# FCA: Taming Long-tailed Federated Medical Image Classification by Classifier Anchoring

arXiv: https://arxiv.org/abs/2305.00738 · HTML: https://mlsanity.com/paper/2305.00738/

## Key facts

- Cited by 4 papers in the map (data through 14 Oct 2026).
- Builds on 53 of its 71 references that are in the map.
- First posted on arXiv 1 May 2023.

## Builds on (most cited first, 30 of 53)

- [Adam: A Method for Stochastic Optimization](https://mlsanity.com/paper/1412.6980/) (2014)
- [Communication-Efficient Learning of Deep Networks from Decentralized Data](https://mlsanity.com/paper/1602.05629/) (2016)
- [EfficientNet: Rethinking Model Scaling for Convolutional Neural Networks](https://mlsanity.com/paper/1905.11946/) (2019)
- [Advances and Open Problems in Federated Learning](https://mlsanity.com/paper/1912.04977/) (2019)
- [Federated Optimization in Heterogeneous Networks](https://mlsanity.com/paper/1812.06127/) (2018)
- [FixMatch: Simplifying Semi-Supervised Learning with Consistency and Confidence](https://mlsanity.com/paper/2001.07685/) (2020)
- [Federated Learning: Challenges, Methods, and Future Directions](https://mlsanity.com/paper/1908.07873/) (2019)
- [Class-Balanced Loss Based on Effective Number of Samples](https://mlsanity.com/paper/1901.05555/) (2019)
- [Learning Imbalanced Datasets with Label-Distribution-Aware Margin Loss](https://mlsanity.com/paper/1906.07413/) (2019)
- [Decoupling Representation and Classifier for Long-Tailed Recognition](https://mlsanity.com/paper/1910.09217/) (2019)
- [Model-Contrastive Federated Learning](https://mlsanity.com/paper/2103.16257/) (2021)
- [The Future of Digital Health with Federated Learning](https://mlsanity.com/paper/2003.08119/) (2020)
- [FedBN: Federated Learning on Non-IID Features via Local Batch Normalization](https://mlsanity.com/paper/2102.07623/) (2021)
- [Federated Learning on Non-IID Data Silos: An Experimental Study](https://mlsanity.com/paper/2102.02079/) (2021)
- [Federated Learning with Matched Averaging](https://mlsanity.com/paper/2002.06440/) (2020)
- [Skin Lesion Analysis Toward Melanoma Detection: A Challenge at the 2017 International Symposium on Biomedical Imaging (ISBI), Hosted by the International Skin Imaging Collaboration (ISIC)](https://mlsanity.com/paper/1710.05006/) (2017)
- [Exploiting Shared Representations for Personalized Federated Learning](https://mlsanity.com/paper/2102.07078/) (2021)
- [A systematic study of the class imbalance problem in convolutional neural networks](https://mlsanity.com/paper/1710.05381/) (2017)
- [FedMD: Heterogenous Federated Learning via Model Distillation](https://mlsanity.com/paper/1910.03581/) (2019)
- [BBN: Bilateral-Branch Network with Cumulative Learning for Long-Tailed Visual Recognition](https://mlsanity.com/paper/1912.02413/) (2019)
- [Balanced Meta-Softmax for Long-Tailed Visual Recognition](https://mlsanity.com/paper/2007.10740/) (2020)
- [FedDG: Federated Domain Generalization on Medical Image Segmentation via Episodic Learning in Continuous Frequency Space](https://mlsanity.com/paper/2103.06030/) (2021)
- [No Fear of Heterogeneity: Classifier Calibration for Federated Learning with Non-IID Data](https://mlsanity.com/paper/2106.05001/) (2021)
- [BCN20000: Dermoscopic Lesions in the Wild](https://mlsanity.com/paper/1908.02288/) (2019)
- [Parametric Contrastive Learning](https://mlsanity.com/paper/2107.12028/) (2021)
- [Improving Calibration for Long-Tailed Recognition](https://mlsanity.com/paper/2104.00466/) (2021)
- [FedHealth: A Federated Transfer Learning Framework for Wearable Healthcare](https://mlsanity.com/paper/1907.09173/) (2019)
- [FedBABU: Towards Enhanced Representation for Federated Image Classification](https://mlsanity.com/paper/2106.06042/) (2021)
- [Privacy-preserving Federated Brain Tumour Segmentation](https://mlsanity.com/paper/1910.00962/) (2019)
- [Towards Understanding Knowledge Distillation](https://mlsanity.com/paper/2105.13093/) (2021)

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

- [Think Twice Before Selection: Federated Evidential Active Learning for Medical Image Analysis with Domain Shifts](https://mlsanity.com/paper/2312.02567/) (2023)
- [Federated Model Aggregation via Self-Supervised Priors for Highly Imbalanced Medical Image Classification](https://mlsanity.com/paper/2307.14959/) (2023)
- [Addressing Skewed Heterogeneity via Federated Prototype Rectification with Personalization](https://mlsanity.com/paper/2408.07966/) (2024)
- [Normative Modeling for AD Diagnosis and Biomarker Identification](https://mlsanity.com/paper/2411.10570/) (2024)

## Abstract (arXiv)

Limited training data and severe class imbalance impose significant challenges to developing clinically robust deep learning models. Federated learning (FL) addresses the former by enabling different medical clients to collaboratively train a deep model without sharing data. However, the class imbalance problem persists due to inter-client class distribution variations. To overcome this, we propose federated classifier anchoring (FCA) by adding a personalized classifier at each client to guide and debias the federated model through consistency learning. Additionally, FCA debiases the federated classifier and each client's personalized classifier based on their respective class distributions, thus mitigating divergence. With FCA, the federated feature extractor effectively learns discriminative features suitably globally for federation as well as locally for all participants. In clinical practice, the federated model is expected to be both generalized, performing well across clients, and specialized, benefiting each individual client from collaboration. According to this, we propose a novel evaluation metric to assess models' generalization and specialization performance globally on an aggregated public test set and locally at each client. Through comprehensive comparison and evaluation, FCA outperforms the state-of-the-art methods with large margins for federated long-tailed skin lesion classification and intracranial hemorrhage classification, making it a more feasible solution in clinical settings.