# Can we Adopt Self-supervised Pretraining for Chest X-Rays?

arXiv: https://arxiv.org/abs/2211.12931 · HTML: https://mlsanity.com/paper/2211.12931/

## Key facts

- Cited by 4 papers in the map (data through 14 Oct 2026).
- Builds on 16 of its 33 references that are in the map.
- First posted on arXiv 23 Nov 2022.

## Builds on (most cited first, 16 of 16)

- [A Simple Framework for Contrastive Learning of Visual Representations](https://mlsanity.com/paper/2002.05709/) (2020)
- [Momentum Contrast for Unsupervised Visual Representation Learning](https://mlsanity.com/paper/1911.05722/) (2019)
- [Bootstrap your own latent: A new approach to self-supervised Learning](https://mlsanity.com/paper/2006.07733/) (2020)
- [Exploring Simple Siamese Representation Learning](https://mlsanity.com/paper/2011.10566/) (2020)
- [Unsupervised Learning of Visual Features by Contrasting Cluster Assignments](https://mlsanity.com/paper/2006.09882/) (2020)
- [Supervised Contrastive Learning](https://mlsanity.com/paper/2004.11362/) (2020)
- [CheXpert: A Large Chest Radiograph Dataset with Uncertainty Labels and Expert Comparison](https://mlsanity.com/paper/1901.07031/) (2019)
- [Contrastive Learning of Medical Visual Representations from Paired Images and Text](https://mlsanity.com/paper/2010.00747/) (2020)
- [CheXNet: Radiologist-Level Pneumonia Detection on Chest X-Rays with Deep Learning](https://mlsanity.com/paper/1711.05225/) (2017)
- [Transfusion: Understanding Transfer Learning for Medical Imaging](https://mlsanity.com/paper/1902.07208/) (2019)
- [Big Self-Supervised Models Advance Medical Image Classification](https://mlsanity.com/paper/2101.05224/) (2021)
- [Self-Supervised Pretraining Improves Self-Supervised Pretraining](https://mlsanity.com/paper/2103.12718/) (2021)
- [MoCo-CXR: MoCo Pretraining Improves Representation and Transferability of Chest X-ray Models](https://mlsanity.com/paper/2010.05352/) (2020)
- [What Makes Transfer Learning Work For Medical Images: Feature Reuse & Other Factors](https://mlsanity.com/paper/2203.01825/) (2022)
- [MedAug: Contrastive learning leveraging patient metadata improves representations for chest X-ray interpretation](https://mlsanity.com/paper/2102.10663/) (2021)
- [Self-supervised deep convolutional neural network for chest X-ray classification](https://mlsanity.com/paper/2103.03055/) (2021)

## Built on by (most cited first, 4 of 4)

- [How Can We Tame the Long-Tail of Chest X-ray Datasets?](https://mlsanity.com/paper/2309.04293/) (2023)
- [Thyroid ultrasound diagnosis improvement via multi-view self-supervised learning and two-stage pre-training](https://mlsanity.com/paper/2402.11497/) (2024)
- [Generalized Cross-domain Multi-label Few-shot Learning for Chest X-rays](https://mlsanity.com/paper/2309.04462/) (2023)
- [Multi-modal Masked Siamese Network Improves Chest X-Ray Representation Learning](https://mlsanity.com/paper/2407.04449/) (2024)

## Abstract (arXiv)

Chest radiograph (or Chest X-Ray, CXR) is a popular medical imaging modality that is used by radiologists across the world to diagnose heart or lung conditions. Over the last decade, Convolutional Neural Networks (CNN), have seen success in identifying pathologies in CXR images. Typically, these CNNs are pretrained on the standard ImageNet classification task, but this assumes availability of large-scale annotated datasets. In this work, we analyze the utility of pretraining on unlabeled ImageNet or Chest X-Ray (CXR) datasets using various algorithms and in multiple settings. Some findings of our work include: (i) supervised training with labeled ImageNet learns strong representations that are hard to beat; (ii) self-supervised pretraining on ImageNet (~1M images) shows performance similar to self-supervised pretraining on a CXR dataset (~100K images); and (iii) the CNN trained on supervised ImageNet can be trained further with self-supervised CXR images leading to improvements, especially when the downstream dataset is on the order of a few thousand images.