Robust Asymmetric Loss for Multi-Label Long-Tailed Learning
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Abstract (arXiv)
In real medical data, training samples typically show long-tailed distributions with multiple labels. Class distribution of the medical data has a long-tailed shape, in which the incidence of different diseases is quite varied, and at the same time, it is not unusual for images taken from symptomatic patients to be multi-label diseases. Therefore, in this paper, we concurrently address these two issues by putting forth a robust asymmetric loss on the polynomial function. Since our loss tackles both long-tailed and multi-label classification problems simultaneously, it leads to a complex design of the loss function with a large number of hyper-parameters. Although a model can be highly fine-tuned due to a large number of hyper-parameters, it is difficult to optimize all hyper-parameters at the same time, and there might be a risk of overfitting a model. Therefore, we regularize the loss function using the Hill loss approach, which is beneficial to be less sensitive against the numerous hyper-parameters so that it reduces the risk of overfitting the model. For this reason, the proposed loss is a generic method that can be applied to most medical image classification tasks and does not make the training process more time-consuming. We demonstrate that the proposed robust asymmetric loss performs favorably against the long-tailed with multi-label medical image classification in addition to the various long-tailed single-label datasets. Notably, our method achieves Top-5 results on the CXR-LT dataset of the ICCV CVAMD 2023 competition. We opensource our implementation of the robust asymmetric loss in the public repository: https://github.com/kalelpark/RAL.
Key facts. Cited by 8 papers in the map (data through 14 Oct 2026). Builds on 29 of its 44 references that are in the map. First posted on arXiv 10 Aug 2023.
Builds on
29 of 44 references.
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17 more
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Built on by
Citing papers per year: 2023: 2; 2024: 1; 2025: 2; 2026: 3.
8 papers.
- 2023Towards long-tailed, multi-label disease classification from chest X-ray: Overview of the CXR-LT challengecited by 22
- 2023LD-SDM: Language-Driven Hierarchical Species Distribution Modelingcited by 4
- 2024Taming the Tail: Leveraging Asymmetric Loss and Pade Approximation to Overcome Medical Image Long-Tailed Class Imbalancecited by 1
- 2025GazeLT: Visual attention-guided long-tailed disease classification in chest radiographscited by 1
- 2025Exploring Imbalanced Annotations for Effective In-Context Learningcited by 0
- 2026VISTA: Validation-Guided Integration of Spatial and Temporal Foundation Models with Anatomical Decoding for Rare-Pathology VCE Event Detectioncited by 0
- 2026VISTA: Validation-Guided Integration of Spatial and Temporal Foundation Models with Anatomical Decoding for Rare-Pathology VCE Event Detection -- after competition resultscited by 0
- 2026Rethinking Multi-Label Image Classification With Deep Learning: Taxonomy, Challenge, and Outlookcited by 0
- 2026Rethinking Multi-Label Image Classification With Deep Learning: Taxonomy, Challenge, and Outlook1 Jul 2026
- 2026VISTA: Validation-Guided Integration of Spatial and Temporal Foundation Models with Anatomical Decoding for Rare-Pathology VCE Event Detection -- after competition results21 May 2026
- 2026VISTA: Validation-Guided Integration of Spatial and Temporal Foundation Models with Anatomical Decoding for Rare-Pathology VCE Event Detection18 Mar 2026
- 2025GazeLT: Visual attention-guided long-tailed disease classification in chest radiographs13 Aug 2025
- 2025Exploring Imbalanced Annotations for Effective In-Context Learning6 Feb 2025
- 2024Taming the Tail: Leveraging Asymmetric Loss and Pade Approximation to Overcome Medical Image Long-Tailed Class Imbalance5 Oct 2024
- 2023LD-SDM: Language-Driven Hierarchical Species Distribution Modeling13 Dec 2023
- 2023Towards long-tailed, multi-label disease classification from chest X-ray: Overview of the CXR-LT challenge24 Oct 2023