique using Tensor Data and Bayesian Regressioncited by 1
- 2026A Hypertoroidal Covering for Perfect Color Equivariancecited by 1
12 most cited of 16 All 16 (JSON)
- 2026Exploring the Impact of Skin Color on Skin Lesion Segmentation31 Mar 2026
- 2026A Hypertoroidal Covering for Perfect Color Equivariance4 Mar 2026
- 2025Mitigating Individual Skin Tone Bias in Skin Lesion Classification through Distribution-Aware Reweighting9 Dec 2025
- 2025Fitzpatrick Thresholding for Skin Image Segmentation8 Oct 2025
- 2025The Impact of Skin Tone Label Granularity on the Performance and Fairness of AI Based Dermatology Image Classification Models14 Sep 2025
- 2025Enhancing Fairness in Skin Lesion Classification for Medical Diagnosis Using Prune Learning31 Aug 2025
- 2025Evaluating Fairness and Mitigating Bias in Machine Learning: A Novel Technique using Tensor Data and Bayesian Regression13 Jun 2025
- 2024Learning Color Equivariant Representations13 Jun 2024
- 2024APPLE: Adversarial Privacy-aware Perturbations on Latent Embedding for Unfairness Mitigation8 Mar 2024
- 2024Investigating the Quality of DermaMNIST and Fitzpatrick17k Dermatological Image Datasets25 Jan 2024
- 2024Prompt-driven Latent Domain Generalization for Medical Image Classification5 Jan 2024
- 2023Fast Diffusion-Based Counterfactuals for Shortcut Removal and Generation21 Dec 2023
12 newest of 16 All 16 (JSON)